目的 探讨医-家互联式综合护理改善支气管哮喘患儿生活质量的效果。方法 选择2022-01至2024-01于武警特色医学中心接受诊治的支气管哮喘患儿100例,随机分为观察组及对照组,每组50例。对照组实施常规护理,观察组实施医-家互联式综合护理,比较两组支气管哮喘发作情况。两组均于干预前及干预6个月后,采用儿童焦虑性情绪障碍筛查量表(SCARED)及儿童抑郁障碍自评量表(DSRSC)评估两组患儿心理应激情况,采用儿科哮喘生命质量调查问卷(PAQLQ)评估生活质量,统计两组护理满意度。结果 观察组干预6个月内发作次数、急诊次数、再次入院次数均少于对照组,差异有统计学意义(P＜0.05)。干预后,两组SCARED评分、DSRSC评分数据均降低,且观察组低于对照组;两组症状评分、活动评分、情感功能评分及PAQLQ总分数据均升高,且观察组高于对照组,差异均有统计学意义(P＜0.05)。观察组护理总体满意度高于对照组,差异有统计学意义(P＜0.05)。结论 医-家互联式综合护理可减少支气管哮喘患儿哮喘发作次数,缓解心理应激,改善患儿生活质量,提高护理满意度。
Abstract
Objective To explore the effect of physician-home interconnecting comprehensive nursing on life quality in children with bronchial asthma. Methods A total of 100 children with bronchial asthma who were treated at Characteristics Medical Center of Chinese People’s Armed Police Force from January 2022 to January 2024 were divided into an observation group and a control group, with 50 cases in each group. The control group received routine nursing, while the observation group received physician-home interconnection comprehensive nursing. The attacks of bronchial asthma were compared between the two groups. Before and 6 months after intervention, the children’s psychological stress was assessed by Self-Rating Scale for Depressive Disorder in Childhood Anxiety-Related Disorders (SCARED) and Depression Self-Rating Scale for Children (DSRSC), and the life quality was assessed by Pediatric Asthma Quality of Life Questionnaire (PAQLQ). The overall nursing satisfaction was also statistically analyzed. Results Within 6 months of intervention, the number of asthma attacks, emergency visits and readmissions in the observation group were all lower than those in the control group, with statistically significant differences (P<0.05). After the intervention, the SCARED scores and DSRSC scores of both groups decreased, and the scores of the observation group were lower (P<0.05); the symptom scores, activity scores, emotional function scores and total PAQLQ scores of both groups increased, and the scores in observation group were higher (P<0.05). In terms of nursing satisfaction, the total satisfaction of the observation group was higher than those in the control group, with statistically significant differences (P<0.05). Conclusions Physician-home integrated nursing can reduce the frequency of asthma attacks in children, alleviate psychological stress, improve the their life quality and increase nursing satisfaction.
关键词
支气管哮喘 /
医-家互联式综合护理 /
心理应激
Key words
bronchial asthma /
physician-home integrated nursing /
psychological stress
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