[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(S1):94-95.
 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(S1):94-95.
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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:1006-6977/CN:61-1281/TN]

卷:
33
期数:
2020年S1
页码:
94-95
栏目:
出版日期:
2021-06-30

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
作者:
李素娟1 彭万胜2 陈开泉1
1.合肥市庐江县中医院 儿科 安徽合肥 2315002.安徽蚌埠医学院第一附属医院 儿科 安徽合肥 233004
Author(s):
Li Sujuan1 Peng Wansheng 2 Chen Kaiquan1
1.Hefei Lujiang County Hospital of traditional Chinese Medicine Pediatrics Hefei, Anhui 231500 2. The First Affiliated Hospital of Bengbu Medical College Pediatrics Hefei, Anhui 230001
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
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 higherthan 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.

参考文献/References:

[1]沈淑芬, 陈冰玉, 汤萍,等. 基于动机性访谈对反复呼吸道感染患儿开展延续性护理的效果观察[J]. 护理管理杂志, 2015, 15(1):57-59.
[2]中华医学会儿科学分会呼吸学组, 《中华儿科杂志》编辑委员会. 儿童支气管哮喘诊断与防治指南(2016年版)[J]. 中华儿科杂志, 2016, 54(3):167-181.
[3]胡婷婷. 中药三伏穴位贴敷配合特色护理对哮喘稳定期免疫功能的调节作用[J]. 长春中医药大学学报, 2016, 32(3):512-514.
[4]李英, 何小静. 延续性护理对支气管哮喘患者治疗依从性及生活质量的影响观察[J]. 河北医学, 2017, 23(2):334-336.
[5]Michelle Vaz, Stephen Y. Hwang, Ashwini Patil, et al. Abstract B18: Chronic cigarette smoke exposure of bronchial epithelial cells induces progressive epigenomic changes leading to early steps of transformation[J]. Cancer Research, 2016, 76(2):18-19.
[6]梁群, 李倩, 宁余音,等. 壮医穴膏摩及贴敷防治小儿反复呼吸道感染随机对照研究[J]. 长春中医药大学学报, 2019, 35(1):104-107.
[7]尚启云, 赵燕, 杨菲,等. 规范化延续性护理对支气管哮喘出院患儿的影响[J]. 中华全科医学, 2018, 16(7):1216-1219.
[8]黄春霞, 胡林峰, 陈小燕,等. 个体化延续护理在哮喘患儿中的应用效果[J]. 中国医药导报, 2017, 14(11):160-163.
[9]王小妮, 李晓娅, 陆小霞. 延续性随访护理对哮喘患儿治疗效果及家长健康知晓度的影响[J]. 现代医学, 2016, 44(11):1623-1626.
[10]SHANG Qi-yun, ZHAO Yan, YANG Fei, et al. Effect of standardized continuity nursing on discharged children with bronchial asthma[J]. Chinese Journal of General Practice, 2018, 28(7):42-43.
[11]文萍, 白永旗, 赵南霜,等. 持续护理对学龄期支气管哮喘缓解期患儿预后的干预效果[J]. 解放军护理杂志, 2017, 34(13):30-33.
[12]GU Yongzhen, Department of Pediatrics. Effect of continuous nursing on the life quality and prognosis in children with asthma[J]. Journal of Clinical Medicine in Practice, 2015, 31(5):415-421
[13]徐艳春. 延续护理在提高支气管哮喘患者自我管理能力中的应用[J]. 中国妇幼健康研究, 2016, 27(1):513-514.
[14]梁娟, 白博, 胡雪慧,等. 延续性护理对儿童哮喘家庭管理效果的研究[J]. 中国医药导报, 2018, 15(29):147-150.
[15]赵翠梅, 荆晓蕾, 胡伟. 基于TTM的延续性护理在ACS患者中的应用及对服药依从性、自我管理能力、认知水平和预后的影响[J]. 中国煤炭工业医学杂志, 2018, 21(05):84-89.

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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: 2020-09-30