摘要
目的探讨专职化护理小组模式在重症哮喘患儿中的应用效果。方法选择河北省唐山市妇幼保健院呼吸重症科2018年10月—2019年10月收治的80例重症哮喘患儿,根据随机数字表法分为对照组和观察组,各40例。对照组患儿给予常规护理,干预组患儿采用专职化护理小组模式,均护理至患者出院。比较两组患儿护理前与出院当天的疗效、疾病感知[采用简易疾病感知问卷(BIPQ)评价]、医疗恐惧(采用儿童医疗恐惧调查表评价)及出院后1个月的生活质量[采用儿科生命质量问卷(PAQLQ)评价]。结果出院当天,观察组患儿的临床治疗总有效率高于对照组;观察组患儿的BIPQ及儿童医疗恐惧调查表评分低于对照组,差异均有统计学意义(P<0.05);出院后1个月,观察组患儿的PAQLQ量表症状维度评分及总分均高于对照组,差异均有统计学意义(P<0.05)。结论专职化护理小组模式在重症哮喘护理中的效果显著,有利于提高患儿临床疗效,降低患儿疾病感知和医疗恐惧水平,提高患儿生活质量。
Objective To explore the effect of the specialized nursing team model in children with severe asthma.Methods A total of 80 children with severe asthma admitted to the Respiratory Intensive Care Unit,Tangshan Maternal and Child Health Hospital of Hebei Province from October 2018 to October 2019 were selected and divided into control group and observation group according to the random number table,with 40 cases in each group.Children in control group were given routine nursing care,and children in intervention group were treated with the specialized nursing team model,and they were all treated until discharge.We compared the efficacy,disease perception with the Brief Illness Perception Questionnaire(BIPQ),medical phobia with the Children's Medical phobia Questionnaire,and quality of life one month after discharge with the Pediatric Asthma Quality of Life Questionnaire(PAQLQ).Results On the day of discharge,the total effective rate of clinical treatment of children in observation group was significantly higher than that of control group;and the scores of BIPQ and Children's Medical phobia Questionnaire of observation group were lower than those of control group,the differences were statistically significant(P<0.05).One month after discharge,the scores of symptom dimension and the total score of the PAQLQ of observation group were higher than those of control group,and the differences were statistically significant(P<0.05).Conclusions The specialized nursing team model has a significant effect in the nursing care of severe asthma,which is conducive to improving the clinical efficacy of children,reducing children's disease perception and medical phobia,and improving children's quality of life.
作者
崔慧贤
葛宾
赵静维
颜亚梅
刘鹤
Cui Huixian;Ge Bin;Zhao Jingwei;Yan Yamei;Liu He(Respiratory Intensive Care Unit,Tangshan Maternal and Child Health Hospital of Hebei Province,Tangshan 063000,China)
出处
《中华现代护理杂志》
2021年第4期480-484,共5页
Chinese Journal of Modern Nursing
关键词
哮喘
儿童
重症
专职化护理小组模式
疾病感知
生活质量
Asthma
Child
Critical illness
Specialized nursing team model
Illness perception
Quality of life
