Application of empowerment concept-based parent-participatory intervention strategy in the nursing of children with acute asthmatic bronchitis
Objective To explore the application effect of a parent-participatory intervention strategy based on the concept of empowerment in the nursing of children with acute asthmatic bronchitis,aiming to provide a reference for selecting nursing strategies for such patients.Methods A total of 140 children with acute asthmatic bronchitis admitted to our hospital from May 2020 to February 2022 were selected as research participants.They were randomly assigned to control and observation groups,with 70 cases in each group.The control group received routine nursing intervention,while the observation group received parent-participatory nursing intervention based on the concept of empowerment in addition to routine nursing.The duration of clinical symptoms,psychological and behavioral development status,sleep quality,quality of life before and after intervention,treatment compliance,and the degree of parental satisfaction with nursing were compared between the two groups.Results The duration of wheezing,coughing,fever,and difficulty breathing in the observation group was signifi-cantly shorter than in the control group(P＜0.05).Before intervention,no significant differences were found between the two groups in the four subscales of the Gesell Developmental Scale(GESELL),namely motor skills,adaptability,language skills,and social interaction(P＞0.05).After intervention,the scores in these subscales of GESELL in both groups were higher than before intervention,with the observation group scoring significantly higher than the control group(P＜0.05).Before intervention,no significant differences were noted between the two groups in the four subscales of the Children's Sleep Habits Questionnaire(CSHQ),namely bedtime behavior,sleep anxiety,sleep duration,and night awakenings(P＞0.05).After intervention,the scores in these subscales of CSHQ in both groups were lower than before intervention,with the observation group scoring significantly lower than the control group(P＜0.05).Before intervention,no significant differences were observed between the two groups in the five subscales of the Chinese version of the Pediatric Quality of Life Inventory(PedsQL),namely physical function,bodily symptoms,emotional function,social function,and cognitive func-tion(P＞0.05).After intervention,the scores in these subscales of PedsQL in both groups were increased,with the obser-vation group scoring significantly higher than the control group(P＜0.05).The treatment compliance rate in the observa-tion group was significantly higher than that in the control group[92.86％(65/70),vs.81.43％(57/70);x2=4.080,P=0.043].The degree of parental satisfaction with nursing in the observation group was significantly higher than that in the control group[97.15％(68/70)vs.87.14％(61/70);x2=4.834,P=0.028].Conclusion The concept of empower-ment-based parent-participatory intervention strategy used in the nursing of children with acute asthmatic bronchitis helps ef-fectively shorten the duration of clinical symptoms,strengthen psychological and behavioral development,sleep quality,and quality of life,and enhance treatment compliance and degree of parental satisfaction with nursing,making it worthy of clini-cal promotion.
Empowerment conceptParent-participatory interventionAcute asthmatic bronchitisPediatric patientPsycho-logical and behavioral developmentSleep qualityQuality of life
万方数据
维普
