首页|慢病回访单管理联合Ahmadi模式延续性护理对慢性肠炎患儿再住院情况及照顾者心理状态的影响

慢病回访单管理联合Ahmadi模式延续性护理对慢性肠炎患儿再住院情况及照顾者心理状态的影响

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目的 探讨慢病回访单管理联合Ahmadi模式延续性护理对慢性肠炎所致腹泻患儿再住院情况及照顾者心理状态的影响,以期为慢性肠炎患儿治疗提供参考.方法 选取2023年2月-2023年10月空军军医大学西京医院收治的118例慢性肠炎所致腹泻患儿及其照护者(父亲或母亲),采用随机数字表法分为对照组和研究组,每组59例.对照组患儿接受常规护理干预,研究组患儿采用慢病回访单管理结合Ahmadi模式的延续性护理干预.比较2组患儿的遵医行为、再次住院情况、照顾者心理状态,同时评估照顾者的照护能力和护理满意度.结果 干预前,2组患儿服药遵从、健康饮食以及定期复诊3方面遵医行为评分比较,差异均无统计学意义(P>0.05);干预后,2组患儿服药遵从、健康饮食以及定期复诊3项遵医行为评分均高于干预前,且研究组均高于对照组,差异均有统计学意义(P<0.05).研究组患儿再住院发生率为5.08%(3/59),低于对照组的16.95%(10/59),差异有统计学意义(x2=4.236,P<0.05).干预前,2组患儿照顾者的照顾者压力量表(CSI)和照顾者负担量表(CBI)评分比较,差异均无统计学意义(P>0.05);干预后,2组患儿照顾者CSI和CBI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组患儿照顾者的照护责任感、照护知识、照护技能及照护概念4项照护能力评分比较,差异均无统计学意义(P>0.05);干预后,2组患儿照顾者的照护责任感、照护知识、照护技能及照护概念4项照护能力评分均高于干预前,且研究组均高于对照组,差异均有统计学意义(P<0.05).研究组患儿照顾者的护理满意度为98.31%(58/59),高于对照组86.44%(51/59),差异有统计学意义(x2=4.330,P=0.037).结论 慢病回访单管理联合Ahmadi模式延续性护理能够有效改善慢性肠炎所致腹泻患儿的遵医行为,降低再住院发生率,减轻照顾者的心理负担,提高照顾者的照护能力及护理满意度.
Impact of chronic disease follow-up form management combined with Ahmadi model continuing care on the readmission and psychological status of caregivers for children with chronic enteritis and diarrhea
Objective To explore the impact of chronic disease follow-up form management combined with Ahmadi model continuing care on the readmission and psychological status of caregivers for children with chronic enteritis and diarrhea,ai-ming to provide a reference for the treatment of children with chronic enteritis and diarrhea.Methods A total of 118 chil-dren with chronic enteritis and diarrhea and their caregivers(fathers or mothers)admitted to Xijing Hospital,Air Force Medical University from February 2023 to October 2023 were selected and randomly assigned to a control group and a study group,with 59 cases in each group.The control group children received routine nursing intervention,while the study group children received chronic disease follow-up form management combined with Ahmadi model continuing care intervention.The compliance with medical advice,readmission,psychological status of caregivers,and caregiving ability and degree of satisfaction with nursing of caregivers were compared between the two groups.Results Before intervention,no significant differences were noted in the scores of medication adherence,healthy diet,and regular follow-up visits among the children in the two groups(P>0.05);the scores of medication adherence,healthy diet,and regular follow-up visits in both groups were significantly increased after intervention,and the study group scores were significantly higher than the control group(P<0.05).The readmission rate of children in the study group significantly lower than that in the control group[5.08%(3/59)vs.16.95%(10/59);x2=4.236,P<0.05].Before intervention,no significant differences were found in the Care-giver Strain Index(CSI)and Caregiver Burden Inventory(CBI)scores of caregivers in the two groups(P>0.05);the CSI and CBI scores of caregivers in both groups were significantly reduced after intervention,and the study group scores were significantly lower than the control group(P<0.05).Before intervention,no significant difference was observed in the car-egiving responsibility,caregiving knowledge,caregiving skills,and caregiving concepts scores among caregivers in the two groups(P>0.05);the scores of caregiving responsibility,caregiving knowledge,caregiving skills,and caregiving concepts in both groups showed significant increase after intervention,and the study group scores were significantly higher than the control group(P<0.05).The degree of satisfaction with nursing of caregivers in the study group was significantly higher than that in the control group[98.31%(58/59)vs.86.44%(51/59);x2=4.330,P=0.037).Conclusion Chronic dis-ease follow-up form management combined with Ahmadi model continuing care can effectively promote the compliance with medical advice of children with chronic enteritis and diarrhea,reduce the readmission rate,alleviate the psychological burden on caregivers,and increase the caregiving ability and degree of satisfaction with nursing of caregivers.

Chronic disease Follow-up form managementAhmadi model continuing careChildren with chronic enteritisReadmissionCaregiver burdenCaregiving ability

刘娜、郝婉婷、吴娟、王思敏、王美玉、郭少琳、张庆

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空军军医大学西京医院/空军军医大学第一附属医院军人医疗中心,西安 710032

慢病回访单管理 Ahmadi模式延续性护理 慢性肠炎患儿 再住院 照顾者负担 照护能力

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(9)