目的探讨PDCA循环护理模式联合代币奖励对尿道下裂患儿治疗依从性和负性情绪的影响。方法选择2017年2-l2月郑州大学附属儿童医院收治的尿道下裂患儿120例为研究对象,按照入院时间分为观察组和对照组,每组60例。对照组实施常规护理;观察组在常规护理的基础上实施PDCA循环护理模式联合代币奖励干预。采用自制的患儿行为依从性评定表比较2组患儿的依从性,分别于干预前后进行Achenbach儿童行为量表(CBCL)评分,统计2组患儿住院时间和并发症发生率。结果入院时2组患儿的CBCL评分比较差异无统计学意义(P>0.05);干预后观察组患儿的依从性得分、CBCL得分分别为(43.12 ± 3.99)、(17.62 ± 7.30)分,对照组分别为(30.67 ± 4.53)、(24.23 ± 6.67)分,2组比较差异有统计学意义(t= 15.977、5.184,P<0.01)。观察组患儿的住院时间、并发症发生率分别为(18.73 ± 0.84)d、15.00%(9/60),明显低于对照组的(20.92 ± 1.90)d、31.67%(19/60),差异有统计学意义(t=8.166,χ2=4.658,P<0.01或0.05)。结论PDCA循环护理模式联合代币奖励可提高尿道下裂患儿的治疗依从性,改善患儿的负性情绪。
Objective To explore the effect of PDCA nursing model combined with token reward on the compliance and negative emotions of children with hypospadias. Methods A total of 120 children with hypospadias who were admitted to Children′s hospital affiliated to Zhengzhou University from February 2017 to December 2017 were selected as study subjects. According to the time of admission, they were divided into observation group and control group, with 60 cases in each group. The control group was given routine nursing care, the observation group was given PDCA nursing mode combined with token rewards intervention on the basis of routine care. The self-made children's behavioral compliance assessment table was used to compare the compliance of the two groups of children. Achenbach Child Behavior Check List (CBCL) scores were performed before and after the intervention. The hospitalization time and the incidence of complications were calculated. Results There was no significant difference in CBCL scores between the two groups at admission (t=0.965, P=0.102). The scores of compliance and CBCL scores of the observation group were (43.12±3.99) points and (17.62±7.30) points respectively, the scores of control group were (30.67±4.53),(24.23±6.67), the difference was statistically significant (t=15.977, 5.184, P<0.01). The hospitalization time and complication rate of the observation group were (18.73±0.84)d, 15.00%(9/60), which were significantly lower than (20.92±1.90) d, 31.67%(19/60) of the control group, and the difference was statistically significant (t=8.166,χ2=4.658, P<0.01 or 0.05). Conclusions The PDCA nursing model combined with token reward can improve the compliance of children with hypospadias and improve their negative emotions.
Chinese Journal of Practical Nursing