ABSTRACT
Objective@#To analyze the main influencing factors of transitional care needs for children with chronic disease, so as to provide evidence for formulating the appropriate transitional care mode for children with chronic disease.@*Methods@#Adopting complete random sampling and using self-designed questionnaire, investigate the need for 500 children with chronic disease who were hospitalized in the Children′s Hospital of Chongqing Medical University from May to October in 2017. Classification based on demand results. Using Chi square test, Fisher exact probability, Cochran-Armitage trend test, Bonferroni method and Logistic regression analysis the influencing factors of demand outcomes.@*Results@#That affect the patient′s needs included family economy, medical insurance, children′s age, residence and Primary caregiver′s education, age, sex, relationship with children and so on. These factors had different effects on the need of transitional care.@*Conclusions@#The transitional care needs of children with chronic diseases are affected by many factors, which affect many aspects of continuous care. These influencing factors should be taken into account in continuous care service, and personalized continuous care services should be provided to meet children′ needs according to local conditions.
ABSTRACT
Objective To analyze the main influencing factors of transitional care needs for children with chronic disease, so as to provide evidence for formulating the appropriate transitional care mode for children with chronic disease. Methods Adopting complete random sampling and using self-designed questionnaire, investigate the need for 500 children with chronic disease who were hospitalized in the Children′s Hospital of Chongqing Medical University from May to October in 2017. Classification based on demand results. Using Chi square test, Fisher exact probability, Cochran-Armitage trend test, Bonferroni method and Logistic regression analysis the influencing factors of demand outcomes. Results That affect the patient′s needs included family economy, medical insurance, children′s age, residence and Primary caregiver′s education, age, sex, relationship with children and so on. These factors had different effects on the need of transitional care. Conclusions The transitional care needs of children with chronic diseases are affected by many factors, which affect many aspects of continuous care. These influencing factors should be taken into account in continuous care service, and personalized continuous care services should be provided to meet children′needs according to local conditions.
ABSTRACT
Objective To explore the construction and application effects of extended care form for children with epilepsy based on Omaha System.Methods Based on Omaha System,the form was established by referring medical records,literature review and three rounds of focus group discussion.From February to June,2016,48 children with epilepsy were selected as the observation group and received routine care as well as management using the form based on Omaha System;from August to December,2015,48 children with epilepsy were selected as the control group and received routine care and follow-up.The effects of intervention and scores of Family Management Measure were compared between two groups.Results Nursing issues in all domains for the observation group 3 months after intervention were lower than those during hospitalization except financial situation (P＜0.05);there was statistically significant difference in scores of knowledge-behavior-status of main nursing issues before and after intervention except cognition and mental health items (P＜0.05).Duration of hospitalization,expenditure,readmission rate,EEG results and scores of FAMM in the observation group were better than those in the control group (P＜0.05).Conclusion The construction and application of the form based on Omaha System can provide references for longterm management for children.
ABSTRACT
Objective To study the effects of combinatory application of pressure-ulcer risk evaluation and nursing management system. Methods 65 483 children discharged during the whole year 2014 as control group used conventional pressure ulcer prevention and management, while 67 391 children discharged during the whole year 2015 as osbervation group used risk assessment and systematic management based on the control group. Braden-Q scale was recruited to evaluate the pressure-ulcer risk of inpatients. Compared between the observation and the control groups were the two key data:the high-risk prediction of pressure ulcer and the incidence of pressure-ulcer. Results While 56 of 544 high-risk children in the control group developed ulcer with an occurrence of 10.3%;only 30 of 747 such children in the observation group developed with an occurrence of 4.0%, and none died for complications. Significant difference existed between the two groups (χ2=3.629, P<0.05). Conclusions Introduction of pressure-ulcer risk evaluation tools and nursing management system, while providing risk evaluation of pressure ulcers, offers guarantee to timely reports, efficient care and treatment of the high-risk children, thus decreasing the occurrence of pressure ulcer.