对学龄期哮喘患儿实施儿童医疗辅助服务的效果观察

doi:10.16460/j.issn1008-9969.2021.06.071

摘要/Abstract

摘要： 目的探讨儿童医疗辅助服务对学龄期哮喘患儿自我管理能力的影响。方法选取我院2018年3—8月哮喘专病门诊就诊的患儿为研究对象,2018年3—5月纳入50例患儿为对照组,2018年6—8月纳入50例患儿为观察组。对照组给予常规护理,观察组在对照组基础上实施儿童医疗辅助服务。观察比较2组学龄期哮喘患儿于干预前和干预6个月末自我管理能力、哮喘复发率和哮喘急性发作就诊率。结果观察组哮喘患儿干预6个月末自我管理能力各维度及总分均高于对照组,差异有统计学意义（P<0.05）;观察组哮喘患儿哮喘复发率低于对照组（χ²=4.320,P=0.038）;2组患儿哮喘急性发作就诊率的比较差异无统计学意义（χ²=1.895,P=0.169）。结论儿童医疗辅助服务能提升学龄期哮喘患儿自我管理能力,降低患儿哮喘复发率,促进患儿疾病控制。

关键词: 儿童医疗辅助服务, 学龄期, 哮喘, 患儿, 自我管理能力

Abstract: Objective To explore the effect of child medical assistance services on self-management ability of school-age asthmatic children. Methods Fifty patients in the outpatient department of asthma in our hospital from March to May 2018 were included as control group and another fifty patients from June to August 2018 as observation group. Routine care was performed in the control group and child medical assistance services were provided in the observation group. Self-management ability, asthma recurrence rate and visit rate of acute asthma attack in the two groups were compared before the and at the end of 6 months intervention. Results There was higher score of self-management ability in the observation group at the end of 6 months of intervention (P<0.05) but lower rate of asthma recurrence (χ²=4.320, P=0.038) than the control group. There was no statistically significant difference in the rate of acute asthma attack visit between the 2 groups (χ²=1.895, P=0.169). Conclusion Child medical assistance services are effective for improving the self-management ability and reducing the recurrence rate of school-age children with asthma.

Key words: child medical assistance services, school age, asthma, children, self-management ability

中图分类号:

R473.72

杨巾夏, 姚文英, 王新. 对学龄期哮喘患儿实施儿童医疗辅助服务的效果观察[J]. 护理学报, 2021, 28(6): 71-75.

YANG Jin-xia, YAO Wen-ying, WANG Xin. Effect of Child Medical Assistance Services on School-age Children with Asthma[J]. Journal of Nursing, 2021, 28(6): 71-75.

参考文献

[1] Global Initiative for Asthma.Pocket Guide for Asthma Management and Prevention[R/OL].[2018-01-01].http://www.ginasthma.org/local/uploads/flies/GINA_Poket2013_May15.pdf.
[2] Hoch HE, Houin PR, Stillwell PC.Asthma in Children: A Brief Review for Primary Care Providers[J].Pediatr Ann,2019,48(3):e103-e109. DOI:10.3928/19382359-20190219-01.
[3] 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.
[4] 刘娜,陈京立,赵京.学龄期哮喘患儿自我管理行为的干预研究[J].中华护理杂志,2011,46(8):767-769. DOI:10.3761/j.issn.0254-1769.2011.08.010.
[5] 高国贞,郭妙兰,郭锦兰,等.哮喘患儿家属照顾负担的质性研究[J].中国实用护理杂志,2015,31(13)984-987. DOI:10.3760/cma.j.issn.1672-7088.2015.13.015.
[6] 全国儿科哮喘协作组,中国疾病预防控制中心环境与健康相关产品安全所.第三次中国城市儿童哮喘流行病学调查[J].中华儿科杂志,2013,51(10):729-735.
[7] Council CCL.Child Life Services[J].Pediatrics,2014,133(5):e1471. DOI:10.1542/peds.2014-0556.
[8] Fang MC, Hsiao HJ, Tseng CY, et al.The Development of Child Life Services and the Child Life Services Model in Taiwan[J].Hu Li Za Zhi,2020,67(2):91-98. DOI:10.6224/JN.202004_67(2).12.
[9] Fein JA, Zempsky WT, Cravero JP, et al.Relief of Pain and Anxiety in Pediatric Patients in Emergency Medical Systems[J].Pediatrics,2012,130(5):e1391-e1405. DOI:10.1542/peds.2012-2536.
[10] Lowenstein DB, Cervenka MC, Mitchell L, et al.Child Life Services in an Epilepsy Monitoring Unit[J].Clin Pediatr (Phila),2018, 57(11):1269-1274. DOI:10.1177/0009922818769469.
[11] Tyson ME, Bohl DD, Blickman JG.A Randomized Controlled Trial: Child Life Services in Pediatric Imaging[J].Pediatr Radiol, 2014,44(11):1426-1432. DOI:10.1007/s00247-014-3005-1.
[12] Child Life Council.Directory of Child Life Programs[R/OL].(2013-06-18)[2018-01-01].http://community.childlife.org.
[13] 中华医学会儿科学分会呼吸学组, 《中华儿科杂志》编辑委员会.儿童支气管哮喘诊断与防治指南(2016年版)[J].中华儿科杂志,2016, 54(3):167-181. DOI:10.3760/cma.j.issn.0578-1310.2016.03.003.
[14] 吕小东.支气管哮喘防治指南(2016年版)[J].中华结核和呼吸杂志,2016,39(9):675-697. DOI:10.3760/cma.j.issn.1001-0939.2016.09.007.
[15] 胡平,张际,黄英,等.哮喘儿童自我管理行为水平的影响因素及差异性分析[J].第三军医大学学报, 2011, 33(17):1858-1861.
[16] 广红玲,沈玲丽.自我管理模式在哮喘儿童护理中的应用[J].解放军护理杂志,2017, 34(20):29-32. DOI:10.3969/j.issn.1008-9993.2017.20.007.
[17] Kossoff EH, Sutter L, Doerrer SC, et al.Impact of Child Life Services on Children and Families Admitted to Start the Ketogenic Diet[J].J Child Neurol,2017,32(9):828-833. DOI:10.1177/0883073817709179.
[18] 朱晶燕,冯薇,王雯.延续护理模式对学龄期哮喘患儿家庭自我管理的效果研究[J].当代护士(下旬刊), 2018(1):24-27.
[19] 张楠.哮喘儿童综合管理模式的构建及效果评价[D].青岛:青岛大学,2015.
[20] Vaisvaser S.Moving Along and Beyond the Spectrum: Creative Group Therapy for Children With Autism[J].Front Psychol,2019,12(10):417. DOI:10.3389/fpsyg.2019.00417.
[21] 代娓,李艳娇,史铁英.治疗性游戏对儿童围手术期影响的研究[J].护理学报, 2016,23(6):63-64.
[22] 刘娜.学龄期哮喘儿童自我管理行为的干预效果研究[D].北京:中国协和医科大学,2010. DOI:10.7666/d.Y1775529.
[23] 吴丽芬,刘恋.基于全人护理理念的游戏疗法提高儿童肿瘤病人住院适应性的研究[J].护理研究, 2018, 32(18):106-108.
[24] 洪颜,于静波,方佩娟,等.游戏疗法在住院儿童腰椎穿刺术中的应用[J].中国实用护理杂志, 2015, 31(15):1140-1142. DOI:10.3760/cma.j.issn.1672-7088.2015.15.013.
[25] 王彦文.学龄期哮喘儿童居家自我管理任务学习游戏化干预法应用观察[J].全科护理, 2018, 16(14):58-59. DOI: 10.12104/j.issn.1674-4748.2018.14.019.

相关文章 15

[1]	郭红涛, 张静, 李颖, 甄艺婉. 白血病患儿父母决策冲突现状及影响因素分析[J]. 护理学报, 2024, 31(2): 22-26.
[2]	张静, 黄佳颖, 史蕾, 梁丽婵, 孟江南, 叶红雨, 王为杰. 白血病患儿父母疾病进展恐惧发展轨迹及影响因素分析[J]. 护理学报, 2024, 31(11): 12-17.
[3]	张鲁敏, 任皎皎, 范蓓蓉, 张海棠, 顾芬. 健康教练技术对COPD患者自我管理能力及肺功能的影响[J]. 护理学报, 2023, 30(6): 72-78.
[4]	胡紫月, 雷金金, 阚肖迪, 黄会芳, 张瑞星. 187名血液病患儿父母养育心理灵活性现状及影响因素分析[J]. 护理学报, 2023, 30(23): 62-66.
[5]	蒋新艳, 孟海兵, 邓飞娜, 蒋玉婷, 章晓玲. 多元化环境干预对学龄前阻塞性睡眠呼吸暂停综合征患儿术前焦虑及麻醉诱导依从性的影响[J]. 护理学报, 2023, 30(20): 68-71.
[6]	宋庆, 聂婷婷, 舒美燕, 喻茹, 彭芳, 曾雁, 刘迪, 王海勤. 童趣化游戏健康教育在学龄前纤维支气管镜手术患儿麻醉诱导中的效果观察[J]. 护理学报, 2023, 30(19): 74-78.
[7]	韦秋菊, 谌靖霞, 简乐茵, 陈紫妍, 陈志江, 李君, 李漓, 陶少华. 危重患儿枸橼酸局部抗凝连续肾脏替代治疗非计划下机影响因素分析[J]. 护理学报, 2023, 30(18): 60-64.
[8]	张习习, 李漓, 梁丽婵, 廖小妹. 白血病化疗患儿主要照顾者参与用药安全行为水平及影响因素[J]. 护理学报, 2023, 30(14): 18-23.
[9]	杨阳, 刘宁. 支气管哮喘患者冬病夏治穴位敷贴护理评估及管理的最佳证据总结[J]. 护理学报, 2022, 29(5): 15-21.
[10]	余小燕, 刘于, 黄毅. 小丑照护对患儿焦虑疼痛干预效果的Meta分析[J]. 护理学报, 2022, 29(4): 21-26.
[11]	刘文崇, 葛洪霞, 程方方, 沈婷婷, 林欢. 220名癌症患儿父母养育内疚感现状及影响因素分析[J]. 护理学报, 2022, 29(23): 1-6.
[12]	车小燕, 刘玉琳, 杨姝晖, 王倩, 杨帆. 儿童哮喘运动方案的最佳证据总结[J]. 护理学报, 2022, 29(11): 41-46.
[13]	黄海英, 苏小玲, 黄永贤, 曹燕锋, 李晓华. 4例血液肿瘤患儿PICC拔管困难的原因分析及对策[J]. 护理学报, 2021, 28(8): 69-71.
[14]	周亚丽, 张焕梅, 刘小凡, 叶文娟, 陶晶. 构建支气管哮喘患者护理质量评价指标体系[J]. 护理学报, 2021, 28(15): 63-68.
[15]	王艳, 朱桂玲. 肠造口术后患者基于行为改变理论的护理干预效果观察[J]. 护理学报, 2020, 27(8): 54-58.

Metrics

Viewed

Full text

267

HTML			PDF

Just accepted	Online first	Issue	Just accepted	Online first	Issue
0	0	0	0	0	267

From	Others	local

Times	54	213
Rate	20%	80%

Abstract

239

Just accepted	Online first	Issue

0	0	239

From	Others	local

Times	238	1
Rate	100%	0%

Cited

Web of Science	Crossref	ScienceDirect	Search for Citations in Google Scholar >>


This page requires you have already subscribed to WoS.

Shared