摘要
目的:探讨基于目标策略的医院-社区-家庭并轨联动对反复上呼吸道感染患儿遵医行为及家属认知程度的影响.方法:根据随机数字表法将2021年1月1日～2022年6月30日收治的120例反复上呼吸道感染患儿分为对照组和观察组各60例,对照组采取常规护理,观察组采用基于目标策略的医院-社区-家庭并轨联动护理,连续干预1个月;比较两组患儿遵医行为、症状改善情况及并发症发生情况,同时比较干预前后两组家属认知程度及患儿肺功能指标.结果:干预后,观察组患儿总遵医率高于对照组(P＜0.05);干预后,两组家属发病机制、临床症状、治疗方法、护理操作评分均高于干预前(P＜0.05),且观察组高于对照组(P＜0.01);观察组患儿咳嗽消退时间、发热消退时间、气喘时间、肺部湿啰音消退时间、病原菌转阴所需时间、住院时间均短于对照组(P＜0.01);干预后,两组患儿用力肺活量(FVC)、第一秒用力呼气容积(FEV,)、FEV1/FVC％、呼气流量峰值(PEF)均高于干预前(P＜0.05),且观察组高于对照组(P＜0.01);观察组并发症总发生率低于对照组(P＜0.05).结论:基于目标策略的医院-社区-家庭并轨联动能有效改善反复上呼吸道感染患儿相关临床症状,提高家属认知程度,促进患儿恢复.
Abstract
Objective:To explore the effects of hospital-community-family integrated nursing based on target strategy on compliance be-havior of children with recurrent upper respiratory tract infection and cognitive level of family members.Methods:According to the random number table method,120 children with recurrent upper respiratory tract infections admitted from January 1,2021 to June 30,2022 were di-vided into a control group and an observation group,with 60 cases in each group.The control group received routine nursing,while the ob-servation group received hospital-community-family integrated nursing based on target strategy,with continuous intervention for one month.Compliance behavior,symptom improvement,and complications were compared between the two groups after 1 month of intervention.Cogni-tive level and pulmonary function indicators in the two groups were compared before and after intervention.Results:After intervention,the overall compliance rate of the observation group was higher than that of the control group(P＜0.05).After intervention,the pathogenesis,clinical symptoms,treatment methods,and nursing operation scores of both groups of family members were higher than before intervention(P＜0.05),and the observation group was higher than that of the control group(P＜0.01).The cough resolution time,fever resolution time,asthma resolution time,pulmonary moist rales resolution time,pathogenic bacteria to negative time and hospital stay in observation group were shorter than those in control group(P＜0.01).After intervention,forced vital capacity(FVC),forced expiratory volume in the first second(FEV1),FEV1/FVC％and peak expiratory flow(PEF)in both groups were higher than before intervention(P＜0.05),and the observation group was higher than the control group(P＜0.01).The total incidence of complications in the observation group was lower than that in the control group(P＜0.05).Conclusion:Hospital-community-family integrated nursing based on target strategy can effectively im-prove the clinical symptoms in children with recurrent upper respiratory tract infection,improve the cognitive level of family members,and promote the recovery of children.
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