基于护理目标执行理念的延续护理在川崎病伴发冠状动脉受损患儿中的应用

裘金绿; 陈妙月; 张红梅; 张丽

doi:10.16766/j.cnki.issn.1674-4152.003942

基于护理目标执行理念的延续护理在川崎病伴发冠状动脉受损患儿中的应用

doi: 10.16766/j.cnki.issn.1674-4152.003942

杭州市儿童医院一病区，浙江杭州 310005

基金项目:

浙江省医药卫生科技计划项目 2022KY269

详细信息

通讯作者:
张红梅，E-mail：775404664@qq.com

中图分类号: R593.2 R543.3
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- 文章访问数: 95
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- 被引次数: 0
出版历程
- 收稿日期: 2024-10-11
- 网络出版日期: 2025-05-14

Application of continuing nursing based on the concept of nursing goal implementation in children with Kawasaki disease and coronary artery injury

The First Ward of Hangzhou Children ' s Hospital, Hangzhou, Zhejiang 310005, China

摘要

摘要: 目的基于护理目标执行理念建立延续护理方案，观察其在川崎病伴发冠状动脉受损患儿中的应用效果，为提高患儿服药依从性、减轻家庭负担提供依据。方法采用随机数字表法将2021年1月—2024年6月杭州市儿童医院收治的156例川崎病伴发冠状动脉受损患儿分为2组，每组78例，对照组患儿应用常规延续护理，观察组在对照组基础上应用基于护理目标执行理念的延续护理。比较2组患儿用药依从性、家长疾病管理能力、疾病知识掌握度、家庭照顾负担等情况。结果观察组患儿服药依从性为97.4%(76/78)，高于对照组的88.5%(69/78)，差异有统计学意义(P＜0.05)；干预后，观察组家长疾病管理能力及疾病知识掌握度量表得分分别为(51.33±3.28)分、(82.52±6.44)分，均高于对照组[(44.52±6.73)分、(74.46±7.08)分]，差异均有统计学意义(P＜0.05)；干预后，观察组家庭照顾负担量表总分为(48.62±4.90)分，低于对照组[(61.74±7.07)分，P＜0.05]。结论基于护理目标执行理念的延续护理有利于提高川崎病伴发冠状动脉受损患儿服药依从性，对提高家长疾病管理能力及疾病知识掌握度、减轻家庭负担等均具有积极作用。
- 川崎病 /
- 冠状动脉受损 /
- 护理目标执行理念 /
- 延续护理 /
- 家庭负担
Abstract: Objective To establish a continuity of care plan based on the concept of nursing goal implementation and evaluate its effectiveness in children with Kawasaki disease and coronary artery damage, with the aim of improving medication compliance and reducing family burden. Methods A total of 156 children with Kawasaki disease and concomitant coronary artery damage, admitted to Hangzhou Children ' s Hospital from January 2021 to June 2024, were randomly divided into two teams using a random number table: the control group (n=78) received routine continuing care, while the observation group (n=78) received continuing care based on the concept of nursing goal implementation in addition to routine care. Medication adherence, parental disease management ability, disease knowledge mastery, and family caregiving burden of two groups were compared. Results The medication compliance rate in the observation group was 97.4% (76/78), which was significantly higher than the control group of 88.5% (69/78, P < 0.05). After the intervention, the scores for parental disease management ability and disease knowledge in the observation group were (51.33±3.28) points and (82.52±6.44) points, respectively, which were significantly higher than the control group of (44.52±6.73) points and (74.46±7.08) points (P < 0.05). Furthermore, the total score on the family care burden scale for the observation group was (48.62±4.90) points, which was significantly lower than the control group of (61.74±7.07) points (P < 0.05). Conclusion Continuing nursing based on the concept of nursing goal implementation effective improves medication compliance in children with Kawasaki disease and coronary artery damage, enhances parental disease management ability and knowledge, reduces family burden.
- Kawasaki disease /
- Coronary artery damage /
- Implementation concept of nursing objectives /
- Continuing care /
- Family burden

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表 1 2组CALs患儿一般资料比较

Table 1. Comparison of general data between the two groups of children with CALs

项目	对照组(n=78)	观察组(n=78)	统计量	P值
性别(例)			0.103^a	0.748
男	40	42
女	38	36
年龄(x±s，岁)	4.06±1.43	3.91±1.26	0.695^b	0.488
冠状动脉损伤程度(例)			0.737^a	0.692
轻度扩张	26	29
小型冠状动脉瘤	46	41
中、大型冠状动脉瘤	6	8
医保类型(例)			0.361^a	0.548
自费	5	7
医保	73	71
注：^a为χ²值，^b为t值。

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表 2 2组CALs家长一般资料比较

Table 2. Comparison of general data of CALs parents between the two groups

项目	对照组(n=78)	观察组(n=78)	统计量	P值
与患儿的关系(例)			0.268^a	0.605
父亲	26	23
母亲	52	55
年龄(x±s，岁)	33.81±4.75	34.02±4.96	0.270^b	0.787
文化程度(例)			0.424^a	0.515
中学	34	30
大专及以上	44	48
家庭经济状况(例)			1.764^a	0.414
普通	46	44
较好	22	28
困难	10	6
注：^a为χ²值，^b为t值。

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表 3 2组CALs患儿服药依从性比较[例(%)]

Table 3. Comparison of medication compliance between the two groups of children with CALs [cases (%)]

组别	例数	良好	中等	差	服药依从性
对照组	78	45(57.7)	24(30.8)	9(11.5)	69(88.5)
观察组	78	62(79.5)	14(17.9)	2(2.6)	76(97.4)
注：2组患儿服药依从性比较，χ²=4.792，P=0.029。

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表 4 2组CALs患儿家长疾病管理能力及疾病知识掌握度比较(x±s，分)

Table 4. Comparison of disease management ability and disease knowledge of parents of children with CALs in two groups (x±s, points)

组别	例数	疾病管理能力		疾病知识掌握度
组别	例数	干预前	干预后	干预前	干预后
对照组	78	35.55±4.79	44.52±6.73^b	65.29±10.17	74.46±7.08^b
观察组	78	35.64±5.65	51.33±3.28^b	64.34±9.83	82.52±6.44^b
统计量		0.107^a	6.791^c	0.593^a	6.032^c
P值		0.914	＜0.001	0.554	＜0.001
注：^a为t值，^c为F值；与同组干预前比较，^bP＜0.05。

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表 5 2组CALs患儿家庭照顾负担量表得分比较(x±s，分)

Table 5. Comparison of family care burden scale for children with CALs in two groups (x±s, points)

组别	例数	个人负担		责任负担		总分
组别	例数	干预前	干预后	干预前	干预后	干预前	干预后
对照组	78	31.22±3.92	30.95±3.14	30.13±4.28	29.88±3.55	62.87±8.06	61.74±7.07
观察组	78	30.83±4.87	22.24±2.86^b	29.53±3.74	24.50±2.33^b	61.76±7.54	48.62±4.90^b
统计量		0.551^a	14.316^c	0.932^a	9.671^c	0.888^a	10.583^c
P值		0.582	＜0.001	0.353	＜0.001	0.376	＜0.001
注：^a为t值，^c为F值；与同组干预前比较，^bP＜0.05。

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