“以家庭為中心”護(hù)理模式在幼年特發(fā)性關(guān)節(jié)炎患兒的應(yīng)用研究

謝桂香　徐焱　劉青

【摘要】 目的：探討“以家庭為中心”護(hù)理模式在幼年特發(fā)性關(guān)節(jié)炎患兒的應(yīng)用價(jià)值。方法：選取2014年2月-2017年3月本院治療的幼年特發(fā)性關(guān)節(jié)炎患兒82例為研究對象，按照隨機(jī)數(shù)字表法將其分為對照組和觀察組，各41例。對照組采用常規(guī)護(hù)理，觀察組聯(lián)合“以家庭為中心”護(hù)理模式，30 d為1個(gè)療程。比較護(hù)理前后兩組抑郁自評量表（SDS）、焦慮自評量表（SAS）等負(fù)面情緒及護(hù)理質(zhì)量總評分改善情況，比較兩組護(hù)理滿意度。結(jié)果：護(hù)理后，觀察組護(hù)理質(zhì)量總評分高于對照組（P<0.05）；觀察組SDS、SAS評分均低于對照組（P<0.05）；觀察組總滿意率為97.56%（40/41），高于對照組的78.05%（32/41）（P<0.05）。結(jié)論：對于幼年特發(fā)性關(guān)節(jié)炎患兒而言，應(yīng)用“以家庭為中心”護(hù)理模式具有重要意義，可更好地改善患兒負(fù)面情緒，提高護(hù)理質(zhì)量，促進(jìn)護(hù)患和諧，值得推廣。

【關(guān)鍵詞】 “以家庭為中心”護(hù)理模式； 幼年特發(fā)性關(guān)節(jié)炎； 護(hù)理質(zhì)量； 護(hù)理滿意度

Application Study of “Family-centered” Nursing Model in Juvenile Idiopathic Arthritis/XIE Guixiang，XU Yan，LIU Qing.//Medical Innovation of China，2017，14（32）：097-100

【Abstract】 Objective：To explore the application value of “family-centered” nursing model in children with juvenile idiopathic arthritis.Method：82 cases of juvenile idiopathic arthritis were treated in our hospital from February 2014 to March 2017 were selected as subjects，according to the random number table method，they were divided into control group and observation group，41 cases in each group，the control group received conventional nursing，and observation group combined with “family-centered” nursing model，30 days for 1 course.Before and after nursing care，the improvement of negative emotions such as self rating depression scale（SDS） and self rating anxiety scale（SAS） and total score of nursing quality were compared between two groups，and nursing satisfaction between two groups were compared.Result：After nursing，the total score of nursing quality in observation group was higher than that of control group（P<0.05）， SDS and SAS scores of observation group were lower than those of control group（P<0.05），the total satisfaction rate of observation group was 97.56%（40/41），which was higher than 78.05%（32/41） of control group（P<0.05）.Conclusion：It is important to apply the “family-centered” nursing model for children with juvenile idiopathic arthritis，can improve the negative emotions，improve the quality of nursing and promote the harmony of nurse and patient and is worthy of promotion.

【Key words】 “Family-centered” nursing model； Juvenile idiopathic arthritis； Nursing quality； Nursing satisfaction

First-authors address：Jiangxi Provincial Childrens Hospital，Nanchang 330006，China

doi：10.3969/j.issn.1674-4985.2017.32.024

幼年特發(fā)性關(guān)節(jié)是指發(fā)生于16歲以下，以關(guān)節(jié)腫脹為主要表現(xiàn)的小兒關(guān)節(jié)疾病，臨床診斷需滿足癥狀持續(xù)時(shí)間不少于6個(gè)月且原因不明確[1]。目前認(rèn)為關(guān)節(jié)滑膜慢性炎癥是本病的重要特征，可伴有全身多臟器功能損傷，其病因尚不明確，治療難度大，且病情反復(fù)，可對患兒日常生活及學(xué)習(xí)造成嚴(yán)重影響，給家庭和社會帶來沉重的經(jīng)濟(jì)及精神負(fù)擔(dān)[2-3]。近年來，隨著現(xiàn)代護(hù)理學(xué)的發(fā)展，護(hù)理質(zhì)量要求逐漸提高，通過優(yōu)化護(hù)理方案提高臨床療效已成為研究的熱點(diǎn)[4]。“以家庭為中心”的護(hù)理模式更具有人性化特點(diǎn)，且可提高工作效率，在臨床應(yīng)用中日漸廣泛。本研究選取2014年2月-2017年3月就診的患兒82例為研究對象，觀察組聯(lián)合“以家庭為中心”護(hù)理模式效果顯著。現(xiàn)報(bào)道如下。endprint

1 資料與方法

1.1 一般資料 選取2014年2月-2017年3月本院治療的幼年特發(fā)性關(guān)節(jié)炎患兒82例為研究對象。……