医院社区联动干预应用于川崎病患儿中的效果分析
|
摘要
目的探讨医院社区联动干预应用于川崎病患儿中的效果。方法选择2016年2月-2018年2月徐州市儿童医院收治的川崎病患儿86例,按照随机数字表法分为2组,各43例。对照组行常规干预,观察组行医院社区联动干预。对比2组干预前后患儿家属对疾病知识掌握度、负性情绪变化,并记录2组并发症发生率和护理满意度情况。结果观察组干预后患儿家属对川崎病并发症预防知识、疾病治疗知识和康复知识评分均高于对照组,差异有统计学意义(P<0.05);观察组干预后HAMA、HAMD评分均低于对照组,差异有统计学意义(P<0.05);观察组肺部损伤、心血管损伤、关节损伤、消化道损伤、泌尿系统损伤、肝脏损伤发生率均低于对照组,差异有统计学意义(P<0.05);观察组患儿家属对业务熟悉、责任心、服务态度满意度评分均高于对照组,差异有统计学意义(P<0.05)。结论医院社区联动干预应用于川崎病患儿中可提高家属对疾病知识的认知水平,减轻其负性情绪,降低并发症发生率,提高护理满意度,值得推广。
Objective To explore the effect of hospital and community combination intervention in children with Kawasaki disease. Methods Eighty-six children with Kawasaki disease admitted to Xuzhou Children′s Hospital from February 2016 to February 2018 were divided into two groups according to random number table method, with 43 cases for each group. The control group underwent routine treatment, and the observation group was intervened by the hospital and community combination. The knowledge of the disease and the negative emotions of the family members of the two groups before and after the intervention were compared, and the incidence of complications and satisfaction of the two groups were recorded. Results After the combination intervention, the family members′ knowledge of Kawasaki disease prevention, disease treatment knowledge and rehabilitation knowledge scores were higher than that in the control group, and the difference was statistically significant(P<0.05). The HAMA and HAMD scores after intervention in the observation group were lower than that in the control group, and the difference was statistically significant(P<0.05). The incidence of lung injury, cardiovascular injury, joint damage, digestive tract injury, urinary system injury and liver injury were lower in the observation group than in the control group with statistical significance(P<0.05); the family members of the observation group were more familiar with the business, responsibility, and service attitude satisfaction scores than that in the control group, and the difference was statistically significant(P<0.05). Conclusion Hospital and community combination intervention in children with Kawasaki disease can improve family members′ knowledge of disease, reduce their negative emotions, reduce the incidence of complications, and improve the satisfaction of nursing. It is worth promoting.
Objective To explore the effect of hospital and community combination intervention in children with Kawasaki disease. Methods Eighty-six children with Kawasaki disease admitted to Xuzhou Children′s Hospital from February 2016 to February 2018 were divided into two groups according to random number table method, with 43 cases for each group. The control group underwent routine treatment, and the observation group was intervened by the hospital and community combination. The knowledge of the disease and the negative emotions of the family members of the two groups before and after the intervention were compared, and the incidence of complications and satisfaction of the two groups were recorded. Results After the combination intervention, the family members′ knowledge of Kawasaki disease prevention, disease treatment knowledge and rehabilitation knowledge scores were higher than that in the control group, and the difference was statistically significant(P<0.05). The HAMA and HAMD scores after intervention in the observation group were lower than that in the control group, and the difference was statistically significant(P<0.05). The incidence of lung injury, cardiovascular injury, joint damage, digestive tract injury, urinary system injury and liver injury were lower in the observation group than in the control group with statistical significance(P<0.05); the family members of the observation group were more familiar with the business, responsibility, and service attitude satisfaction scores than that in the control group, and the difference was statistically significant(P<0.05). Conclusion Hospital and community combination intervention in children with Kawasaki disease can improve family members′ knowledge of disease, reduce their negative emotions, reduce the incidence of complications, and improve the satisfaction of nursing. It is worth promoting.
引文
[1] 朱超群,张媛媛,孙盈盈,等.临床护理健康宣教路径在川崎病患儿中的应用效果[J].医学临床研究,2017,34(10):2079-2081.
[2] KRISHNA M R.Recurrence of Kawasaki disease:look before you leap on the Bandwagon[J].Indian Pediatr,2015,52(5):443.
[3] 冼建妹,陈非,卢建娣,等.以家庭为中心的健康宣教对川崎病患儿的影响[J].中国临床护理,2016,8(5):434-437.
[4] HUANG Y H,YANG K D,HSU Y W,et al.Correlation of HAMP gene polymorphisms and expression with the susceptibility and length of hospital stays in Taiwanese children with Kawasaki disease[J].Oncotarget,2017,8(31):51859-51868.
[5] 吴瑞萍,胡亚美,江载芳.实用儿科学[M].6版.北京:人民卫生出版社,1997:687-693.
[6] 王远玲,刘佩莹,黄萍.13例川崎病合并巨大冠状动脉瘤患儿服用抗凝剂的用药护理[J].护理学报,2017,24(8):52-54.
[7] CHEN P S,CHI H,HUANG F Y,et al.Clinical manifestations of Kawasaki disease shock syndrome:a case-control study[J].J Microbiol Immunol Infect,2015,48(1):43-50.
[8] 杨锡强,易著文.儿科学[M].6版.北京:人民卫生出版社,2004:211-213.
[9] 宿美玲,李伶俐,张美慧,等.两种护理方式在丙种球蛋白冲击治疗川崎病患儿护理应用的效果观察[J].中国医药科学,2017,7(7):96-98,137.
[10] 周惠尔,谢新华,范茂春,等.社区健康服务中心与综合医院共同干预对川崎病患者预后的影响[J].齐齐哈尔医学院学报,2017,38(1):122-124.
[11] HUANG Y H,LI S C,HUANG L H,et al.Identifying genetic hypomethylation and upregulation of Toll-like receptors in Kawasaki disease[J].Oncotarget,2017,8(7):11249-11258.
[12] 宋丽娜,徐建华.个性化延续护理对川崎病患儿临床效果的影响[J].现代中西医结合杂志,2017,26(32):3643-3645.
[13] 夏蓓南.集束化护理与传统护理在川崎病患儿中的应用比较[J].中华现代护理杂志,2015,21(8):938-940.
[14] 赵冬梅,尹千里,米尔扎提·海维尔,等.3种不同方案治疗川崎病的临床疗效分析[J].新疆医科大学学报,2014,37(12):1638-1642.
[15] HUANG F C,KUO H C,HUANG Y H,et al.Anti-inflammatory effect of resveratrol in human coronary arterial endothelial cells via induction of autophagy:implication for the treatment of Kawasaki disease[J].BMC Pharmacol Toxicol,2017,18(1):3.
[16] 王美丽,党兆清,朱玉红,等.探讨临床护理路径在川崎病患儿护理中的临床应用[J].中国现代药物应用,2017,11(11):159-160.
[17] 吴益飞,陆卫民.川崎病患儿实施临床护理路径的管理效果分析[J].浙江医学教育,2018,17(5):26-29.
[2] KRISHNA M R.Recurrence of Kawasaki disease:look before you leap on the Bandwagon[J].Indian Pediatr,2015,52(5):443.
[3] 冼建妹,陈非,卢建娣,等.以家庭为中心的健康宣教对川崎病患儿的影响[J].中国临床护理,2016,8(5):434-437.
[4] HUANG Y H,YANG K D,HSU Y W,et al.Correlation of HAMP gene polymorphisms and expression with the susceptibility and length of hospital stays in Taiwanese children with Kawasaki disease[J].Oncotarget,2017,8(31):51859-51868.
[5] 吴瑞萍,胡亚美,江载芳.实用儿科学[M].6版.北京:人民卫生出版社,1997:687-693.
[6] 王远玲,刘佩莹,黄萍.13例川崎病合并巨大冠状动脉瘤患儿服用抗凝剂的用药护理[J].护理学报,2017,24(8):52-54.
[7] CHEN P S,CHI H,HUANG F Y,et al.Clinical manifestations of Kawasaki disease shock syndrome:a case-control study[J].J Microbiol Immunol Infect,2015,48(1):43-50.
[8] 杨锡强,易著文.儿科学[M].6版.北京:人民卫生出版社,2004:211-213.
[9] 宿美玲,李伶俐,张美慧,等.两种护理方式在丙种球蛋白冲击治疗川崎病患儿护理应用的效果观察[J].中国医药科学,2017,7(7):96-98,137.
[10] 周惠尔,谢新华,范茂春,等.社区健康服务中心与综合医院共同干预对川崎病患者预后的影响[J].齐齐哈尔医学院学报,2017,38(1):122-124.
[11] HUANG Y H,LI S C,HUANG L H,et al.Identifying genetic hypomethylation and upregulation of Toll-like receptors in Kawasaki disease[J].Oncotarget,2017,8(7):11249-11258.
[12] 宋丽娜,徐建华.个性化延续护理对川崎病患儿临床效果的影响[J].现代中西医结合杂志,2017,26(32):3643-3645.
[13] 夏蓓南.集束化护理与传统护理在川崎病患儿中的应用比较[J].中华现代护理杂志,2015,21(8):938-940.
[14] 赵冬梅,尹千里,米尔扎提·海维尔,等.3种不同方案治疗川崎病的临床疗效分析[J].新疆医科大学学报,2014,37(12):1638-1642.
[15] HUANG F C,KUO H C,HUANG Y H,et al.Anti-inflammatory effect of resveratrol in human coronary arterial endothelial cells via induction of autophagy:implication for the treatment of Kawasaki disease[J].BMC Pharmacol Toxicol,2017,18(1):3.
[16] 王美丽,党兆清,朱玉红,等.探讨临床护理路径在川崎病患儿护理中的临床应用[J].中国现代药物应用,2017,11(11):159-160.
[17] 吴益飞,陆卫民.川崎病患儿实施临床护理路径的管理效果分析[J].浙江医学教育,2018,17(5):26-29.