摘要
目的 分析医护同体精准康复模式在哮喘儿童中的应用效果.方法 选择治疗后出院的哮喘儿童80例,全部完成院外护理.将2019年1月至2020年12月医护同体精准康复模式实施前收治的哮喘儿童40例设为对照组;将2021年1月至2023年6月医护同体精准康复模式实施后收治哮喘儿童病例40例设为试验组.评价患儿随访结局、肺功能、生活质量及护理满意率.结果 对照组随访6个月及12个月的复发率(15.00％、27.50％)高于试验组(2.50％、10.00％)(P＜0.05).与干预前比较,干预12个月2组FEV1和FVC升高(P＜0.05);干预12个月试验组FEV1和FVC高于对照组(P＜0.05).与干预前比较,干预12个月2组症状维度、活动维度和情感维度升高(P＜0.05);干预12个月试验组症状维度、活动维度和情感维度高于对照组(P＜0.05).对照组护理满意率为85.00％低于试验组的100％(P＜0.05).结论 医护同体精准康复模式有助于提高哮喘患儿的肺功能和生活质量,并且减少复发率、提高护理满意度,是一种有效的哮喘护理方案.
Abstract
Objective To explore the application of precise nursing under the integrated medical care model in the rehabilitation management of asthmatic children.Methods Totally 80 children with asthma who were discharged from our hospital were selected.The children(from January 2019 to December 2020)were set as the control group(out-hospital nursing),and children(from January 2021 to June 2023)were set as the experimental group(precise nursing under the integrated medical care model+out-hospital nursing).The clinical outcomes,pulmonary function,quality of life,nursing satisfaction were assessed.Results The recurrence rate in the control group was significantly higher than that of the experimental group(6-month follow-up:15.00％vs 2.50％;12-month follow-up:27.50％vs 10.00％,P＜0.05).After 12 months of intervention,the forced expiratory volume in one second(FEV1)and forced vital capacity(FVC)increased significantly in the both groups(P＜0.05),which were significantly higher in the experimental group than in the control group(P＜0.05).After 12 months of intervention,the dimension scores of symptom,activity and emotional in the both groups were significantly increased(P＜0.05),which increased notably in the experimental group compared with the control group(P＜0.05).The nursing satisfaction was significantly lower in the control group than that of the experimental group(85.00％vs 100％,P＜0.05).Conclusion The precise nursing under the integrated medical care model is an effective nursing plan in children with asthma,which is helpful to improve lung function and quality of life,reduce recurrence rates,and increase satisfaction.
维普
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