家长协同护理对哮喘患儿住院舒适度及远期效果的影响

目的探讨家长协同护理对哮喘患儿住院舒适度及远期效果的影响。方法将88例哮喘患儿按住院日期分组，观察组（单日）与对照组（双日）各44例，对照组采用常规护理模式，观察组在常规护理的基础上实施协同护理干预，共同参与患儿日常生活协助、疾病护理、心理支持三方面护理，观察两组患儿气促、咳嗽不适症状及烦躁、睡眠状况的舒适度，出院3个月后患儿哮喘控制率及复发率。结果观察组患儿总体舒适度明显优于对照组，差异有统计学意义（Z=5．477，P〈0．05），且气促、咳嗽、烦躁、失眠不适症状均较对照组明显减轻，差异有统计学意义（Z分别为-2．200，-3．909，-2．473，-6．503；P〈0．05）；观察组患儿院外控制中，完全控制17例占38．64％，明显优于对照组的7例占15．91％，差异有统计学意义（x2=56．606，P〈0．05）；且观察组疾病复发率为45．45％，低于对照组的79．55％，差异有统计学意义（X2=27．554，P〈0．05）。结论协同护理模式是由护患共同参与，通过院内指导患儿家长全面掌握疾病护理，提高患儿住院舒适度，同时延伸院内宣教，改善患儿院外照顾，利于增强对生活中哮喘患儿病情的良好控制，降低复发率。

Effect of family coordinated nursing on comfort degree and long-term effect of asthma children

Objective To discuss the effect of family coordinated nursing on comfort degree and long- term effect of asthma children. Methods A total of 88 school-age children with asthma were divided into theobservation group （n = 44, Odd day） and the control group （ n = 44, even day） according to hospital date. Thecontrol group received conventional nursing mode while the observation group was given family coordinated intervention in addition from three aspects of assistance in daily living, disease nursing and psychological support. Discomfort like wheezing and cough, irritability, quality of sleep, control rate and recurrence rate of asthma was compared between two groups 3 months after discharge. Results The overall comfort was better in the observation group than in the control group, with statistically significant difference （Z = 5. 477 ,P 〈 0. 05 ）. Patients＇ discomfort including wheezing, cough, irritability and insomnia was significantly reduced （Z = -2. 200, -3. 909, - 2. 473, - 6. 503, respectively; P 〈 0.05）. There was 17 cases of complete control （38.64%） in the observation group, and 7 cases （15.91%） in the control group, with statistically significant difference （x2 =56.606,P 〈0.05）. The recurrence rate was 45.45% in the observation group, lower than 79.19% in the control group, and the difference was statistically significant （x2 = 27. 554, P 〈 0. 05）. Conclusions Family coordinated nursing, which was participated by both nursing staff and patients through guiding parents with nursing knowledge and techniques, can improve patients＇ comfort, extend care out of hospital and enhance control of asthma to reduce the recurrence.