摘要
目的探讨模拟Child life干预在儿童反复呼吸道感染(RRTI)中的效果。方法采用前瞻性随机试验方法,选取2019年1~5月萍乡市第二人民医院接收的25例RRTI患儿作为对照组,选取2019年6~10月萍乡市第二人民医院接收的25例RRTI患儿作为观察组。对照组采用常规延续性护理干预,观察组采用常规延续性护理联合模拟Child life护理模式干预,两组均干预1年。比较两组干预前及干预1年后的营养评分、功能锻炼依从性以及复发率与再入院率。结果干预1年后,观察组的儿科营养不良筛查评分法(STAMP)评分低于对照组,差异有统计学意义(P<0.05);干预1年后,观察组的功能锻炼依从性高于对照组,差异有统计学意义(P<0.05);观察组的1年内复发率及再入院率低于对照组,差异均有统计学意义(P<0.05)。结论模拟Child life护理干预模式可改善RRTI患儿的STAMP评分,提高功能锻炼依从性,减少疾病复发及再入院率。
Objective To explore the effect of simulated Child life intervention in children with recurrent respiratory tract infection(RRTI).Methods A Prospective randomized trial method was used,25 children with RRTI who were received by Pingxiang Second People′s Hospital from January to June 2019 were selected and set as the control group,25 children with RRTI who were received by Pingxiang Second People′s Hospital from July to December 2019 were selected and set as the observation group,patients in the control group were used routine continuous nursing,patients in the observation group were used routine continuous nursing combined with simulated Child life nursing model intervention,all patients were intervened for 1 year.The nutritional score,functional exercise compliance,recurrence rate and readmission rate were compared between the two groups before and after 1 year of intervention.Results 1 year after intervention,the screening tool for the assessment of malnutrition in pediatrics(STAMP)score of the observation group was lower than that of the control group,with statistical difference(P<0.05);after 1 year of intervention,the compliance of functional exercise in the observation group was higher than that of the control group,with statistical difference(P<0.05);the recurrence rate within 1 year and readmission rate of the observation group were lower than that of the control group,with statistical differences(P<0.05).Conclusion Simulated Child life nursing intervention mode can improve the STAMP score of RRTI children and improve the compliance of functional exercise,reduce the recurrence of disease and readmission.
作者
张晓华
朱凌倩
易小芬
钟芳萍
杨霞
郭晓云
ZHANG Xiao-hua;ZHU Ling-qian;YI Xiao-fen;ZHONG Fang-ping;YANG Xia;GUO Xiao-yun(Pingxiang Second People′s Hospital Jiangxi Province,Pingxiang337000,China;Pingkuang General Hospital,Jiangxi Province,Pingxiang337000,China)
出处
《中国当代医药》
CAS
2021年第18期274-276,共3页
China Modern Medicine
基金
江西省卫生健康委科技计划项目(20204437)。
关键词
反复呼吸道感染
儿童医疗辅导
营养状况
疾病复发
Recurrent respiratory tract infection
Medical guidance for children
Nutritional status
Disease recurrence
