对患有过敏性鼻炎的儿童进行综合医疗和护理管理模型
Qiuchen Wu1, Xueqi Zhao1, Wen Su1
1Department of Paediatric, Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Journal of community health nursing
|July 17, 2025
概括
一个综合医疗和护理模型显著改善了儿童过敏性鼻炎 (AR) 管理. 这种方法提高了治疗的遵守性,减少了症状,并改善了儿科患者的生活质量.
科学领域:
- 儿科过敏和免疫学
- 护理管理 护理管理
- 临床干预的有效性临床干预的有效性
背景情况:
- 过敏性鼻炎 (AR) 显著影响儿童的生活质量.
- 鼻腔内皮质类固醇 (INCS) 是一种常见的治疗方法,但效率可能会受到低于最佳的管理和坚持的限制.
- 需要加强管理策略,以改善儿科AR的结果.
研究的目的:
- 评估针对患有过敏性鼻炎的儿童的综合医疗和护理管理模式的有效性.
- 评估该模型对治疗遵守,症状严重程度和生活质量的影响.
主要方法:
- 使用前后研究设计,对73名被诊断为AR的儿童进行了研究,这些儿童以前对INCSs表现出不充分的反应.
- 一名过敏护士专家为儿童及其家长提供了INCS操作和AR管理方面的教育.
- 结果包括药物遵守,症状视觉模拟量表 (VAS) 和儿科犀牛结膜炎生活质量问卷 (PRQLQ) 在基线和干预后4周被测量.
主要成果:
- 药物遵守率从46.6%大幅增加到96.6% (P < 0.01).
- 在鼻腔 (VAS:22至2,P<0.01) 和眼部症状得分 (VAS:5至1,P<0.01) 均观察到显著减少.
- 在所有PRQLQ领域,包括鼻腔症状,眼睛症状,实际和情绪问题以及其他症状 (P <0.01对所有人来说) 进行了实质性的改善.
结论:
- 综合医疗和护理管理模式在改善过敏性鼻炎治疗遵守性和减少儿童症状负担方面非常有效.
- 这种模式显著提高了AR的儿科患者的生活质量.
- 这项研究支持这种由护士主导的干预措施在儿科过敏性鼻炎管理中的临床应用.
相关概念视频
01:30Asthma-IV: Nursing Management
3.3K
The nursing management of asthma is a comprehensive approach that relies heavily on the expertise and dedication of healthcare professionals. It involves thorough assessment, accurate diagnosis, strategic planning, effective implementation, and diligent evaluation. By meticulously following this step-by-step process, healthcare professionals play a crucial role in providing the best possible care and treatment for patients with asthma, enhancing their overall health and well-being.
First, in...
First, in...
3.3K
01:30Asthma-IV: Diagnostic and Management
2.6K
The diagnosis and management of asthma are comprehensive, encompassing clinical assessments, lung function tests, and pharmacological interventions. Here's an overview:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
2.6K
01:25Antiasthma Drugs: Mast Cell Stabilizers and Anti-IgE Drugs
471
Asthma is a chronic respiratory condition for which new therapeutic avenues, including anti-inflammatory drugs like mast cell stabilizers and anti-IgE treatments, continue to be developed.
Mast cell stabilizers, such as cromolyn (also known as sodium cromoglycate) and nedocromil (Tilade), are effective drugs in asthma management. These stabilizers hinder histamine release by skillfully obstructing the activation of mast cells and other cellular entities. Notably, they navigate this task without...
Mast cell stabilizers, such as cromolyn (also known as sodium cromoglycate) and nedocromil (Tilade), are effective drugs in asthma management. These stabilizers hinder histamine release by skillfully obstructing the activation of mast cells and other cellular entities. Notably, they navigate this task without...
471
01:17Drugs Used in Lower Respiratory Disorders: Overview
599
Lower respiratory tract disorders present challenges that often require skilled and nuanced approaches for effective management. Common ailments, such as asthma and chronic obstructive pulmonary disease (COPD), have prompted the development of intricate treatment strategies involving bronchodilators and anti-inflammatory drugs, each tailored to ease breathing and revitalize the lungs.
Bronchodilators, the first step of respiration enhancement, come in various forms, each with its own mechanism...
Bronchodilators, the first step of respiration enhancement, come in various forms, each with its own mechanism...
599
01:20Asthma: Pathogenesis and Management
606
Asthma is a chronic pulmonary condition involving inflammation of the airways, hyper-reactivity, and reversible obstruction of the airways. This condition can significantly impact a person's quality of life, making breathing difficult and leading to distressing symptoms.
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.
606
01:30Chronic Obstructive Pulmonary Disease-V: Nursing Management
4.3K
Nursing management of Chronic Obstructive Pulmonary Disease (COPD) is crucial for providing thorough care and support to patients. Nurses play an integral role in this process through detailed assessment, careful planning, targeted interventions, and ongoing evaluation. Here's an overview of the critical steps in nursing management for COPD.
Assessment
Assessment
4.3K