The impact of continuity of care on complications and parental disease awareness in children with Kawasaki disease
延续性护理对小儿川崎病患者并发症及家长疾病认知度的影响

摘要

目的 分析对小儿川崎病行延续性护理的临床效果，及对患者并发症、家长疾病认知度的影响。方法 收集家长自愿参与研究的72例小儿川崎病患者作为研究对象，干预时间为2023年2月至2024年2月，采用随机数字表法分组，分为对照组（常规护理干预，36例）与研究组（常规护理联合延续性护理，36例）。比较两组患者预后情况、家长疾病认知度、并发症。结果 与对照组比较，研究组患者冠状动脉受损率、再住院率均降低(P<0.05)；两组患者并发症知识预防、用药注意事项、护理专业知识在干预前比较，差异无统计学意义（P>0.05），干预后上述指标均升高，且研究组高于对照组(P<0.05)；与对照组比较，研究组患者并发症发生率显著降低(P<0.05)。结论 对小儿川崎病行延续性护理能显著提高家长疾病认知度，降低并发症的发生，改善预后。

Abstract

Objective To analyze the clinical effects of continuity nursing for pediatric Kawasaki disease (KD) and its impact on patient complications and parental disease awareness.
Methods A total of 72 pediatric KD patients whose parents voluntarily participated in the study were recruited as research subjects. The intervention period ranged from February 2023 to February 2024. Using a random number table method, the patients were divided into a control group (receiving routine nursing intervention, n=36) and a study group (receiving routine nursing combined with continuity nursing, n=36). The prognosis, parental disease awareness, and complications of the two groups were compared.
Results Compared with the control group, the study group exhibited a lower rate of coronary artery damage and rehospitalization (P<0.05). Before the intervention, there were no statistically significant differences in parental knowledge of complication prevention, medication precautions, and nursing expertise between the two groups (P>0.05). However, after the intervention, these indicators improved in both groups, with the study group showing higher scores than the control group (P<0.05). Additionally, the study group had a significantly lower incidence of complications compared with the control group (P<0.05).
Conclusion   Implementing continuity nursing for pediatric KD can significantly enhance parental disease awareness, reduce the occurrence of complications, and improve prognosis.