个体化延续性护理干预对哮喘患儿疾病控制及生活质量的影响.docVIP

个体化延续性护理干预对哮喘患儿疾病控制及生活质量的影响 　　[摘要]目的 探讨个体化延续性护理干预对哮喘患儿疾病控制及生活质量的影响。方法 选取2015年1月～2016年6月在我院治疗且即将出院的120例哮喘患儿为研究对象，按随机数字表法分为对照组和实验组，各60例。对照组采取常规出院护理，实验组在此基础上联合实施个体化延续性护理干预。比较两组患儿肺功能情况、治疗依从性、哮喘发作情况及生活质量。结果 干预前，两组患儿肺功能指标FEV1、FVC及PEF水平比较，差异均无统计学意义（P0.05）；干预后两组患儿的各指标水平均有所提高，与干预前比较，差异有统计学意义（P0.05）；干预后两组患儿的各指标评分均有所降低，与干预前比较，差异有统计学意义（P 　　[关键词]个体化延续性护理干预；哮喘；患儿；疾病控制；生活质量 　　[中图分类?] R473.72 [文献标识码] A [文章编号] 1674-4721（2017）05（a）-0179-04 　　[Abstract]Objective To explore the efficacy of individualized continuation nusing intervention on disease control and quality of life in children with asthmatic.Methods 120 children patients with asthmatic treated in our hospital and about to discharged from January 2015 to June 2016 were selected and divided into the control group and the experiment group according to random number table.The control group was given routine discharge care，while the experiment group were given individual continuity of nursing intervention on the basis of the control group.The lung function，treatment compliance，asthmatic attack and quality of life were compared between two groups.Results Before intervention，there were no significantly different among the levels of FEV1，FVC and PEF in two groups（P0.05）；after intervention，the levels of those in two groups were all increased，and compared with those before intervention，the differences were statistically significant（P0.05）；after intervention，the scores of those in two groups were all reduced，and compared with those before intervention，the differences were statistically significant（P 　　[Key words]Individualized continuity nursing intervention；Asthmatic；Children patients；Disease control；Quality of life 　　儿童哮喘是儿科较为常见的一种慢性疾病，由多种细胞组分参与，具有病程长、难以根治、迁延不愈、反复发作的特点。近年来随着环境污染的不断加重，其发病率呈现逐年上升的趋势，对患儿的生活质量造成了严重影响。虽然目前尚无治愈哮喘的药物，但是长期、延续、有效的护理干预可以控制哮喘患儿的症状、减少反复发作的次数、改善患儿的生活质量[1]。有研究指出，出院后良好的治疗依从性及遵医行为可以有效控制疾病，提高治疗效果，改善肺功能，提高生活质量，近年来延续性护理干预模式在临床上应用越来越广泛，它将医护服务从医院延伸至家庭，及时了解患儿的疾病变化，提高治疗依从性，从而减少哮喘发作次数及住院次数，提高生活质量[2]。为探寻科学有效的改善哮喘患儿院外疾病控