医院-社区-家庭延伸护理服务在咳嗽变异性哮喘患儿中的应用

目的探讨医院-社区-家庭延伸护理服务在咳嗽变异性哮喘(CVA)患儿中的应用效果。方法选取2018年1—11月河南省某医院收治的90例CVA患儿为研究对象,采用随机数字表法分为对照组与研究组,每组45例。对照组患儿给予常规护理干预,研究组患儿给予医院-社区-家庭延伸护理服务,比较2组患儿的年发病次数、医疗费用、住院时长、年住院次数、家长请假时长及干预前、干预1年后儿童哮喘生命质量问卷(PAQLQ)评分,治疗前后肺功能指标第1秒用力呼气量(FEV1)、用力肺活量(FVC)]。结果研究组患儿年发病次数、医疗费用、年住院次数少于对照组,住院时长、家属请假时长短于对照组,差异均有统计学意义(P<0.05)。干预前,2组患儿FEV1及FVC比较,差异无统计学意义(P>0.05);干预1年后,2组患儿FEV1及FVC大于干预前,且研究组患儿FEV1及FVC大于对照组,差异均有统计学意义(P<0.05)。干预前,2组患儿PAQLQ中情感维度、活动维度、症状维度评分比较,差异无统计学意义(P>0.05);干预1年后,2组患儿PAQLQ中情感维度、活动维度、症状维度评分均高于干预前,且研究组高于对照组,差异均有统计学意义(P<0.05)。结论医院-社区-家庭延伸护理服务应用于CVA患儿,有助于减少患儿哮喘发作次数,减轻患儿家庭负担,改善患儿肺功能,全面提升患儿生命质量。

Application of hospital-community-family extended care service in children with cough variant asthma

Objective To analyze the application effect of hospital-community-family extended care service in children with cough variant asthma(CVA).Methods Ninety patients with CVA admitted to a hospital in Henan from January 2018 to November 2018 were enrolled.The patients were divided into the control group and the study group according to the admission time,with 45 cases in each group.The control group received routine nursing intervention,and the study group gave hospital-community-family extended care services on the basis of the control group.Compare the incidence of illness,medical expenses,length of hospital stay,number of hospitalizations,days of parental leave,and pre-intervention,post-intervention 1 year post-children′s Asthma Quality of Life Questionnaire(PAQLQ)score,and lung function indicators before and after treatment1st forced expiratory volume(FEV1),forced vital capacity(FVC)].Results Compared with the control group,the number of cases,medical expenses,and hospitalizations were lower in the study group,and the length of hospital stay and family members were shorter(P<0.05).Before the intervention,FEV1 and FVC of the two groups had no significant difference(P>0.05);after one year of intervention,FEV1 and FVC of the study group were higher than that of the control group,with significant difference(P<0.05).Before the intervention,there was no significant difference in the scores of emotional dimension,activity dimension and symptom dimension in PAQLQ between the two groups(P>0.05);one year after the intervention,the scores of emotional dimension,activity dimension and symptom dimension in the two groups were higher than that before the intervention,and the differences between the two groups were statistically significant(P<0.05).Conclusion Hospital-community-family extended care services are used in children with CVA to control asthma attacks,reduce family burden,improve lung function,and improve the quality of life of children.