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以家庭为中心的护理模式在慢性胃炎患儿中的应用效果OA

Application effect of family-centered nursing model in children with chronic gastritis

中文摘要英文摘要

目的 评价以家庭为中心的护理模式在慢性胃炎患儿中的实施效果和价值.方法 回顾分析徐州儿童医院于2021年1月至2022年6月收治的共计98例慢性胃炎患儿的病例资料,按护理方法的不同分入对照组(n=50,给予常规护理)和观察组(n=48,实施以家庭为中心的护理).比较2组的治疗依从性、症状改善时间、血清指标水平以及免疫功能.结果 观察组的治疗总依从率为97.92%,明显较对照组的86.00%更高(P<0.05).与对照组相比,观察组的腹部疼痛等各项症状改善时间均更早(P均<0.05).出院时及出院3个月后,2组的血清胃泌素(Gas-trin)和丙二醛(MDA)水平均较入院时降低(P均<0.05);观察组的Gastrin和MDA水平均较同期对照组更低(P均<0.05).出院时及出院3个月后,2组的外周血T淋巴细胞亚群CD3+和CD4+均较入院时升高,CD8+均较入院时降低(P均<0.05);观察组的CD3+和CD4+均较同期对照组更高,CD8+均较同期对照组更低(P均<0.05).结论 在慢性胃炎患儿中采用以家庭为中心的护理进行干预,对其治疗依从性提升、症状改善时间缩短、血清相关指标以及免疫功能指标改善均可产生积极作用.

Objective To evaluate the implementation effect and value of the family-centered nursing model in children with chronic gastritis.Methods A retrospective analysis was conducted on the clinical data of 98 children with chronic gastritis admitted to Xuzhou Children's Hospital from January 2021 to June 2022.They were divided into a control group(n=50,receiving routine nursing)and an observation group(n=48,implementing family-centered nursing)according to different nursing methods.The treatment compliance,symptom improvement time,serum indicator levels,and immune function of the two groups were compared.Results The total treatment compliance rate of the observation group was 97.92%,significantly higher than the 86.00%of the control group(P<0.05).Compared with the control group,the observation group showed earlier improvement in various symptoms such as abdominal pain(all P<0.05).At discharge and 3 months after discharge,the levels of serum gastrin(Gastrin)and malondialdehyde(MDA)in both groups decreased compared to admission(all P<0.05).The levels of Gastrin and MDA in the observation group were lower than those in the control group during the same period(all P<0.05).At discharge and 3 months after discharge,the peripheral blood T lymphocyte subsets CD3+and CD4+in both groups increased compared to admission,while CD8+decreased compared to admission(all P<0.05).The CD3+and CD4+levels in the observation group were higher than those in the control group during the same period,while CD8+levels in the observation group were lower than those in the control group during the same period(all P<0.05).Conclusion Family-centered nursing intervention in children with chronic gastritis can have a positive effect on improving treatment compliance,shortening symptom improvement time,and improving serum related indicators and immune function indicators.

宋允杰;王艳辉;郝维

徐州儿童医院,江苏徐州,221000

临床医学

慢性胃炎儿童以家庭为中心的护理治疗依从性免疫功能

chronic gastritischildrenfamily-centered nursingtreatment complianceimmune function

《中西医结合护理(中英文)》 2024 (003)

25-28 / 4

10.11997/nitcwm.202403007

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