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基于过渡理论的儿童哮喘管理出院计划项目的效果

Efficacy of a Transition Theory-Based Discharge Planning Program for Childhood Asthma Management.

作者信息

Ekim Ayfer, Ocakci Ayse Ferda

机构信息

Department of Nursing, School of Health Sciences, Istanbul Bilgi University, Istanbul, Turkey.

School of Nursing, Koc University, Istanbul, Turkey.

出版信息

Int J Nurs Knowl. 2016 Feb;27(2):70-8. doi: 10.1111/2047-3095.12077. Epub 2015 Jan 30.

Abstract

PURPOSE

This study tested the efficacy of a nurse-led discharge planning program for childhood asthma management, based on transition theory.

METHODS

A quasi-experimental design was used. The sample comprised 120 children with asthma and their parents (intervention group n = 60, control group n = 60).

FINDINGS

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.

CONCLUSIONS

Transition theory-based nursing interventions can provide successful outcomes on childhood asthma management.

PRACTICE IMPLICATIONS

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.

摘要

目的

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。

方法

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)。

结果

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。

结论

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。

实践意义

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。

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