基于微信平台的家长协同护理模式对学龄前期支气管哮喘患儿吸入治疗依从性及疗效分析
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摘要
目的探讨基于微信平台的家长协同护理模式对学龄前期支气管哮喘患儿吸入治疗依从性及治疗效果的影响。方法选取2015年1月～2018年1月我院收治的学龄前期支气管哮喘患儿140例,采用随机数字表法分为观察组(n=70)与对照组(n=70),对照组予以常规护理模式干预,观察组予以基于微信平台的家长协同护理模式干预,比较两组患儿的吸入治疗依从性及治疗效果。结果观察组患儿干预后的吸入治疗依从性评分、吸入技术评分及家长哮喘认知程度评分显著高于对照组(P <0.05)。观察组患儿的治疗总有效率为94.28%,显著高于对照组患儿的77.14%(P <0.05)。观察组患儿干预后的FVC、PEF、PEV1/FVC水平显著高于对照组(P <0.05)。观察组干预后的AQLQ评分显著高于对照组(P <0.05)。结论基于微信平台的家长协同护理模式干预可有效提高学龄前期支气管哮喘患儿吸入治疗依从性,改善其肺功能,明显提高疾病控制疗效,患儿生活质量高,护理效果良好,值得在临床上推广。
Objective To explore the compliance and curative effects of the parent-assisted nursing model based on WeChat platform for the inhalation therapy of preschool children with bronchial asthma. Methods 140 preschool children with bronchial asthma who were admitted and treated in our hospital from January 2015 to January 2018 were selected. According to the random number table method, they were divided into the observation group(n=70) and the control group(n=70).The control group was given intervention by routine nursing mode while the observation group was given intervention by parent-assisted nursing model based on WeChat platform. The compliance and curative effects of the inhalation the rapy of children in two groups were compared. Results After intervention, the compliance score of inhalation therapy, inhalation technique score and parental asthma cognitive score of the observation group were significantly higher than those of the control group(P < 0.05).The total effective rate of treatment in the observation group was 94.28%, which was significantly higher than 77.14% in the control group(P < 0.05). After intervention,levels of FVC, PEF and PEV1/FVC in the observation group were significantly higher than those in the control group(P < 0.05).The AQLQ score after intervention in the observation group was significantly higher than that of the control group(P < 0.05). Conclusion The parent-assisted nursing model based on WeChat platform can effectively improve the compliance of the inhalation therapy for preschool children with bronchial asthma. It can improve their lung functions and significantly improve the curative effects of disease control. Quality of life of children is high and nursing effects are good. It is worthy of clinical promotion.
Objective To explore the compliance and curative effects of the parent-assisted nursing model based on WeChat platform for the inhalation therapy of preschool children with bronchial asthma. Methods 140 preschool children with bronchial asthma who were admitted and treated in our hospital from January 2015 to January 2018 were selected. According to the random number table method, they were divided into the observation group(n=70) and the control group(n=70).The control group was given intervention by routine nursing mode while the observation group was given intervention by parent-assisted nursing model based on WeChat platform. The compliance and curative effects of the inhalation the rapy of children in two groups were compared. Results After intervention, the compliance score of inhalation therapy, inhalation technique score and parental asthma cognitive score of the observation group were significantly higher than those of the control group(P < 0.05).The total effective rate of treatment in the observation group was 94.28%, which was significantly higher than 77.14% in the control group(P < 0.05). After intervention,levels of FVC, PEF and PEV1/FVC in the observation group were significantly higher than those in the control group(P < 0.05).The AQLQ score after intervention in the observation group was significantly higher than that of the control group(P < 0.05). Conclusion The parent-assisted nursing model based on WeChat platform can effectively improve the compliance of the inhalation therapy for preschool children with bronchial asthma. It can improve their lung functions and significantly improve the curative effects of disease control. Quality of life of children is high and nursing effects are good. It is worthy of clinical promotion.
引文
[1]尚启云,赵燕,杨菲,等.规范化延续性护理对支气管哮喘出院患儿的影响[J].中华全科医学,2018,16(7):1216-1219.
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[4]白雪.家长协同护理对哮喘患儿住院期间舒适度及满意度的影响研究[J].延安大学学报(医学科学版),2017,15(4):87-88.
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[6]张学军,李聪玲,孟亚熙.学龄期支气管哮喘患儿采用Orem自理护理模式的效果分析[J].华西医学,2016,31(9):1585-1588.
[7]贺敏,康馨匀,韩艳梅.延续护理服务对支气管哮喘患儿疾病复发率的影响[J].护士进修杂志,2015,30(17):1610-1611.
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[9]周琦,沈彩琴,匡晓红.支气管哮喘患儿基于“微信”平台的延续护理效果观察[J].护理学报,2014,21(18):49-51.
[10]胡雪琴,陈青寿.学龄前期儿童支气管哮喘缓解期家庭健康教育[J].全科医学临床与教育,2009,7(6):674-675.
[11]范奕送,李桂宝,陈雄芬,等.协同干预模式结合微信圈提高乳腺癌改良术后患者功能锻炼依从性研究[J].中国医药科学,2017,7(11):93-96.
[12]刘淑敏,王秀丽,蒋学锋,等.运用微信对支气管哮喘患者吸入糖皮质激素治疗依从性和生活质量的影响[J].护士进修杂志,2015,30(19):1737-1739.
[13]文萍,白永旗,赵南霜,等.持续护理对学龄期支气管哮喘缓解期患儿预后的干预效果[J].解放军护理杂志,2017,34(13):30-33.
[14]王倩,刘玉琳,罗征秀,等.微信平台在儿童支气管哮喘管理中的应用研究[J].护理管理杂志,2017,17(7):501-503.
[15]李姗姗,郝英双.基于微信平台的延续护理对支气管哮喘患儿出院后病情控制及生活质量的影响[J].齐鲁护理杂志,2017,23(11):59-61.
[16]李雪华,李健,周丽娟.基于微信的教育干预在学龄前期哮喘患儿吸入治疗中的应用效果研究[J].中国全科医学,2017,20(10):1251-1255.
[17]董敏琦,郑晶,陈琴.家长协同护理对哮喘患儿住院舒适度及远期效果的影响[J].临床医药实践,2016,25(12):930-932.
[2]何婷喜,张秋萍,江远航,等.基于微信平台的延续性护理干预对家庭雾化治疗的哮喘患儿治疗依从性与生活质量的影响[J].护理实践与研究,2018,15(10):5-7.
[3]华祯,赵晓红.家长协同护理模式对哮喘患儿疾病控制疗效及生活质量的影响[J].山西职工医学院学报,2018,28(1):110-111.
[4]白雪.家长协同护理对哮喘患儿住院期间舒适度及满意度的影响研究[J].延安大学学报(医学科学版),2017,15(4):87-88.
[5]杨海燕.延续护理对学龄期支气管哮喘出院患儿预后及生活质量的影响[J].黑龙江医药科学,2016,39(5):95-96.
[6]张学军,李聪玲,孟亚熙.学龄期支气管哮喘患儿采用Orem自理护理模式的效果分析[J].华西医学,2016,31(9):1585-1588.
[7]贺敏,康馨匀,韩艳梅.延续护理服务对支气管哮喘患儿疾病复发率的影响[J].护士进修杂志,2015,30(17):1610-1611.
[8]张利红,李旭利,张喜丽.婴幼儿支气管哮喘诊治和护理的研究进展[J].中华肺部疾病杂志(电子版),2018,11(2):241-243.
[9]周琦,沈彩琴,匡晓红.支气管哮喘患儿基于“微信”平台的延续护理效果观察[J].护理学报,2014,21(18):49-51.
[10]胡雪琴,陈青寿.学龄前期儿童支气管哮喘缓解期家庭健康教育[J].全科医学临床与教育,2009,7(6):674-675.
[11]范奕送,李桂宝,陈雄芬,等.协同干预模式结合微信圈提高乳腺癌改良术后患者功能锻炼依从性研究[J].中国医药科学,2017,7(11):93-96.
[12]刘淑敏,王秀丽,蒋学锋,等.运用微信对支气管哮喘患者吸入糖皮质激素治疗依从性和生活质量的影响[J].护士进修杂志,2015,30(19):1737-1739.
[13]文萍,白永旗,赵南霜,等.持续护理对学龄期支气管哮喘缓解期患儿预后的干预效果[J].解放军护理杂志,2017,34(13):30-33.
[14]王倩,刘玉琳,罗征秀,等.微信平台在儿童支气管哮喘管理中的应用研究[J].护理管理杂志,2017,17(7):501-503.
[15]李姗姗,郝英双.基于微信平台的延续护理对支气管哮喘患儿出院后病情控制及生活质量的影响[J].齐鲁护理杂志,2017,23(11):59-61.
[16]李雪华,李健,周丽娟.基于微信的教育干预在学龄前期哮喘患儿吸入治疗中的应用效果研究[J].中国全科医学,2017,20(10):1251-1255.
[17]董敏琦,郑晶,陈琴.家长协同护理对哮喘患儿住院舒适度及远期效果的影响[J].临床医药实践,2016,25(12):930-932.