To explore the application effect of continuous nursing under the family empowerment model based on cloud follow-up in children with cyclic vomiting syndrome
基于云随访的家庭赋权模式下的延续性护理在周期性呕吐综合征患儿的应用效果

摘要

目的 基于云随访的家庭赋权模式下的延续性护理在周期性呕吐综合征患儿的应用效果，为此类患儿居家的护理提供有效的参考依据。方法 科室成立以护士长及具有消化科疾病临床护理经验的主管护师为延续性护理核心团队，并邀请消化内科、心理科和营养科、中医科医师共同参与，与患儿及家长一起制定家庭赋权模式实施方案，利用微信、电话、互联网医院平台健康指导等云随访技术通过形式多样的沟通及指导方式进行定期专访，针对患儿在日常生活中存在的主要护理问题，提供个性化的护理措施，并比较干预前后患者生长发育状况、心理及情绪状况、营养状况等变化。结果 通过对实施延续性护理干预前后的患儿身高进行比较发现两组差异无统计学意义（P＞0.05）；通过对实施延续性护理干预前后体重、体重指数、发作间隔时间（最短）、呕吐次数（最多）及治疗周期（最长）、营养评分、抑郁评分和焦虑评分两组数据比较具有统计学意义（P＜0.05）；结论 在周期性呕吐综合征的患者中，基于云随访的家庭赋权模式下的延续性护理，能够减少患儿的发作次数，加快疾病的恢复，减轻患儿的痛苦，缓解医疗机构的诊疗压力。

Abstract

Objective To explore the application effect of continuous nursing under the family empowerment model based on cloud follow-up in children with cyclic vomiting syndrome, so as to provide an effective reference for the nursing of such children.
Methods Head nurses and nurse-in-charge with clinical nursing experience in digestive diseases were established as the core team of continuous nursing in the department. The implementation plan of the family empowerment model was formulated together with the children and their parents, and doctors from the departments of gastroenterology, psychology, nutrition and traditional Chinese medicine were invited to participate. Cloud follow-up technologies such as WeChat, telephone, and Internet hospital platform health guidance were used to conduct regular interviews through various forms of communication and guidance. Personalized nursing measures were provided for the main nursing problems of children in daily life, and the changes in growth and development status, psychological and emotional problems, and nutritional status of patients were compared before and after intervention.
Results There was no significant difference in the height of children before and after the implementation of continuous nursing intervention between the two groups (P > 0.05). Body weight, body mass index, interval time (the shortest), vomiting frequency (the most), treatment cycle (the longest), nutritional score, depression score and anxiety score before and after the implementation of continuous nursing intervention were statistically significant (P < 0.05).
Conclusion   Among patients with cyclic vomiting syndrome, continuous nursing under the family empowerment model based on cloud follow-up can reduce the number of attacks of children, accelerate the healing of the disease, relieve the pain of children, and relieve the diagnosis and treatment pressure of medical institutions.