摘要
目的分析延伸护理模式对哮喘伴变应性鼻炎儿童病情控制的影响。方法将2015年11月至2016年10月在山东省滨州市人民医院确诊的116例6-14岁哮喘伴变应性鼻炎患儿，按患儿家长自愿原则分为常规护理组和延伸护理组各58例。常规护理组实施以住院或门诊患者为中心的常规护理，延伸护理组在常规护理基础上实施延伸护理，观察干预前后患儿哮喘和变应性鼻炎症状／45征量化评分、1年内急性发作次数、遗忘用药次数、平均住院天数、平均误学（误园）天数、肺功能、呼出气一氧化氮（FeNO）等测定指标的变化。上述指标于入组时、3个月、6个月、9个月、1年结束时共评定5次。比较2组的差异。结果1年后延伸护理组58例中良好控制占68．97％（40／58），部分控制占31．03％（18／58），未控制0例；常规护理组58例中良好控制占37．93％（22／58），部分控制占62．07％（36／58），未控制0例；延伸护理组明显好于常规护理组，2组比较差异有统计学意义（r=11．23，P〈0．01）。常规护理组变应性鼻炎症状／体征评分、哮喘症状／体征评分分别为（1．88±0．72）、（1．83±0．75）分，延伸护理组分别为（0．79±0．71）、（0．88±0．67）分，2组比较差异有统计学意义（t=8．080、7．133，P〈0．01）。延伸护理组1年内急性发作次数、遗忘用药次数、平均住院天数、平均误学（误园）天数分别为（0．60±0．59）次、（11．05±7．40）次、（8．83±2．79）d、（8．69±5．46）d，均明显低于常规护理组的（2．94±1．52）次、（35．28±8．84）次、（20．95±5．46）d、（24．72±5．92）d，2组比较差异有统计学意义（t=lO．50～15．87，P〈0．01）。延伸护理组肺功能检测结果PEF、FEVI、FEV25、FEV50、FEV75分别为82．02±6．04、88．19±5．10、80．67±4．88、80．07±3．73、81．52±3．85，明显优于�
Objective To evaluate the effects of extended nursing mode on the asthmatic children with allergic rhinitis （AR）. Methods Totallyll6 children aged 6-14 years old with asthma and AR were enrolled to this study from November 2015 to October 2016 in our hospital. They were divided into the regular nursing group and the extended nursing group according to the voluntary principle. The patients in regular nursing group were received routine nursing care in or out of hospital, while the patients in extended nursing group received extended care besides routine nursing. The children were required to record diary about asthma and AR And participate in asthma action projects. Before and after intervention we observed the quantitative score of symptoms and signs, the times of acute attack, the times of oblivion medication, the average days of stay in hospital, the days of fail to School or kindergarten, the lung function and the fractional exhaled nitric oxide （FeNO） in children with asthma and AR within I year. These above marks were assessed five times respectively at starting （baseline）, 3 months, 6 months, 9 months and 12 months （! year） The differences between two groups were compared with appropriate statistical methods. Results 1 year later, out of 58 cases in extended nursing group, 40 patients （68.97%）were in good control and 18 cases （31.03%） in partial control. Out of 58 cases in regular nursing group, 22 cases （37.93%） were in good control and 36 patients （62.07%） in partial control. There were significant differences between two groups in the effect of disease （X^2=11.23, all P〈0.01）, the experimental group was significantly better than the control group. The symptoms and signs of allergic rhinitis average scores in regular nursing group were 1.88±0.72, extended nursing group were 0.79 ± 0.71, the difference was statistically significant （t=8.080, P〈O.01） with the extended nursing group much better that the regular nursing group. The symptoms and signs of asthma aver
作者
巴合藏
王雪松
张英
王雨农
王广智
徐传伟
李宝强
薛荣琰
王洪田
Ba Hezang;Wang Xuesong;Zhang Ying;Wang Yunong;Wang Guangzhi;Xu Chuanwei;Li Baoqiang;Xue Rongyan;Wang Hongtian(Department of Pediatrics,Binzhou People＇s Hospital,Shandong Province,Binzhou 256610,China)
出处
《中国实用护理杂志》
2018年第21期1617-1623,共7页
Chinese Journal of Practical Nursing
基金
海南省科技厅重大科技项目（ZDKJ2016008）
山东省医药卫生科技发展计划（2017WS823）
关键词
鼻炎
变应性
季节性
儿童
哮喘
延伸护理
Rhinitis
allergic
seasonal
Child
Asthma
Extended nursing
