[1]王丽娜,冯红燕,赵 佳,等.基于三维质量结构模式理论为框架的院外延续性护理干预对过敏性紫癜患儿遵医行为及护理满意度的影响[J].新乡医学院学报,2017,34(10):949-951.[doi:10.7683/xxyxyxb.2017.10.022]
 WANG Li-na,FENG Hong-yan,ZHAO Jia,et al.Effect of outside hospital continuing nursing intervention based on three-dimensional quality structure on compliance behavior and nursing satisfaction of children with henoch-schonlein purpura[J].Journal of Xinxiang Medical University,2017,34(10):949-951.[doi:10.7683/xxyxyxb.2017.10.022]
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基于三维质量结构模式理论为框架的院外延续性护理干预对过敏性紫癜患儿遵医行为及护理满意度的影响
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《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:
34
期数:
2017年10
页码:
949-951
栏目:
护理研究
出版日期:
2017-10-05

文章信息/Info

Title:
Effect of outside hospital continuing nursing intervention based on three-dimensional quality structure on compliance behavior and nursing satisfaction of children with henoch-schonlein purpura
作者:
王丽娜冯红燕赵 佳李树军王承云张会敏
(新乡医学院第一附属医院质量与安全控制办公室,河南 新乡 453100)
Author(s):
WANG Li-naFENG Hong-yanZHAO JiaLI Shu-junWANG Cheng-yunZHANG Hui-min
(Department of Quality and Safety Control Office,the First Affiliated Hospital of Xinxiang Medical University,Weihui 453100,Henan Province,China)
关键词:
过敏性紫癜三维质量结构模式延续性护理遵医行为护理满意度
Keywords:
henoch-schonlein purpurathree-dimensional quality structure modelcontinuity nursingcompliance behaviornursing satisfaction
DOI:
10.7683/xxyxyxb.2017.10.022
文献标志码:
A
摘要:
目的 探讨基于三维质量结构模式理论为框架的院外延续性护理干预对过敏性紫癜(HSP)患儿遵医行为及护理满意度的影响。方法 选取2014年2月至2016年10月新乡医学院第一附属医院住院的88例HSP患儿,按照入院顺序分为对照组和观察组,每组44例。对照组患儿给予常规护理,观察组患儿在此基础上实施基于三维质量结构模式理论为框架的院外延续性护理。对比2组患儿干预前及出院3个月后遵医行为(家属配合度、患儿用药依从性及饮食依从性)、家属负性情绪[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)]评分,并统计2组患儿护理满意度及出院3个月后疾病复发率。结果 干预前,2组患儿家属配合度、患儿用药依从性、饮食依从性评分及家属HAMA、HAMD评分比较差异均无统计学意义(P>0.05);出院3个月后,观察组患儿家属配合度、患儿用药依从性、饮食依从性评分均高于对照组,家属HAMA、HAMD评分均低于对照组(P<0.05)。观察组患儿出院后3个月复发率为4.55%(2/44),低于对照组的18.18%(8/44)(χ2=4.062,P<0.05);观察组患儿护理满意度为93.18%(41/44),高于对照组的75.00%(33/44)(χ2=5.436,P<0.05)。结论 给予HSP患儿基于三维质量结构模式理论为框架的院外延续性护理干预,可有效提高患儿遵医行为,改善家属负性情绪,进而有利于降低疾病复发率,提高护理满意度。
Abstract:
Objective To explore the effect of outside hospital continuing nursing intervention based on the three-dimensional quality structure model theory on compliance behavior and nursing satisfaction of children with henoch-schonlein purpura (HSP).Methods Eighty-eight children with HSP in the First Affiliated Hospital of Xinxiang Medical University from February 2014 to October 2016 were selected and divided into control group and observation group according to the order of admission,with 44 cases in each group.The children in the control group was given routine care;on the basis of this,the children in the observation group was given outside hospital continuing nursing intervention based on the three-dimensional quality structure model theory.The compliance behavior (family members′ compliance,medication compliance and diet compliance) and family negative emotions [Hamilton anxiety scale (HAMA),Hamilton depression scale (HAMD)] scores were compared between the two groups before intervention and 3 months after discharge.The nursing satisfaction and disease recurrence rate of children after 3 months of discharge were analyzed in the two groups.Results There was no significant difference in the family members′ compliance,medication compliance and diet compliance of children,HAMA and HAMD scores between the two groups before intervention (P>0.05);after 3 months of discharge,the scores of family members′ compliance,medication compliance and diet compliance of children in the observation group were significantly higher than those in the control group,but the HAMA,HAMD scores were significantly lower than those in the control group (P<0.05).The relapse rate of children in the observation group (4.55%,2/44) was significantly lower than that in the control group (18.18%,8/44) at 3 months after discharge (χ2= 4.062,P<0.05).The nursing satisfaction of children in the observation group(93.18%,41/44) was significantly higher than that in the control group (75.00%,33/44) (χ2=5.436,P<0.05).Conclusion Outside hospital continuing nursing intervention based on the three-dimensional quality structure model theory can effectively improve children′s compliance behavior and family negative emotions;so it help to reduce the recurrence rate of disease and improve nursing satisfaction.

参考文献/References:

[1] 李莉莉.中西医结合临床护理路径在过敏性紫癜患儿中的应用与效果评价[J].西部中医药,2016,29(1):125-128.
[2] 丁金花,苗歌,曾小燕,等.过敏性紫癜患儿出院后延续护理需求的质性研究[J].护士进修杂志,2016,31(8):746-748.
[3] 刘敏杰,张兰凤,刘谆谆,等.采用结构-过程-结果三维质量评价模式实施延续护理的实践[J].中华护理杂志,2015,50(1):74-78.
[4] 张学军.皮肤性病学[M].8版.北京:人民卫生出版社,2013:167-169.
[5] 王晓燕.整体护理干预在过敏性紫癜患者中的应用效果[J].中国医药导报,2016,13(10):178-180.
[6] 吴小川.儿童过敏性紫癜的诊治进展[J].中华实用儿科临床杂志,2013,28(21):1605-1608.
[7] 田立东.综合护理干预对小儿过敏性紫癜的疗效观察[J].中国医药导刊,2016,18(5):515-516.
[8] 卢改会,胡艳阁,田分.单纯型过敏性紫癜的复发诱因初步研究[J].中国麻风皮肤病杂志,2016,32(7):445.
[9] 刘花艳,刘丁凤,肖兰兰,等.以家庭为中心的健康教育模式对预防过敏性紫癜复发的影响[J].护理研究,2014,28(12):4406-4407.

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更新日期/Last Update: 2017-10-05