摘要
目的:评价基于儿童呼吸困难评分的干预模式应用于哮喘患儿家庭管理的效果。方法:选取2017年3月至2019年3月于我院治疗的哮喘患儿118例,按简单随机化法分为观察组和对照组(n=59),其中对照组患儿予以常规护理,观察组患儿在常规护理基础上进行儿童呼吸困难评分模式的护理。干预3 m后,采用FGC-A^+肺功能测试仪测定患儿肺功能,包括第一秒用力呼吸末容积(Forced expiratory volume in one second,FEV1)、用力肺活量(Forced vital capacity,FVC)及呼气峰流速(Peak expiratory flow,PEF);采用健康状况调查简表(SF-36)评估患儿的生活质量;同时采用本院自制满意度调查量表评价家属满意度。结果:与干预前相比,干预3 m后各组患儿的肺功能均明显增加(P<0.05),其中观察组增加更为显著(P<0.05);两组患儿的生活质量评分均增加(P<0.05),其中观察组增加更显著(P<0.05)。同时观察组患儿家属满意度明显优于对照组(P<0.05)。结论:对哮喘患儿应用基于儿童呼吸困难评分模式的护理能有效改善患儿的肺功能,提高患儿居家生活质量和家属满意度。
Objective:To evaluate the effect of the intervention model based on children's dyspnea score on family management of children with asthma.Methods:A total of 118 children with asthma treated in our hospital from March 2017 to March 2019 were selected and randomly divided into control group and observation group(n=59),according to simple randomization.The patients in control group received routine nursing care,and the patients in observation group received nursing care based on children's dyspnea score.After 3 months of intervention,FGC-A^+lung function tester was used to evaluate the lung function,including Forced expiratory volume in one second(FEV1),Forced vital capacity(FVC)and Peak expiratory flow(PEF).The quality of life of patients was evaluated by health status survey table(SF-36).The satisfaction scale of our hospital was used to compare the satisfaction of family members.Results:After 3 months of intervention,lung function was significantly increased in all patients(P<0.05),which was more significant in the observation group(P<0.05).The quality of life score was increased in both groups(P<0.05),with a more significant increase in the observation group(P<0.05).The family satisfaction of the observation group was better than that of the control group(P<0.05).Conclusion:Application of nursing based on children's dyspnea score model to children with asthma can effectively improve their lung function and their quality of life at home and family satisfaction.
作者
马银
马金金
Ma Yin;Ma Jin-jin(Digestive Internal Medicine,Nanyang First People's Hospital,Nanyang 473000,Henan,China;Paediatrics,Nanyang First People's Hospital,Nanyang 473000,Henan,China)
出处
《四川生理科学杂志》
2020年第2期178-181,185,共5页
Sichuan Journal of Physiological Sciences
关键词
哮喘
儿童呼吸困难评分
家庭管理
肺功能
Asthma
Children's dyspnea score
Family management
Lung function