以家庭为中心的护理模式对胃食管反流病合并支气管哮喘患儿的影响

目的探讨以家庭为中心的护理模式对胃食管反流病（GERD）合并支气管哮喘患儿的影响。 方法选取2016年4月至2017年5月新疆维吾尔自治区人民医院收治的GERD合并支气管哮喘患儿58例，随机均分为研究组和对照组2组，每组各29例。治疗期间对照组患儿给予常规护理模式，研究组患儿则实施以家庭为中心的护理模式。比较2种护理模式对患儿的影响。 结果研究组患儿喘息、咳嗽及肺部哮鸣音等症状消失时间、出院时间均短于对照组患儿［（3.6±1.5）d vs （5.8±2.2）d，（3.4±1.7）d vs （5.0±2.8）d，（4.0±0.9）vs （6.1±2.1）d，（5.0±2.2）d vs （9.0±3.5）d］，且差异均有统计学意义（t=4.579，P<0.001；t=2.670，P=0.010；t=5.102，P<0.001；t=5.226，P< 0.001）。研究组患儿护理满意度及出院后1、3、6个月生活质量评分均高于对照组患儿［93.1% （27/29）vs 72.4% （21/29），（70.3 ± 5.5）分vs （60.1 ± 4.8）分，（82.1 ± 4.9）分vs （71.3 ± 3.8）分，（90.1±3.7）分vs （79.8±4.2）分］，且差异均有统计学意义（χ²=4.350，P=0.037；t=7.563、9.457、9.814，P均<0.001）。 结论GERD合并支气管哮喘患儿实施以家庭为中心的护理模式，可有效提升治疗效果，缩短患儿症状消失时间和康复出院时间，提升其后期生活质量，具有推广价值。

The influences of family-centered nursing mode on children with bronchial asthma and gastroesophageal reflux disease

ObjectiveTo explore the effect of family-centered nursing mode on children with gastroesophageal reflux disease (GERD) and bronchial asthma. MethodsA total of fifty eight children with GERD combined with bronchial asthma in the Xinjiang Uygur Autonomous Region People's Hospital from April 2016 to May 2017 were selected. All cases were randomly divided into experimental group (29 cases) and control group (29 cases). The control group was given a routine nursing mode, while the experimental group carried out a family-centered nursing mode. Then, the effect of that two different mode were compared. ResultsThe day of disappearance of symptoms such as wheezing, cough and asthma and the day of discharge in the experimental group were significantly shorter than control group (3.6 ± 1.5) d vs (5.8±2.2) d, t=4.579, P<0.001; (3.4±1.7) d vs (5.0±2.8) d, t=2.670, P=0.010; (4.0±0.9) vs (6.1±2.1) d, t=5.102, P<0.001; (5.0±2.2) d vs (9.0±3.5) d, t=5.226, P<0.001]. The satisfaction with nursing mode in experimental group was significantly higher than control group 93.1%(27/29) vs 72.4%(21/29), χ²=4.350, P=0.037]. Quality of life score of the experimental group in 1, 3, and 6 months after discharge were significantly higher than control group (70.3 ± 5.5) scores vs (60.1 ± 4.8) scores, (82.1 ± 4.9) scores vs (71.3 ± 3.8) scores, (90.1 ± 3.7) scores vs (79.8 ± 4.2) scores; t=7.563, 9.457, 9.814, all P<0.001] respectively. ConclusionThe family-centered nursing mode can significantly improves the treating efficacy in children who suffering GERD and bronchial asthma, by shortening the symptom disappear time and improving the quality of life.