Application value of hospital-community-family integrated service in nursing management of children with bronchial asthma
10.3760/cma.j.cn211501-20191114-03342
- VernacularTitle:医院-社区-家庭一体化服务在小儿支气管哮喘护理管理中的应用价值
- Author:
Cong ZHUANG
1
;
Wenfeng WEI
;
Bailang LIN
;
Xuefang AN
Author Information
1. 中南大学湘雅医学院附属海口医院护理部 570208
- From:
Chinese Journal of Practical Nursing
2020;36(22):1721-1726
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the Application value of hospital-community-family integrated service in nursing management of children with bronchial asthma.Methods:From December 2018 to February 2019 in Haikou Hospital Affiliated to Xiangya Medical College of Central South University, 90 children with asthma were selected and divided into control group (45 cases) and observation group (45 cases) according to random digital table method. The patients in the control group received routine hospitalization diagnosis and health education, while the patients in the observation group received integrated management services of family type medical care. Six months after the intervention, the clinical efficacy, the number of acute attacks, psychological state, quality of life, length of stay and cost of the two groups were compared.Results:The total effective rate of the observation group (95.56%, 43/45) was significantly higher than that of the control group (82.22%, 37/45), the difference was statistically significant ( χ2 value was 4.050, P<0.05). The times of acute attack, the times of readmission, the time of hospitalization and the expenses of the children in the observation group were (7.36±2.19) times, (4.22±1.78) times, (13.89±4.32) d, (3 023.83±219.76) yuan respectively, which were significantly lower than those in the control group (12.03±3.98) times, (7.03±2.43) times, (21.73±5.32) d, (5 032.33±324.23) yuan, and the difference was statistically significant ( t values were 6.258-34.381, P<0.01). The scores of Self-rating Anxiety Scale (31.23±4.84) and Self-rating Depression Scale (37.62±2.61) in the observation group were significantly lower than those in the control group (36.11±2.72, (43.27 ± 2.94), the difference was statistically significant( t values were 5.896, 9.641, P < 0.01). The scores of symptom (6.50±1.63), emotion and activity(6.33±1.02), quality of life (6.54±0.98) in the observation group were significantly higher than those in the control group (5.77±1.55, 5.45±0.98, 5.78±0.67), the differences were statistically significant ( t values were - 2.177, - 4.173, - 4.295, P < 0.05 or 0.01). Conclusions:The application of hospital-community-family integrated care service in the nursing management of children with bronchial diseases can effectively improve the clinical therapeutic effect, reduce the number of acute episodes and hospitalization time, improve the psychological status and quality of life of children, which is worthy of wide clinical promotion.
