Ekim Ayfer, Ocakci Ayse Ferda
Department of Nursing, School of Health Sciences, Istanbul Bilgi University, Istanbul, Turkey.
School of Nursing, Koc University, Istanbul, Turkey.
Int J Nurs Knowl. 2016 Feb;27(2):70-8. doi: 10.1111/2047-3095.12077. Epub 2015 Jan 30.
This study tested the efficacy of a nurse-led discharge planning program for childhood asthma management, based on transition theory.
A quasi-experimental design was used. The sample comprised 120 children with asthma and their parents (intervention group n = 60, control group n = 60).
The asthma management self-efficacy perception level of parents in the intervention group increased significantly and the number of triggers their children were exposed to at home was reduced by 60.8%. The rates of admission to emergency departments and unscheduled outpatient visits were significantly lower in the intervention group compared with the control group.
Transition theory-based nursing interventions can provide successful outcomes on childhood asthma management.
Transition theory-based discharge planning program can guide nursing interventions to standardize care of the child with asthma. Combining care at home with hospital care strengthens ongoing qualified asthma management.
本研究基于过渡理论,测试了由护士主导的出院计划项目对儿童哮喘管理的效果。
采用准实验设计。样本包括120名哮喘儿童及其父母(干预组n = 60,对照组n = 60)。
干预组父母对哮喘管理的自我效能感认知水平显著提高,其子女在家中接触到的诱发因素数量减少了60.8%。与对照组相比,干预组的急诊科入院率和非预约门诊就诊率显著更低。
基于过渡理论的护理干预在儿童哮喘管理方面可取得成功结果。
基于过渡理论的出院计划项目可指导护理干预,规范哮喘儿童的护理。将家庭护理与医院护理相结合可加强持续的优质哮喘管理。