首页|护士指导下赋能教育联合微信公众平台在门诊过敏性鼻炎患者护理中的应用

护士指导下赋能教育联合微信公众平台在门诊过敏性鼻炎患者护理中的应用

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目的 探讨护士指导下赋能教育联合微信公众平台在门诊过敏性鼻炎(AR)患者护理中的应用效果,以期为门诊AR患者的护理干预提供参考.方法 选取2022年1月—2023年3月江苏省人民医院门诊诊治的98例AR患者作为研究对象,采用随机数字表法分为对照组和研究组,每组49例.对照组患者给予常规护理干预,研究组患者给予护士指导下赋能教育联合微信公众平台进行护理干预,干预时长为3个月.比较2组患者的治疗依从性、疾病不确定感量表(MUIS)评分、自我护理能力测定量表(ESCA)评分、鼻炎症状改善情况、鼻结膜炎生存质量量表(RQLQ)评分等指标.结果 研究组患者干预后的治疗依从率为93.88%(46/49),高于对照组的79.59%(39/49),差异有统计学意义(x2=4.346,P=0.037).干预前,2组患者MUIS量表的复杂性、不可预测性、不确定性、信息缺乏性4个维度评分比较,差异均无统计学意义(P>0.05);干预后,2组患者MUIS量表4个维度评分均低于干预前,且研究组均低于对照组,差异均有统计学意义(P<0.05).干预前,2组患者ESCA量表的健康知识水平、自我管理技能、自我管理责任感、自我概念4个维度评分比较,差异均无统计学意义(P>0.05);干预后,2组患者ESCA量表的4个维度评分均高于干预前,且研究组均高于对照组,差异均有统计学意义(P<0.05).研究组患者干预后喷嚏、流涕、鼻塞、鼻痒、鼻黏膜肿胀5项鼻炎症状评分均低于对照组,差异均有统计学意义(P<0.05).研究组患者干预后RQLQ量表的日常活动、鼻部症状、眼部症状、其他症状、睡眠问题、行为问题、情感反应7个维度评分均低于对照组,差异均有统计学意义(P<0.05).结论 护士指导下赋能教育联合微信公众平台在门诊AR患者中的护理效果显著,能有效提高患者的治疗依从性,减轻患者院外疾病不确定感,提高患者自我护理能力,进而改善患者临床症状和提高生活质量.
Application of nurse-guided empowerment education combined with WeChat public platform in outpatient care for patients with allergic rhinitis
Objective To explore the effect of nurse-guided empowerment education combined with the WeChat public plat-form on the care of outpatient patients with allergic rhinitis (AR),providing evidence for nursing interventions for outpa-tient AR patients.Methods A total of 98 AR patients treated at Jiangsu Province Hospital outpatient clinic from January 2022 to March 2023 were selected and randomly assigned to a control group and a study group,with 49 patients in each group.The control group received conventional nursing interventions,while the study group received nurse-guided empow-erment education combined with the WeChat public platform for three months.Indicators such as treatment compliance,Mishel Uncertainty in Illness Scale (MUIS) scores,Exercise of Self-Care Agency (ESCA) scale scores,improvement of rhi-nitis symptoms,and Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) scores were compared between the two groups.Results The treatment compliance rate after intervention in the study group was significantly higher than that in the control group[93.88% (46/49) vs.79.59% (39/49);x2=4.346,P=0.037].Before intervention,no significant differences were observed in the MUIS subscale scores for complexity,unpredictability,uncertainty,and information deficit between the two groups (P>0.05).After intervention,the MUIS scores in all four dimensions were lower in both groups than before intervention,with the study group scoring significantly lower than the control group (P<0.05).Before inter-vention,no significant differences were found in the ESCA subscale scores for health knowledge level,self-management skills,sense of self-management responsibility,and self-concept between the two groups (P>0.05).After intervention,the ESCA scores in all four dimensions were higher in both groups than before intervention,with the study group scoring significantly higher than the control group (P<0.05).The study group had significantly lower scores for sneezing,runny nose,nasal congestion,nasal itching,and nasal mucosa swelling symptoms compared to the control group after intervention (P<0.05).The study group also had significantly lower RQLQ scores for daily activities,nasal symptoms,eye symp-toms,other symptoms,sleep problems,behavioral problems,and emotional responses compared to the control group after intervention (P<0.05).Conclusion Nurse-guided empowerment education combined with the WeChat public platform signifi-cantly improves nursing outcomes for outpatient patients with AR,effectively enhancing treatment compliance,reducing disease un-certainty outside the hospital,and increasing self-care ability,thereby promoting clinical symptoms and quality of life.

Nurse-guided empowerment educationOnline platformWeChat public accountAllergic rhinitisSelf-care abilityTreatment compliance

吕倩、唐源、万文锦

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南京医科大学第一附属医院/江苏省人民医院耳鼻咽喉科,南京 210000

南京医科大学第一附属医院/江苏省人民医院过敏诊疗中心,南京 210000

护士指导下赋能教育 网络平台 微信公众号 过敏性鼻炎 自我护理能力 治疗依从性

江苏省卫生健康委科教能力提升工程江苏省研究型医院学会科普行动计划项目

JSDW202203SYHKP202319

2024

保健医学研究与实践
西南大学

保健医学研究与实践

CSTPCD
影响因子:0.512
ISSN:1673-873X
年,卷(期):2024.21(4)
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