中国医药导刊
中國醫藥導刊
중국의약도간
CHINESE JOURNAL OF MEDICAL GUIDE
2013年
6期
1079-1080
,共2页
刘秀芸%崔慧英%卢旭%侯海鸥
劉秀蕓%崔慧英%盧旭%侯海鷗
류수예%최혜영%로욱%후해구
门诊%院外%护理干预%哮喘%儿童
門診%院外%護理榦預%哮喘%兒童
문진%원외%호리간예%효천%인동
Outpatient service%Outside the court%Nursing intervention%Asthma%Children
目的：评价门诊及院外护理干预对门诊哮喘患者的干预效果,提高管理质量。方法：回顾性分析我院2008年2月~2012年2月经门诊确诊哮喘患儿200例临床资料,随机将200例患者分为两组,每组各100例,两组给予同样的药物治疗,干预组进行护理干预,对两组患者遵医嘱行为(复诊、服药依从性)、退出率、急性加重、临床完全控制率及良好控制率等指标进行对比。结果：两组服药依从性好的患者的比例分别为63%和88%,依从性不好的患者的比例对照组为36%,明显高于干预组的12%,二者比较F=-5.19,P<0.05；干预组总有效率99.0%,对照组总有效率83.0%,两组比较,χ2=3.98,P<0.05,差异有统计学意义。干预组患者24h内症状缓解明显高于对照组,两组比较,χ2=14.76,P<0.05,差异有统计学意义。干预组患者治疗3个月发作、治疗6个月发作明显低于对照组,两组比较,χ2=25.49,17.62,P均<0.05,差异有统计学意义。结论：实施门诊及院外护理干预可以减少支气管哮喘患者的复发率,提高了患者的生活质量,值得在临床医学上推广使用。
目的：評價門診及院外護理榦預對門診哮喘患者的榦預效果,提高管理質量。方法：迴顧性分析我院2008年2月~2012年2月經門診確診哮喘患兒200例臨床資料,隨機將200例患者分為兩組,每組各100例,兩組給予同樣的藥物治療,榦預組進行護理榦預,對兩組患者遵醫囑行為(複診、服藥依從性)、退齣率、急性加重、臨床完全控製率及良好控製率等指標進行對比。結果：兩組服藥依從性好的患者的比例分彆為63%和88%,依從性不好的患者的比例對照組為36%,明顯高于榦預組的12%,二者比較F=-5.19,P<0.05；榦預組總有效率99.0%,對照組總有效率83.0%,兩組比較,χ2=3.98,P<0.05,差異有統計學意義。榦預組患者24h內癥狀緩解明顯高于對照組,兩組比較,χ2=14.76,P<0.05,差異有統計學意義。榦預組患者治療3箇月髮作、治療6箇月髮作明顯低于對照組,兩組比較,χ2=25.49,17.62,P均<0.05,差異有統計學意義。結論：實施門診及院外護理榦預可以減少支氣管哮喘患者的複髮率,提高瞭患者的生活質量,值得在臨床醫學上推廣使用。
목적：평개문진급원외호리간예대문진효천환자적간예효과,제고관리질량。방법：회고성분석아원2008년2월~2012년2월경문진학진효천환인200례림상자료,수궤장200례환자분위량조,매조각100례,량조급여동양적약물치료,간예조진행호리간예,대량조환자준의촉행위(복진、복약의종성)、퇴출솔、급성가중、림상완전공제솔급량호공제솔등지표진행대비。결과：량조복약의종성호적환자적비례분별위63%화88%,의종성불호적환자적비례대조조위36%,명현고우간예조적12%,이자비교F=-5.19,P<0.05；간예조총유효솔99.0%,대조조총유효솔83.0%,량조비교,χ2=3.98,P<0.05,차이유통계학의의。간예조환자24h내증상완해명현고우대조조,량조비교,χ2=14.76,P<0.05,차이유통계학의의。간예조환자치료3개월발작、치료6개월발작명현저우대조조,량조비교,χ2=25.49,17.62,P균<0.05,차이유통계학의의。결론：실시문진급원외호리간예가이감소지기관효천환자적복발솔,제고료환자적생활질량,치득재림상의학상추엄사용。
Objective:To evaluate the clinic and hospital nursing intervention for outpatient intervention in patients with asthma effect,improve the quality of management.Methods:A retrospective analysis in February 2008 ~ February 2012 admitted in the hospital after confirmed 200 cases of children with asthma clinical data,randomly divided 200 patients into two groups,each group 100 examples,two groups to give the same treatment,nursing intervention intervention group,as directed by a physician behavior of 2 groups of patients (for follow-ups,medication compliance),quit rate,acute exacerbations,clinical complete control and good control indexes such as contrast.Results:The 2 groups of medication compliance of patients in good proportion were 63% and 88%,compliance is not good percentage of patients in control group was 36%,significantly higher than 12% in the intervention group,F=-5.19,comparing the two P<0.05;the intervention group total effectiveness 99%,the comparison group total effectiveness 83%, two groups of χ2=3.98,P<0.05,the difference was statistically significant. Intervention group patients in 24h remission of symptoms was significantly higher than the control group, two groups of χ2=14.76,P<0.05,the difference was statistically significant. Patients in the intervention group were treated for 3 months,6 months of treatment onset seizures was significantly lower than the control group,the two group χ2=25.49,17.62,P<0.05,the difference was statistically significant.Conclusion:The implementation of outpatient and hospital nursing intervention can reduce the recurrence rate of patients with bronchial asthma,and improve the life quality of patients,is worthy to be popularized in clinical medicine.
