摘要
目的探讨循证护理在重组人生长激素(r-hGH)治疗青春期前特发性矮小症(ISS)患儿中的应用效果。方法选取2015年1月~2018年1月我院收治的54例青春期前ISS患儿作为研究对象,随机分为观察组(应用循证护理)和对照组(应用常规护理),每组各27例。两组均实施r-hGH治疗。均随访1年,比较两组的生长速率、护理质量评分、复诊率、家属总满意度及不良反应发生率。结果观察组护理质量评分高于对照组,且观察组护理后1年生长速率[(9.65±0.78)cm/年]高于对照组[(8.15±0.56)cm/年](P<0.05);观察组家属总满意度(96.30%)高于对照组(70.37%)(P<0.05);观察组不良反应总发生率(7.41%)低于对照组(29.63%)(P<0.05);观察组6个月复诊率(100.00%)、1年复诊率(92.59%)均高于对照组(85.19%、70.37%),差异有统计学意义(P<0.05)。结论采用r-hGH治疗青春期前ISS患儿实施循证护理有较好的效果,不仅有助于增加患儿生长速率及复诊率,还可提高患儿家属满意度。
Objective To explore the effect of evidence-based nursing in the treatment of prepubertal idiopathic dwarf(ISS)children with recombinant human growth hormone(r-hGH).Methods From January 2015 to January 2018,54 children with prepubertal ISS in our hospital were selected and randomly divided into the observation group(treated with evidence-based nursing)and the control group(treated with routine nursing),27 cases in each group.Both groups were treated with r-hGH.All of them were followed up for one year.The growth rate,nursing quality score,revisiting rate,family satisfaction and adverse reaction rate were compared between the two groups.Results The nursing quality score of the observation group was higher than that of the control group,and the growth rate of the observation group([9.65±0.78]cm/years)was higher than that of the control group([8.15±0.56]cm/years)(P<0.05).The family total satisfaction(96.30%)in the observation group was higher than that in the control group(70.37%)(P<0.05),and the total incidence of adverse reactions in the observation group(7.41%)was lower than that in the control group(29.63%)(P<0.05).The 6-month follow-up rate(100.00%)and the one-year follow-up rate(92.59%)in the observation group were higher than those in the control group(85.19%,70.37%)(P<0.05).Conclusion Evidence-based nursing for children with prepubertal ISS treated with r-hGH has a good effect,which can not only increase the growth rate and the rate of rediagnosis,but also improve the satisfaction of the children′s family.
作者
陈冰
罗六妹
CHEN Bing;LUO Liu-mei(Department of Child Rehabilitation,Shaoguan First People′s Hospital,Guangdong Province,Shaoguan 512000,China)
出处
《中国当代医药》
2019年第23期221-223,227,共4页
China Modern Medicine
关键词
重组人生长激素
青春期
特发性矮小症
护理
生长速率
不良反应
Recombinant human growth hormone
Adolescence
Idiopathic dwarfism
Nursing
Growth rate
Adverse reactions
