摘要
目的:探讨基于生态系统理论的家庭参与式护理对支气管肺发育不良(BPD)患儿生长发育、呼吸状况及家庭照顾者负担的影响效果。方法:选取2023年6月—2025年5月莆田市儿童医院收治的100例BPD患儿为研究对象,按随机数表法分为对照组(常规护理干预,50例)和观察组(在对照组的基础上实施基于生态系统理论的家庭参与式护理干预,50例),护理干预8周。比较两组干预前后体格发育指标、生命体征指标、照顾者负担水平、照顾者满意度及患儿再住院率。结果:干预前,两组各指标比较,差异无统计学意义(P>0.05)。干预后,两组身长、头围、体重及血氧饱和度均升高,且观察组高于对照组,差异有统计学意义(P<0.05);干预后,两组呼吸频率、心率、照顾者负担量表(CBI)评分均降低,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组再住院率低于对照组,照顾者满意度高于对照组,差异有统计意义(P<0.05)。结论:基于生态系统理论的家庭参与式护理可有效促进BPD患儿体格生长,改善呼吸功能及心率,降低照顾者负担及患儿再住院率,并提升满意度。
Objective:To explore the effect of family-participatory nursing based on ecosystem theory on the growth and development,respiratory status,and caregiver burden of children with bronchopulmonary dysplasia(BPD).Method:A total of 100 children with BPD admitted to Putian Children’s Hospital from June 2023 to May 2025 were selected as the study objects and randomly divided into a control group(conventional nursing intervention,50 cases)and an observation group(conventional nursing measures plus family-participatory nursing based on ecosystem theory,50 cases).The intervention lasted for 8 weeks.The physical development indicators,vital signs,caregiver burden,caregiver satisfaction,and rehospitalization rate of the children were compared before and after the intervention.Result:Before intervention,there were no statistically significant differences in all indicators between the two groups(P>0.05).After intervention,the height,head circumference,weight,and blood oxygen saturation increased in both groups,with higher values in the observation group.The respiratory rate,heart rate,and Caregiver Burden Inventory(CBI)score decreased in both groups,with lower values in the observation group.The differences were statistically significant(P<0.05).The rehospitalization rate of the children in the observation group was lower than that in the control group,and the caregiver satisfaction was higher,with statistically significant differences(P<0.05).Conclusion:Family-participatory nursing based on ecosystem theory can effectively promote the physical growth of children with BPD,improve respiratory function and heart rate,reduce caregiver burden and rehospitalization rate,and increase satisfaction.
作者
陈阳青
邱悦
张燕
CHEN Yangqing;QIU Yue;ZHANG Yan(Affiliated Hospital of Putian University,Putian 351100,China;不详)
出处
《中外医学研究》
2026年第4期147-151,共5页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
生态系统理论
家庭参与式护理
支气管肺发育不良
早产儿
生长发育
照顾者负担
Ecosystem theory
Family-participatory nursing
Bronchopulmonary dysplasia
Premature infants
Growth and development
Caregiver burden
