摘要
目的探讨基于奥瑞姆自理理论的医院-家庭延续护理在变应性哮喘患儿中的应用效果。方法选择2021年1月—2023年1月医院收治的108例变应性哮喘患儿为研究对象,根据基本资料具有可比性的原则将其分为对照组和观察组各54例。对照组予以常规家庭健康管理,观察组采用基于奥瑞姆自理理论的医院-家庭延续护理。两组均持续干预3个月,随访6个月。观察两组干预前、干预3个月后的用药依从性、病情发作控制及肺功能水平。结果干预前,两组用药依从性比较差异无统计学意义(P>0.05);干预3个月后,观察组的用药依从性高于对照组,差异有统计学意义(P<0.05);观察组出院3个月、6个月内的病情发作次数分别为1.52±1.17次、2.80±1.20次,均少于对照组的2.45±1.05次、4.45±1.27次,差异有统计学意义(P<0.05);观察组出院6个月内再入院次数为1.64±0.71次,少于对照组的2.47±0.92次,差异有统计学意义(P<0.05);干预前,两组FEV1及FVC水平比较差异无统计学意义(P>0.05);干预3个月后,观察组的FEV1及FVC水平高于对照组,差异有统计学意义(P<0.05)。结论基于奥瑞姆自理理论的医院-家庭延续护理能够提高变应性哮喘患儿的用药依从性,同时有助于改善病情发作控制效果及肺功能水平。
Objective To explore the application effect of hospital-family extended care based on Orem's self-care theory in children with allergic asthma.Methods To select 108 cases of children with allergic asthma admitted to the hospital from January 2021 to January 2023 as the study subjects,they were divided into 54 cases each in the control group and the observation group according to the principle of comparability of basic data.The control group was given conventional home health management,the observation group adopted hospital-home continuity of care based on Orem's theory of self-care.Both groups continuely given the intervention for 3 months,followed up for 6 months.Medication adherence,exacerbation control and lung function levels were observed in both groups before and after 3 months of intervention.Results Before intervention,there was no statistically significant difference in medication adherence between the two groups(P>0.05),after 3 months of intervention,the medication adherence of the observation group was higher than that of the control group,with statistically significant differences(P<0.05),the number of exacerbations in the observation group within 3 and 6 months after discharge from the hospital was 1.52±1.17 times and 2.80±1.20 times,respectively,which were less than that of the control group,which was 2.45±1.05 times and 4.45±1.27 times respectively,and the difference was statistically significant(P<0.05),the number of readmissions in the observation group within 6 months after discharge was 1.64±0.71 times,which was less than that of the control group,which was 2.47±0.92 times,and the difference was statistically significant(P<0.05),the difference in the levels of FEV1 and FVC between the two groups before the intervention was statistically not significant(P>0.05),After 3 months of intervention,the FEV1 and FVC levels of the observation group were higher than those of the control group,and the difference was statistically significant(P<0.05).Conclusion Hospital-family continuity of care base
作者
顾竹筠
厉加珍
高亚丽
王倩
许士娣
GU Zhuyun;LI Jiazhen;GAO Yali;WANG Qian;XU Shidi(Wuxi Children's Hospital,Wuxi 214000,China)
出处
《护理实践与研究》
2024年第11期1588-1592,共5页
Nursing Practice and Research
基金
无锡市卫生健康委妇幼健康科研项目(编号:FYKY202003)。
关键词
奥瑞姆自理理论
延续护理
变应性哮喘
病情发作控制
肺功能
Orem's self-care theory
Continuity of care
Allergic asthma
Exacerbation control
Lung function
