Effect of standardized continuity nursing on discharged children with bronchial asthma
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摘要: 目的 对治疗好转的支气管哮喘患儿出院后进行规范化延续性护理,评价规范化延续性护理对出院的支气管哮喘患儿的影响。 方法 选取2015年1月-2017年10月于安徽省儿童医院住院的支气管哮喘患儿60例,将其中住院号尾数为奇数分为对照组,偶数分为观察组,各组均为30例。对照组患儿进行常规的护理、出院指导及出院1周的电话随访,观察组在对照组基础上将电话随访期限延长至出院后的24周,每4周随访1次,共7次,并解答患儿家庭管理过程中遇到的疑难问题。2组患儿出院时、出院第1周和出院第24周分别根据哮喘控制测试表(asthma control test,ACT)进行测试评分,通过家庭峰流速仪监测患儿的呼气峰流速(peak expiratory flow,PEF)日变异率。比较2组患儿ACT评分及PEF日变异率。 结果 2组患儿在出院第24周时ACT评分及PEF日变异率差异有统计学意义,观察组的ACT评分高于对照组,PEF日变异率则明显低于对照组,2组比较差异具有统计学意义(P<0.05)。 结论 规范化延续性护理能显著提升支气管哮喘出院患儿的ACT评分,降低PEF日变异率,降低哮喘复发的风险,提高患儿生活质量。Abstract: Objective To discuss the impact of standardized continuity nursing on discharged children with bronchial asthma. Methods Sixty children with bronchial asthma hospitalized from January, 2015 to October, 2017 were selected. The odd-numbered mantissa numbers were included into control group and even numbers were divided into experimental group, with 30 cases in each group. Control group was provided with routine care, discharge guidance and telephone follow-up the first week after discharge, while the observation group extended to 24 weeks after discharge based on the telephone follow-up, every 4 weeks with a total of 7 times, and answer questions encountered in the family management. At the time of discharge, the first week of discharge and the 24th week of discharge, both groups were scored according to the Asthma Control Test (ACT), and daily variation rate monitored by the peak expiratory flow (PEF). ACT scores and daily variation of PEF were compared between the two groups. Results The differences of ACT score and PEF diurnal variability between the two groups at 24 weeks after discharge were statistically significant. The ACT score of the observation group was higher than that of the control group, while the PEF diurnal variation rate was significantly lower than that of the control group(P<0.05). Conclusion Standardization of continuous nursing can significantly improve the ACT score of discharged children with bronchial asthma, reduce the daily variability of PEF, reduce the risk of asthma recurrence and improve children's quality of life.
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Key words:
- Standardization /
- Continuity nursing /
- Bronchial asthma /
- Asthma control test
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