摘要
目的:探讨集束化护理在小儿支气管肺炎雾化吸入治疗过程中的干预效果。方法:选取2019年8月至2021年9月安徽医科大学附属宿州医院儿科收治的106例支气管肺炎住院患儿,其中2019年8月至2020年7月的患儿实施雾化吸入的常规护理,记为常规组(n=53),2020年8月至2021年9月开始成立集束化护理干预小组,并实施雾化吸入的集束化护理,记为研究组(n=53)。收集两组患儿一般资料,重点比较两组雾化吸入依从性及治疗效果的相关指标。结果:研究组患儿咳嗽、发热、肺啰音消失时间和住院时间短于常规组(P<0.05)。研究组雾化吸入过程中哭闹次数少于常规组,治疗依从率为94.34%,高于常规组的81.13%(P<0.05)。两组干预后用力肺活量(forced vital capacity,FVC)、第1秒用力呼气容积(forced expiratory volume in the first second,FEV1)和呼气流量峰值(peak expiratory flow,PEF)均有明显改善(P<0.05),且研究组上述肺功能指标高于常规组(P<0.05)。结论:集束化护理能提高支气管肺炎患儿雾化吸入的治疗依从性,缩短临床症状缓解时间和住院时间,促进肺功能改善,宜推广应用。
Objective:To explore the intervention effect of cluster nursing in the treatment of children with bronchopneumonia by aerosol inhalation.Methods:A total of 106 hospitalized children with bronchopneumonia treated in the Pediatrics of Suzhou Hospital Affiliated to Anhui Medical University from August 2019 to September 2021 were selected.Patients who received routine nursing of atomization inhalation from August 2019 to July 2020 were included in the routine group(n=53).The cluster nursing intervention group was established from August 2020 to September 2021,and this group of patients who received the cluster nursing of atomization inhalation was recorded as the study group(n=53).The general data of the 2 groups were collected,and the relevant indexes of atomization inhalation compliance and treatment effect were compared between the 2 groups.Results:The disappearance time of cough,fever,pulmonary rales and hospital stay in the study group were shorter than those in the routine group(P<0.05).The number of crying in the study group was less than that in the routine group,and the treatment compliance rate was 94.34%higher than 81.13%in the routine group(P<0.05).After the intervention,the forced vital capacity(FVC),forced expiratory volume in the first second(FEV1)and peak expiratory flow(PEF)in the 2 groups were significantly improved(P<0.05),and the above pulmonary function indexes in the study group were higher than those in the conventional group(P<0.05).Conclusion:Cluster nursing can improve the treatment compliance of atomization inhalation in children with bronchopneumonia,shorten the time of clinical symptom relief and hospitalization,and promote the improvement of pulmonary function.
作者
徐艳丽
XU Yanli(Department of Pediatric Critical Medicine,Suzhou Hospital Affiliated to Anhui Medical University,Suzhou Anhui 234000,China)
出处
《临床与病理杂志》
CAS
2022年第7期1675-1680,共6页
Journal of Clinical and Pathological Research
关键词
支气管肺炎
小儿
集束化护理
雾化吸入疗法
依从性
肺功能
bronchopneumonia
children
cluster nursing
aerosol inhalation therapy
compliance
pulmonary function
