[1]李素娟,彭万胜,陈开泉.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观察[J].西部中医药,2020,33(08):153-156.[doi:10.12174/j.issn.1004-6852.2020.08.43]
　LI Sujuan,PENG Wansheng,CHEN Kaiquan.Observation on the Effects of Carrying out Continuous Care for Children with Bronchial Asthma Based on Trans-theoretical Model[J].Western Journal of Traditional Chinese Medicine,2020,33(08):153-156.[doi:10.12174/j.issn.1004-6852.2020.08.43]
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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观察
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
33
期数:
2020年08期
页码:
153-156
栏目:
出版日期:
2020-08-15

文章信息/Info

Title:
Observation on the Effects of Carrying out Continuous Care for Children with Bronchial Asthma Based on Trans-theoretical Model
文章编号:
1004-6852(2020)08-0153-04
作者:
李素娟1，彭万胜2，陈开泉1
1 安徽省庐江县中医院,安徽 庐江 231500； 2 安徽蚌埠医学院第一附属医院
Author(s):
LI Sujuan1, PENG Wansheng2, CHEN Kaiquan1
1 Anhui province Lujiang County TCM Hospital, Lujiang 231500, China;2 The First Affiliated Hospital of Bengbu Medical College
关键词:
支气管哮喘; 行为转变理论; 延续性护理; 儿童
Keywords:
bronchial asthma;  trans-theoretical model;  continuous care;  children
分类号:
R248.4
DOI:
10.12174/j.issn.1004-6852.2020.08.43
文献标志码:
B
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。
Abstract:
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 grade Ⅱ and two cases at grade Ⅲ; in the control group, six cases at grade zero, 21 cases at grade Ⅰ, 18 cases at grade Ⅱ and five cases at grade Ⅲ. 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.

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备注/Memo

备注/Memo:
收稿日期：2020-02-25*基金项目：安徽省高校自然科学研究重点项目(KJ2019A0365)。作者简介：李素娟(1981—)，女，本科，主管护师。研究方向：小儿内科护理。
更新日期/Last Update: 2020-08-15