Pei Chuanfeng, Wu Weiyu, Zhou Xingmei, Zhou Xiaojian, Qin Zhen
Department of Nursing, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine (Shanghai First People's Hospital) Shanghai, China.
Department of Pediatrics, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine (Shanghai First People's Hospital) Shanghai, China.
Am J Transl Res. 2021 Aug 15;13(8):9505-9513. eCollection 2021.
To investigate the effect of a nursing model based on the authorization theory of asthma in children aged 7 to 14 years.
In total, 200 children who were 7 to 14 years with asthma in remission were recruited in this study. These children were admitted to our hospital and were randomly divided into the control group (n=100) and the experimental group (n=100). Patients in the control group received routine nursing, while those in the experimental group received routine nursing and nursing based on the authorization theory. Treatment compliance, the time of disappearance of symptoms (like sputum, cough, wheeze, and wet rales), the length of hospitalization, lung function, including forced expiratory volume in 1 second (FEV), forced vital capacity (FVC), and FEV/FVC, general self-efficacy scale (GSES) score, MOS 36-item short form health survey (SF-36) score, and parents' satisfaction with nursing were compared between the two groups.
FEV, FVC, FEV/FVC, GSES score, and SF-36 scores in all aspects in the two groups after intervention were increased when compared with before intervention; in addition, FEV, FVC, FEV/FVC, GSES score, and SF-36 scores in all aspects in the experimental group after intervention were significantly higher than those in the control group (all P<0.05). The time of disappearance of symptoms (like sputum, cough, wheeze, and wet rales) and length of hospitalization in the experimental group were shorter than those in the control group (all P<0.05). Compared with the control group, treatment compliance and satisfaction in nursing in the experimental group were increased (both P<0.05).
Nursing based on the authorization theory can effectively improve treatment compliance, lung function, SF-36 scores, and satisfaction in nursing, and shorten the length of hospitalization.
探讨基于哮喘授权理论的护理模式对7至14岁儿童哮喘的影响。
本研究共纳入200例7至14岁处于缓解期的哮喘儿童。这些儿童入住我院，并随机分为对照组（n = 100）和实验组（n = 100）。对照组患者接受常规护理，而实验组患者接受常规护理及基于授权理论的护理。比较两组的治疗依从性、症状（如痰液、咳嗽、喘息和湿啰音）消失时间、住院时间、肺功能，包括一秒用力呼气容积（FEV）、用力肺活量（FVC）和FEV/FVC、一般自我效能感量表（GSES）评分、MOS 36项简短健康调查（SF - 36）评分以及家长对护理的满意度。
干预后两组各方面的FEV、FVC、FEV/FVC、GSES评分和SF - 36评分均较干预前升高；此外，干预后实验组各方面的FEV、FVC、FEV/FVC、GSES评分和SF - 36评分均显著高于对照组（均P < 0.05）。实验组症状（如痰液、咳嗽、喘息和湿啰音）消失时间和住院时间均短于对照组（均P < 0.05）。与对照组相比，实验组的治疗依从性和护理满意度均有所提高（均P < 0.05）。
基于授权理论的护理可有效提高治疗依从性、肺功能、SF - 36评分及护理满意度，并缩短住院时间。
