以护士为主导的哮喘患儿延续护理实践.pdfVIP

特别策划·儿科护理研究进展 Special Planning 以护士为主导的哮喘患儿延续护理实践 郭蓉 刘玉琳 袁小平 赵智华 张萍 郑显兰 [ 摘 要] 目的：总结哮喘患儿延续护理方法并评价实施效果。方法：成立哮喘 患儿管理团队，建立哮喘患儿档案，实施哮喘延续护理。便利抽取 2016 年1月在我 院哮喘门诊就诊的51例患儿，评估实施哮喘延续护理 6 个月后的效果。结果：51例 哮喘患儿的哮喘控制水平由（19.54±3.87) 分提高至（22.40±3.42) 分（P0.01），用 药依从性由（3.90±1.02) 分提高至（4.66±0.47) 分（P0.01），焦虑水平由（29.47±8.40) 分降至（25.61±5.83) 分（P0.01），肺功能FEV1%由（69.35±9.97)上升至（90.47±9.68) P0.01），PEF%由（63.74±12.40)上升至（89.44±7.55)（P0.01）。结论：以护士 （ 为主导的延续护理有利于哮喘患儿管理，但存在着护理人力短缺、家庭访视缺失等 问题，建议更多护士参与哮喘患儿延续护理工作。建议加强推广微信群、QQ 群、哮 喘管理软件等新兴延续护理模式。 [ 关键词 ] 延续护理；哮喘管理；实践 [中图分类号] R47 [DOI] 10.3969/j.issn.1672-1756.2016.12.003 Transitional care service dominated by nurses for children with asthma / GUO Rong, LIU Yulin, YUAN Xiaoping, ZHAO Zhihua, ZHANG Ping, ZHENG Xianlan // Children’s hospital of Chongqing Medical University, 400014 China /// Chinese Nursing Management-2016,16(12): 1595-1599 [Abstract] Objective: To summarize the method of transitional care service dominated by nurses for children with asthma and evaluate its effect. Methods: In order to control and manage asthma, we launched transitional care service for children with asthma which asthma management capability assessment, implementation of asthma transitional care (asthma related education, improvement of the asthma self-management ability, and the psychological support for asthmatic children and their parents), and evaluation the asthma management were included. Results: Before and after continuing care service, children’s C-ACT score were (19.54±3.87) vs. (22.40±3.42) (P0.01), MARS-A score (3.90±1.02) vs. (4.66±0.47) (P0.01), SAS score (29.47±8.40) vs. (25.61±5.83) (P0.01), FEV1% (69.35±9.97) vs. (90