Volume 23 Issue 3
Mar.  2025
Turn off MathJax
Article Contents
QIU Jinlyu, CHEN Miaoyue, ZHANG Hongmei, ZHANG Li. Application of continuing nursing based on the concept of nursing goal implementation in children with Kawasaki disease and coronary artery injury[J]. Chinese Journal of General Practice, 2025, 23(3): 525-529. doi: 10.16766/j.cnki.issn.1674-4152.003942
Citation: QIU Jinlyu, CHEN Miaoyue, ZHANG Hongmei, ZHANG Li. Application of continuing nursing based on the concept of nursing goal implementation in children with Kawasaki disease and coronary artery injury[J]. Chinese Journal of General Practice, 2025, 23(3): 525-529. doi: 10.16766/j.cnki.issn.1674-4152.003942

Application of continuing nursing based on the concept of nursing goal implementation in children with Kawasaki disease and coronary artery injury

doi: 10.16766/j.cnki.issn.1674-4152.003942
Funds:

 2022KY269

  • Received Date: 2024-10-11
    Available Online: 2025-05-14
  •   Objective  To establish a continuity of care plan based on the concept of nursing goal implementation and evaluate its effectiveness in children with Kawasaki disease and coronary artery damage, with the aim of improving medication compliance and reducing family burden.  Methods  A total of 156 children with Kawasaki disease and concomitant coronary artery damage, admitted to Hangzhou Children ' s Hospital from January 2021 to June 2024, were randomly divided into two teams using a random number table: the control group (n=78) received routine continuing care, while the observation group (n=78) received continuing care based on the concept of nursing goal implementation in addition to routine care. Medication adherence, parental disease management ability, disease knowledge mastery, and family caregiving burden of two groups were compared.  Results  The medication compliance rate in the observation group was 97.4% (76/78), which was significantly higher than the control group of 88.5% (69/78, P < 0.05). After the intervention, the scores for parental disease management ability and disease knowledge in the observation group were (51.33±3.28) points and (82.52±6.44) points, respectively, which were significantly higher than the control group of (44.52±6.73) points and (74.46±7.08) points (P < 0.05). Furthermore, the total score on the family care burden scale for the observation group was (48.62±4.90) points, which was significantly lower than the control group of (61.74±7.07) points (P < 0.05).  Conclusion  Continuing nursing based on the concept of nursing goal implementation effective improves medication compliance in children with Kawasaki disease and coronary artery damage, enhances parental disease management ability and knowledge, reduces family burden.

     

  • loading
  • [1]
    ROBINSON C, CHANCHLANI R, GAYOWSKY A, et al. Health care utilization and costs following Kawasaki disease[J]. Paediatr Child Health, 2022, 27(3): 160-168. doi: 10.1093/pch/pxab092
    [2]
    CHU C, HE L, LIN Y X, et al. Giant bilateral axillary artery aneurysms with left complete obstructive thrombus in intravenous immunoglobulin sensitive Kawasaki disease: a case report[J]. Pediatr Rheumatol Online J, 2021, 19(1): 157. DOI: 10.1186/s12969-021-00643-w.
    [3]
    吴迪, 程婷, 唐芳, 等. 家庭管理干预对川崎病冠状动脉病变患儿父母疾病管理能力及家庭功能的影响[J]. 中国实用护理杂志, 2023, 39(16): 1217-1223.

    WU D, CHENG T, TANG F, et al. Effect of family management intervention on disease management ability of parents and family function with coronary artery lesions in Kawasaki disease[J]. Chinese Journal of Practical Nursing, 2023, 39(16): 1217-1223.
    [4]
    张喜梅, 崔君. 护理目标执行理念干预策略在支气管哮喘患者中的应用[J]. 中华现代护理杂志, 2023, 29(4): 503-507.

    ZHANG X M, CUI J. Effects of nursing goal execution concept-based intervention strategy in patients with bronchial asthma[J]. Chinese Journal of Modern Nursing, 2023, 29(4): 503-507.
    [5]
    洪静, 苏少蔚, 叶盛. 基于目标管理理论的护理干预对脑卒中长期卧床肺部感染患者的效果研究[J]. 中华全科医学, 2021, 19(1): 157-160. doi: 10.16766/j.cnki.issn.1674-4152.001755

    HONG J, SU S W, YE S. Study on the effect of nursing intervention based on target management theory on stroke patients with long-term bedridden pulmonary infection[J]. Chinese Journal of General Practice, 2021, 19(1): 157-160. doi: 10.16766/j.cnki.issn.1674-4152.001755
    [6]
    穆志龙, 焦富勇, 谢凯生. 《川崎病心血管后遗症的诊断和管理指南(JCS/JSCS 2020)》解读[J]. 中国当代儿科杂志, 2021, 23(3): 213-220.

    MU Z L, JIAO F Y, XIE K S. Interpretation of the JCS/JSCS 2020 guideline on diagnosis and management of cardiovascular sequelae in Kawasaki disease[J]. Chinese Journal of Contemporary Pediatrics, 2021, 23(3): 213-220.
    [7]
    许卫华, 王奇, 梁伟雄. 慢性疾病患者服药依从性测量量表的编制[J]. 中国慢性病预防与控制, 2008, 16(6): 558-560, 567.

    XU W H, WANG Q, LIANG W X. Development of a medication compliance scale in patients with chronic diseases[J]. Chinese Journal of Prevention and Control of Chronic Diseases, 2008, 16(6): 558-560, 567.
    [8]
    KNAFL K, DEATRICK J A, GALLO A, et al. Assessment of the psychometric properties of the family management measure[J]. J Pediatr Psychol, 2011, 36(5): 494-505. doi: 10.1093/jpepsy/jsp034
    [9]
    傅晓珍, 李志飞, 陈丽君, 等. 远程护理减轻川崎病并发冠状动脉瘤儿童家庭负担的研究[J]. 护理管理杂志, 2021, 21(11): 780-783.

    FU X Z, LI Z F, CHEN L J, et al. Effect of remote care on reducing burden of parents of children with Kawasaki disease complicated with coronary artery aneurysm[J]. Journal of Nursing Administration, 2021, 21(11): 780-783.
    [10]
    徐英华, 林毅, 李秋萍. 癌症患者家庭照顾者负担量表的研究进展[J]. 中国护理管理, 2015, 15(2): 246-249.

    XU Y H, LI Y, LI Q P. Research status on family caregiver burden scale for cancer patients[J]. Chinese Nursing Management, 2015, 15(2): 246-249.
    [11]
    SHUAI S P, ZHANG H X, ZHANG R, et al. Prediction of coronary artery lesions based on C-reactive protein levels in children with Kawasaki disease: a retrospective cohort study[J]. J Pediatr (Rio J), 2023, 99(4): 406-412. doi: 10.1016/j.jped.2023.02.005
    [12]
    付洁, 高莉, 徐娟, 等. 互联网联合延续护理对川崎病伴发冠状动脉受损患儿用药依从性及家庭照顾负担的影响[J]. 川北医学院学报, 2022, 37(6): 812-815, 824.

    FU J, GAO L, XU J, et al. Effect of Internet combined with continuous nursing on medication compliance and family care burden in children with Kawasaki disease complicated with coronary artery injury[J]. Journal of North Sichuan Medical College, 2022, 37(6): 812-815, 824.
    [13]
    HAPPELL B, O ' DONOVAN A, SHARROCK J, et al. Understanding the impact of expert by experience roles in mental health education[J]. Nurse Educ Today, 2022, 111: 105324. DOI: 10.1016/j.nedt.2022.105324.
    [14]
    何惠梅, 郑杏珊, 郑转萍. 体外受精-胚胎移植后先兆流产护理应用伴侣参与目标执行理念的多维度照护的效果[J]. 国际护理学杂志, 2024, 43(9): 1629-1633.

    HE H M, ZHENG X S, ZHENG Z P. Effect of multi-dimensional care using partner participation goal execution concept in the care of threatened abortion after IVF-ET[J]. International Journal Of Nursing, 2024, 43(9): 1629-1633.
    [15]
    张惠蓉, 李丽娟, 郭晓娟, 等. 基于护理目标执行理念的教育方案在哮喘患儿中的应用[J]. 护理研究, 2023, 37(17): 3221-3225.

    ZHANG H R, LI L J, GUO X J, et al. Application of education program based on nursing goal execution concept in children with asthma[J]. Chinese Nursing Research, 2023, 37(17): 3221-3225.
    [16]
    闫晓丽, 郝京霞, 段素娴, 等. 家庭合作照顾模式在小儿川崎病并冠状动脉损伤护理中的应用效果[J]. 实用心脑肺血管病杂志, 2023, 31(8): 124-127.

    YAN X L, HAO J X, DUAN S X, et al. Application effect of family cooperative care model in children with Kawasaki disease and coronary artery injury[J]. Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease, 2023, 31(8): 124-127.
    [17]
    CHEN C, CHEN Q H, ZHANG T, et al. Coronary artery lesions in children with Kawasaki disease: status quo and nursing care[J]. Front Cardiovasc Med, 2024, 11: 1272475. DOI: 10.3389/fcvm.2024.1272475.
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(5)

    Article Metrics

    Article views (30) PDF downloads(5) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return