摘要
目的 探讨基于网络互动平台的院外跟踪护理对哮喘患儿自我管理能力的影响。方法 选取2015年1月至2017年10月期间某院儿科门诊部哮喘患儿123例,采用随机数字表法将患儿分为两组。对照组(n=61)采用常规护理,研究组(n=62)加用基于网络互动平台的院外跟踪护理。比较两组哮喘发作次数、自我管理能力、治疗依从性与生活质量的差异。结果 随访6个月期间,研究组哮喘发作次数为(11.98±2.98)次,明显少于对照组的(17.02±3.16)次,P<0.05。护理前,两组生活管理、认知管理与支持管理共3个维度的自我管理能力评分比较差异无统计学意义(P>0.05);护理后,全部患儿上述评分明显高于护理前,P<0.05,其中研究组上述评分明显高于对照组,P<0.05。研究组治疗依从率明显高于对照组,P<0.05。护理前,两组儿科哮喘生命质量调查问卷(pediatric asthma questionnaire on life quality,PAQLQ)评分比较差异无统计学意义(P>0.05),护理后,全部患儿上述评分明显高于护理前,P<0.05,其中研究组上述评分明显高于对照组,P<0.05。研究组护理满意度为95.16%,明显高于对照组的83.61%,P<0.05。结论 基于网络互动平台的院外跟踪护理有助于提高哮喘患儿自我管理能力,提高治疗依从性,降低复发率,进而改善生活质量,值得临床推广应用。
Objective To study the influence by network interactive platform based out-of-hospital follow-up nursing on self-management ability for children with asthma.Methods 123 cases of children with asthma from pediatric clinic of our hospital during the period of January 2015 to October 2017 were selected,and the children were divided into two groups by random number table method.The control group(n=61)were given routine nursing,the study group(n=62)were added network interactive platform based out-of-hospital follow-up nursing.The differences of asthma attacks,self-management ability,treatment compliance and life quality between the two groups were compared.Results Followed up for 6 months,the asthma attacks in the study group(11.98±2.98)was significantly less than the control group(17.02±3.16)(P<0.05).Before nursing,a total of three dimensions self-management ability(life management,knowledge management and support management)scores compared between the two groups with no statistically significant differences(P>0.05).After nursing,the scores of all children were significantly higher than pre-nursing(P<0.05),in which the scores of the study group were significantly higher than the control group(P<0.05).The treatment compliance rate of the study group was significantly higher than the control group,P<0.05.Before nursing,pediatric asthma questionnaire on life quality(PAQLQ)scores compared between the two groups with no statistically significant differences(P>0.05),and after nursing,the scores of all children were significantly higher than pre-nursing,P<0.05,in which the scores of the study group were significantly higher than the control group,P<0.05.The nursing satisfaction of the study group was 95.16%,which was significantly higher than the control group of 83.61%(P<0.05).Conclusion The network interactive platform based out-of-hospital follow-up nursing can help improving self-management ability for children with asthma,improving treatment compliance,reducing recurrence rate,and significantly improving life quality,which is worth popularization and application in the clinical practice.
作者
谭晓辉
王芳
TAN Xiaohui;WANG Fang(Department of Pediatrics,Enshi Center Hospital,Enshi 445000)
出处
《解放军医院管理杂志》
2019年第1期89-93,共5页
Hospital Administration Journal of Chinese People's Liberation Army
关键词
哮喘
儿科
网络互动平台
院外跟踪护理
自我管理能力
asthma
pediatrics
network interactive platform
out-of-hospital follow-up nursing
selfmanagement ability
