作者：闫晓丽，郝京霞，段素娴，冯东灵，张英谦

单位：

1.050000河北省石家庄市，河北省儿童医院护理部 2.050000河北省石家庄市，河北省儿童医院心内科

单位（英文）：

1.Nursing Department, Hebei Children's Hospital, Shijiazhuang 050000, China2.Department of Cardiology, Hebei Children's Hospital, Shijiazhuang 050000, China

关键词：

黏膜皮肤淋巴结综合征；川崎病；冠状动脉损伤；儿童；家庭合作照顾模式

关键词（英文）：

Mucocutaneous lymph node syndrome; Kawasaki disease; Coronary artery injury; Children; Familycooperative care model

中图分类号：

R 725.5

DOI：

10.12114/j.issn.1008-5971.2023.00.228

基金项目：

河北省卫生厅课题（18277708D）

摘要：

目的　分析家庭合作照顾模式在小儿川崎病并冠状动脉损伤护理中的应用效果。方法　选取2020年2月至2021年2月河北省儿童医院收治的川崎病并冠状动脉损伤患儿86例，采用随机数字表法将其分为对照组和观察组，每组43例。对照组实施常规护理干预，观察组实施家庭合作照顾模式干预。两组均干预2个月，比较两组临床症状消退时间、干预后冠状动脉损伤好转率、干预前后家属对疾病认知程度评分、干预后家属满意度评分、住院时间、用药依从性及按时复诊率。结果　观察组体温恢复正常时间及颈部淋巴结肿大、黏膜充血、手足肿胀消退时间短于对照组（P＜0.05）。观察组冠状动脉损伤好转率为95.3%（41/43），高于对照组的76.7%（33/43）（χ2=6.198，P=0.012）。观察组干预后家属对疾病认知程度评分及家属满意度评分高于对照组（P＜0.05）。观察组住院时间短于对照组，用药依从性和按时复诊率高于对照组（P＜0.05）。结论　家庭合作照顾模式可缩短川崎病并冠状动脉损伤患儿临床症状消退时间及住院时间，提高冠状动脉损伤好转率、家属对疾病认知程度、家属满意度及用药依从性、按时复诊率，值得临床推广应用。

英文摘要：

Objective To analyze the application effect of family cooperative care model in children with Kawasakidisease and coronary artery injury. Methods A total of 86 children with Kawasaki disease and coronary artery injury admittedto Hebei Children's Hospital from February 2020 to February 2021 were selected and divided into control group and observationgroup by random number table method, with 43 cases in each group. Both groups were intervened for two months. The control groupwas given conventional nursing intervention, and the observation group was given family cooperative care model intervention. Theregression time of clinical symptoms, the improvement rate of coronary artery injury after intervention, the score of family members'cognition degree of disease before and after intervention, family members' satisfaction score after intervention, hospitalizationtime, medication compliance and on-time follow-up rate were compared between the two groups. Results The time of bodytemperature returning to normal and the regression time of cervical lymph node enlargement, mucosal congestion and hand andfoot swelling in the observation group were shorter than those in the control group (P < 0.05) . After intervention, the improvementrate of coronary artery injury in the observation group was 95.3% (41/43) , which was higher than 76.7% (33/43) in the controlgroup (χ2=6.198, P=0.012) . After intervention, the scores of family members' cognition degree of disease and family satisfactionin the observation group were higher than those in the control group (P < 0.05) . The hospitalization time of the observation groupwas shorter than that of the control group, and the medication compliance and on-time follow-up rate were higher than those ofthe control group (P < 0.05) . Conclusion Family cooperative care model can shorten the clinical symptom regression time andhospitalization time of children with Kawasaki disease and coronary artery injury, improve the improvement rate of coronary arteryinjury, family members' cognition degree of disease, family satisfaction, medication compliance and on-time follow-up rate, whichis worthy of clinical application.

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