摘要
目的:观察基于行为转变理论对支气管哮喘患儿开展延续性护理的效果。方法:将100例患儿随机分为两组,每组50例。对照组给予常规护理干预,观察组在对照组基础上给予基于行为转变理论的延续性护理干预。比较两组干预前后疾病认知度评分、生活质量测定量表简表(quality of life questionaire abbreviated version,QOL-BREF)评分;比较两组改良医学研究会呼吸困难量表(modified medical research council,mMRC)分级及对护理工作的满意度,统计两组患儿干预期间并发症发生情况。结果:疾病认知度评分及QOL-BREF评分两组干预后均高于干预前(P<0.05),且观察组高于对照组(P<0.05)。观察组mMRC分级0级17例,Ⅰ级19例,Ⅱ级12例,Ⅲ级2例;对照组mMRC分级0级6例,Ⅰ级21例,Ⅱ级18例,Ⅲ级5例。mMRC分级情况两组比较,差异有统计学意义(P<0.05)。护理态度、护理技术、健康教育满意率观察组分别为96.00%(48/50)、94.00%(47/50)、90.00%(45/50),对照组分别为84.00%(42/50)、80.00%(40/50)、74.00%(37/50)。两组比较,差异均有统计学意义(P<0.05)。并发症发生率观察组为4.00%(2/50),对照组为16.00%(8/50),两组比较差异有统计学意义(P<0.05)。结论:采用基于行为转变理论的延续性护理对支气管哮喘患儿进行干预,能提高疾病认知度,减轻患儿呼吸困难程度,改善生活质量。
Objective:To observe the effects of carrying out continuous care for children with bronchial asthma(BA)based on trans-theoretical model.Methods:All 100 children were randomized into two groups,50 cases each group.The control group accepted conventional nursing intervention,and the observation group continuous nursing intervention based on trans-theoretical model.To compare disease awareness scores and QOL-BREF scores before and after the intervention between both groups;to compare the classification of mMRC and nursing satisfaction degree between both groups,to count the incidence of the complications during the intervention period between both groups.Results:Disease awareness scores and QOL-BREF scores of both groups after the intervention were higher than these before the intervention(P<0.05),and the observation group was higher than the control group(P<0.05).In the observation group,there were 17 cases at grade zero,19 cases at gradeⅠ,12 cases at gradeⅡand two cases at gradeⅢ;in the control group,six cases at grade zero,21 cases at gradeⅠ,18 cases at gradeⅡand five cases at gradeⅢ.The difference showed statistical meaning in mMRC classification between both groups(P<0.05).Satisfaction rates to nursing attitude,nursing skills and health education in the observation group were 96.00%(48/50),94.00%(47/50)and 90.00%(45/50)respectively,while the rates of the control group were 84.00%(42/50),80.00%(40/50)and 74.00%(37/50).The difference showed statistical meaning between both groups(P<0.05).The incidence of the complications in the observation group was 4.00%(2/50),lower than 16.00%(8/50)of the control group,and the difference showed statistical meaning beween both groups(P<0.05).Conclusion:Continuous care based on trans-theoretical model given to BA children could raise disease awareness degree,alleviate the degree of dyspnea and improve quality of life.
作者
李素娟
彭万胜
陈开泉
LI Sujuan;PENG Wansheng;CHEN Kaiquan(Anhui province Lujiang County TCM Hospital,Lujiang 231500,China;The First Affiliated Hospital of Bengbu Medical College)
出处
《西部中医药》
2020年第8期153-156,共4页
Western Journal of Traditional Chinese Medicine
基金
安徽省高校自然科学研究重点项目(KJ2019A0365)。
关键词
支气管哮喘
行为转变理论
延续性护理
儿童
bronchial asthma
trans-theoretical model
continuous care
children
