胡丽青

【摘要】 目的：探討在过敏性紫癜患儿中采用PDCA循环式护理对家属疾病认知程度及患儿症状改善情况的临床影响。方法：选取福建省福州儿童医院2021年4月—2022年4月收治的80例过敏性紫癜患儿，使用随机数字表法将其分为对照组和观察组，每组40例。对照组和观察组分别采用常规护理、PDCA循环式护理。对比两组的护理效果。结果：观察组的腹痛消失时间、紫癜消失时间、尿蛋白消失时间、关节痛消失时间均短于对照组，差异均有统计学意义（P<0.05）。护理后，观察组的家属疾病知识掌握评分均高于对照组，差异均有统计学意义（P<0.05）。观察组的并发症发生率和复发率均低于对照组，差异均有统计学意义（P<0.05）。结论：在过敏性紫癜患儿中采用PDCA循环式护理的效果较显著，不仅能有效缩短其症状消失时间，还能提高家属对疾病的认知程度，降低并发症发生率和复发率。

【关键词】 过敏性紫癜 PDCA循环式护理 家属疾病认知程度 症状改善情况

Clinical Effects of PDCA Circulating Nursing on the Disease Cognition Degree of the Family Members of Children with Allergic Purpura and the Improvement of the Children's Symptoms/HU Liqing. //Medical Innovation of China， 2024， 21（07）： -109

[Abstract] Objective： To investigate the clinical effects of PDCA circulating nursing in children with anaphylactoid purpura on the disease cognition degree of family members and the improvement of symptoms in children. Method： A total of 80 children with anaphylactoid purpura admitted to Fuzhou Children's Hospital， Fujian Province from April 2021 to April 2022 were selected， and were divided into control group and observation group by random number table method， with 40 cases in each group. The control group and observation group were respectively treated with routine nursing and PDCA circular nursing. The nursing effects of the two groups were compared. Result： The disappearance time of abdominal pain， purpura， urinary protein and arthralgia in the observation group were shorter than those in the control group， the differences were statistically significant （P<0.05）. After nursing， the score of disease knowledge mastery of family members in observation group were higher than those of control group， the differences were statistically significant （P<0.05）. The complication rate and recurrence rate of observation group were lower than those of control group， the differences were statistically significant （P<0.05）. Conclusion： PDCA circulating nursing in children with allergic purpura has a significant effect， which can not only effectively shorten the time of disappearance of symptoms， but also improve the disease cognition degree of family members， reduce the incidence of complications and recurrence rate.

[Key words] Allergic purpura PDCA circulating nursing Disease cognition degree of family members Symptom improvement

First-author's address： Department of Hematology and Endocrinology， Fuzhou Children's Hospital， Fujian Province， Fuzhou 350001， China

doi：10.3969/j.issn.1674-4985.2024.07.025

过敏性紫癜是儿科中较为常见的一种系统性血管炎，以皮肤紫癜、腹痛、关节痛等主要症状，若患儿未能及时得到有效治疗，随着其病情的不断发展，溃疡、水疱、血疱、关节坏死等不良情况的发生风险逐渐增加，进而影响其身体健康[1-2]。目前医学上主要针对过敏性紫癜患儿的临床症状进行对症治疗，但在实际的治疗过程中，其年龄相对较小，配合度相对较低，在一定程度上降低了治疗效果。因此，采取有效的护理干预对于过敏性紫癜患儿的治疗和预后而言均具有重要意义。以往的常规护理主要以生命体征监测和用药指导为主，缺乏针对患儿配合度的护理内容，护理效果和护理质量相对较低。PDCA循环式护理是近年来兴起的一种护理模式，凭借其规范化、标准化、循环性的特点，已经被广泛应用到多种疾病的护理过程中，且大多取得了较为理想的护理效果[3-6]。……