基于诺丁斯关怀教育理论的亲情式护理模式在学龄期Tourette综合征患儿中的应用OA
Application of the family-like nursing model based on Noddings'caring theory in school-aged children with Tourette syndrome
目的:探讨基于诺丁斯关怀教育理论的亲情式护理模式在学龄期Tourette综合征(Tourette syndrome,TS)患儿中的应用效果.方法:选择2024年1月至12月我院收治的学龄期TS患儿60例为研究对象,采用随机数字表法分为2组,各30例.对照组采用常规护理模式,观察组在对照组基础上采用基于诺丁斯关怀教育理论的亲情式护理模式.比较2组护理效果(总有效率)、临床症状[Yale-Brown强迫量表(Yale Global Tic Severity Scale,Y-BOCS)、耶鲁抽动症整体严重程度量表(Yale-Brown Obsessive Compulsive Scale,YGTSS)、中文版注意缺陷多动障碍评定量表-父母版(Swanson,Nolan,and Pelham Rating Scale,SNAP-Ⅳ)]、智力水平[中国-韦氏儿童智力量表(Chinese version of Wechsler Intelligence Scale for Children,C-WISC)]、自我意识[Piers-Harris儿童自我意识量表(Piers-Harris Children's Self-Concept Scale,PHCCS)]、生活质量[儿少主观生活质量问卷(Inventory of Subjective Life Quality,ISLQ)]评分及家属对护理的总满意度.结果:观察组护理总有效率高于对照组(P＜0.05);护理后观察组YGTSS、Y-BOCS、SNAP-Ⅳ评分低于对照组(P＜0.05),C-WISC、PHCCS、ISLQ评分高于对照组(P＜0.05);观察组家属对护理的总满意度高于对照组(P＜0.05).结论:基于诺丁斯关怀教育理论的亲情式护理模式能有效改善学龄期TS患儿的临床症状,可能通过榜样示范、关怀对话和正向证实等途径提升其智力水平和自我意识,从而显著提高生活质量及家属满意度.
Objective:To explore the application effect of the family-like nursing model based on Noddings'caring theory in school-aged children with Tourette syndrome(TS).Methods:Sixty school-aged children with TS admitted to our hospital from Jan to Dec 2024 were selected as the research subjects.They were divided into two groups using a random number table method,with 30 cases in each group.The control group received routine nursing care,while the observation group received the family-like nursing model based on Noddings'caring theory in addition to the routine nursing care.The nursing effectiveness(total effective rate),clinical symptoms[Yale Global Tic Severity Scale(Y-BOCS),Yale-Brown Obsessive Compulsive Scale(YGTSS),and Swanson,Nolan,and Pelham Rating Scale(SNAP-Ⅳ)],intelligence level[Chinese version of Wechsler Intelligence Scale for Children(C-WISC)],self-awareness[Piers-Harris Children's Self-Concept Scale(PHCCS)],quality of life[Inventory of Subjective Life Quality(ISLQ)]scores,and family satisfaction with the nursing care were compared between the two groups.Results:The total effective rate of nursing in the observation group was higher than that in the control group(P＜0.05).After nursing,the scores of YGTSS,Y-BOCS and SNAP-Ⅳ in the observation group were lower than those in the control group(P＜0.05),and the scores of C-WISC,PHCCS and ISLQ were higher than those in the control group(P＜0.05).The total satisfaction of family members with nursing care in the observation group was higher than that in the control group(P＜0.05).Conclusions:The family-like nursing model based on Noddings'caring theory can effectively improve the clinical symptoms of school-age TS children.It may enhance their intelligence level and self-awareness through model demonstration,caring dialogue and positive confirmation,thereby significantly improving their quality of life and family satisfaction.
谢丽;贾亚林;孙梦杰;张争艳;付军美
河南中医药大学第一附属医院儿科医院,河南 郑州 450000河南中医药大学第一附属医院儿科医院,河南 郑州 450000河南中医药大学第一附属医院儿科医院,河南 郑州 450000河南中医药大学第一附属医院儿科医院,河南 郑州 450000河南中医药大学第一附属医院儿科医院,河南 郑州 450000
医药卫生
Tourette综合征亲情式护理诺丁斯关怀教育理论临床症状生活质量
Tourette syndromefamily-like nursingNoddings'caring theoryclinical symptomsquality of life
《沈阳医学院学报》 2026 (1)
18-23,29,7
河南省中医药科学研究专项课题(No.2021JDZX2095No.20-21Y2195)
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