摘要
目的探讨思维导图引导优质护理在肺炎支原体感染大叶性肺炎患儿中的应用效果。方法选择2020年6~12月深圳市第三人民医院收治的100例肺炎支原体感染大叶性肺炎患儿为研究对象,根据随机数表法将患儿分为观察组和对照组各50例,对照组患儿予常规护理干预,观察组患儿给予思维导图引导优质护理干预。比较两组患儿的症状消失时间、住院时间、肺功能指标[第1秒用力呼气容积占用力肺活量的百分比(FEV1/FVC)、第一秒用力呼气容积(FEV1)及用力肺活量(FVC)]、并发症发生情况及家长护理满意度。结果研究组患儿的咳嗽、高热、肺部干湿啰音消失时间及住院时间分别为(6.78±1.33)d、(3.18±0.77)d、(6.44±1.75)d、(8.98±1.98)d,明显短于对照组的(7.69±1.45)d、(4.32±1.03)d、(8.56±2.03)d和(10.45±2.66)d,差异均有统计学意义(P<0.05);研究组患儿护理后的肺功能指标FEV1/FVC、FEV1、FVC分别为(95.78±0.66)%、(2.88±0.12)L、(3.12±0.46)L,明显高于对照组的(89.26±0.78)%、(2.25±0.06)L、(2.86±0.45)L,差异均有统计学意义(P<0.05);研究组患儿的并发症总发生率为8.0%,明显低于对照组的22.0%,差异有统计学意义(P<0.05);研究组患儿家长对护理的满意度为98.0%,明显高于对照组的78.0%,差异有统计学意义(P<0.05)。结论思维导图引导优质护理对肺炎支原体感染大叶性肺炎患儿干预效果较佳,其不仅有助于促进患儿身体恢复,而且患儿家长对护理的满意度较高,值得推广。
Objective To explore the intervention effect of high-quality nursing guided by mind map on children with lobar pneumonia caused by Mycoplasma pneumoniae.Methods A total of 100 children with lobar pneumonia infected by Mycoplasma pneumoniae were selected as the research objects,who were admitted to Shenzhen Third People's Hospital from June 2020 to December 2020.According to the random number table method,the children were divided into an observation group and a control group,with 50 cases in each group.Children in the control group were given routine nursing intervention,and children in the observation group were given high-quality nursing intervention guided by mind map.The time of symptom disappearance and hospitalization were compared between the two groups,as well as some pulmonary function index such as percentage of forced expiratory volume in first second to forced vital capacity(FEV1/FVC),forced expiratory volume in first second(FEV1),forced vital capacity(FVC),and the incidence of complication and parents'satisfaction with nursing.Results The disappearance time of cough,high fever,lung respiratory sounds with dry or wet rales,as well as hospitalization time,of the study group were significantly shorter than those of the control group,i.e.cough disappearance time(6.78±1.33)d vs(7.69±1.45)d;high fever disappearance time(3.18±0.77)d vs(4.32±1.03)d;disappearance of lung respiratory sounds with dry or wet rales(6.44±1.75)d vs(8.56±2.03)d;hospitalization time(8.98±1.98)d vs(10.45±2.66)d;all differences were statistically significant(P<0.05).After nursing,the lung function indexes(FEV1/FVC ratio,FEV1 and FVC)were significantly higher in the study group than in the control group,i.e.FEV1/FVC(95.78±0.66)%vs(89.26±0.78)%;FEV1(2.88±0.12)L vs(2.25±0.06)L;and FVC(3.12±0.46)L vs(2.56±0.45)L;all differences were statistically significant(P<0.05).The total incidence of complications in the study group was 8.0%,which was significantly lower than 22.0%in the control group(P<0.05).The parent's satisfaction with nursing care in the study group was 98.0%,which was significantly higher than 78.0%in the control group(P<0.05).Conclusion The high-quality nursing intervention guided by mind map has a better intervention effect on children with lobar pneumonia infected by Mycoplasma pneumoniae.It is not only helpful to promote the physical recovery of the children,but also the parents of the children are more satisfied with the nursing,which is worthy of promotion.
作者
张梦莹
胡雪晴
张浩
张释元
廖俏活
马硕
周光德
ZHANG Meng-ying;HU Xue-qing;ZHANG Hao;ZHANG Shi-yuan;LIAO Qiao-huo;MA Shuo;ZHOU Guang-de(Department of Pediatrics,Shenzhen Third People's Hospital,Shenzhen 518000,Guangdong,CHINA)
出处
《海南医学》
CAS
2021年第21期2853-2856,共4页
Hainan Medical Journal
关键词
思维导图
优质护理
肺炎支原体
感染
大叶性肺炎
满意度
Mind map
High quality nursing
Mycoplasma pneumoniae
Infection
Lobar pneumonia
Satisfaction
