Orem自理理论指导下的延续护理对学龄期哮喘患儿的影响

目的探讨Orem自理理论指导下的延续护理对学龄期哮喘患儿的影响。方法选取2015年5月至2018年5月陕西省延安市人民医院儿科收治的60例学龄期哮喘患儿为研究对象,按照随机数字表法分为研究组与对照组,每组各30例,对照组采用常规随访,研究组采用Orem自理理论指导下的延续护理。参照圣乔治呼吸问卷(SGRQ)评定生活质量,比较两组患儿出院时与出院1年后复发情况、治疗依从性、肺功能与生活质量。结果研究组再住院率为6.67%,明显低于对照组的30.00%,差异有统计学意义(P<0.05)。研究组再住院次数、急诊次数与哮喘发作次数明显少于对照组,差异有统计学意义(P<0.05)。研究组治疗依从率(96.67%)明显高于对照组(76.67%),差异有统计学意义(P<0.05)。出院时,两组呼吸峰值流速(PEF)、用力肺活量(FVC)与第1秒用力呼气容积(FEV1)与SGRQ评分比较,差异无统计学意义(P>0.05);研究组出院1年后PEF、FVC、FEV1明显高于研究组出院时与对照组出院1年后,SGRQ评分明显低于研究组出院时与对照组出院1年后,差异有统计学意义(P<0.05),而对照组出院时与出院1年后上述指标比较,差异无统计学意义(P>0.05)。结论Orem自理理论指导下的延续护理有助于减少学龄期哮喘患儿再住院次数,提高治疗依从性,改善肺功能与生活质量,值得临床推广应用。

Influence of continued-nursing under the guidance of Orem self-care theory on school-aged children with asthma

Objective To study the influence of readmission by continued-nursing under the guidance of Orem self-care theory for school-aged children with asthma.Methods A total of 60 cases of school-aged children with asthma from department of pediatrics in Yan′an People′s Hospital from May 2015 to May 2018 were selected and randomly divided into research group and control group,30 cases in each group,the patients in control group were given conventional following-up,the patients in research group were given continued-nursing under the guidance of Orem self-care theory.Life quality was assessed by referring St George′s Respiratory Questionnaire(SGRQ)standard,the differences of recurrence station,treatment adherence,lung function and life quality between the two groups when discharge and after 1 year were compared.Results The readmission rate of the research group(6.67%)was significantly lower than that of the control group(30.00%,P<0.05).The readmission times,emergency times and asthma attacks times of the research group were significantly less than those of the control group(P<0.05).The treatment compliance rate of the research group(96.67%)was significantly higher than that of the control group(76.67%,P<0.05).When discharge,peak expiratory flow(PEF),forced vital capacity(FVC),forced expiratory volume in one second(FEV1)and SGRQ scores between the two groups had no statistically significant differences(P>0.05).When discharge after 1 year,PEF,FVC,FEV1 and SGRQ scores of the research group were significantly higher than those of discharge after 1 year the control group and discharge of the research group(P<0.05),SGRQ scores were significantly lower than those of discharge after 1 year in the control group and discharge of the research group(P<0.05),while the above indexes between discharge and later 1 year in the control group had no statistically significant differences(P>0.05).Conclusion The continued-nursing under the guidance of Orem self-care theory helps reduce readmission times for school-aged children with asthma,improving treatment compliance,lung function and life quality,it is worth of popularization and application in the clinical practice.