摘要
目的分析应用层级链式护理联合预警对肺炎患儿干预与其肺功能关系。方法将延安大学附属医院2016年1月至2018年6月收治的100例小儿肺炎患儿随机分为观察组及对照组,每组50例。对照组采用常规护理方案干预,观察组采用层级链式护理干预联合预警干预。记录2组患者临床症状消失及住院时间。在入组时及入组后1周后对患者肺功能进行检测,采用焦虑自评量表(SAS)对陪护家属心理应激状态进行评估,对陪护人员的护理满意度和健康知识掌握度及患儿的护理依从性进行调查。结果观察组发热消失、肺啰音消失、咳嗽消失时间及住院时间均显著低于对照组(P<0.05);护理1周后2组呼吸频率(RR)水平均显著降低(P<0.05),达峰容积比(vPTEF/vE)、每千克体质量潮气量(Vt/kg)及达峰时间比(tPTEF/tE)水平均显著升高(P<0.05),护理1周后观察组RR水平显著低于对照组(P<0.05),且观察组vPTEF/vE、Vt/kg及tPTEF/tE水平均显著高于对照组(P<0.05);观察组治疗总依从性均高于对照组(P<0.05);观察组陪护人员护理满意度评分及健康知识掌握度评分均高于对照组(P<0.05);入组后1周2组陪护人员SAS评分均显著降低(P<0.05),且观察组显著低于对照组(P<0.05)。结论采用层级链式护理联合预警干预有助于提高患儿肺功能,并改善患儿父母疾病知识评分及心理应激状态。
Objective To analyze the relationship between early warning intervention combined with hierarchical chain nursing and pulmonary function in children with pneumonia.Methods One hundred children with pediatric pneumonia admitted to the hospital from January 2016 to June 2018 were randomly divided into the observation group and the control group,each consisting of 50.The control group received routine nursing care,while the observation group was treated with hierarchical chain nursing intervention combined with early warning intervention.Clinical symptom disappearance time and hospitalization duration of the 2 groups were recorded.Pulmonary function of the patients in the 2 groups was detected at the time of enrollment and one week after enrollment,and the self-rating anxiety scale(SAS)was used to evaluate psychological stress status of the accompanying family members.Then,a survey concerning nursing satisfaction and health knowledge,as well as nursing compliance of child patients was performed among the accompanying family members.Results The durations of fever,rale,coughing and hospitalization for the patients in the observation group were significantly shorter than those in the control group(P<0.05).One week after nursing,the respiratory rates(RR)of the 2 groups were all significantly decreased(P<0.05),with the vPTEF/vE,Vt/kg and tPTEF/tE significantly increased(P<0.05).One week after nursing,the RR of the observation group was obviously lower than that of the control group(P<0.05),with the levels of vPTEF/vE,rate of the observation group was also higher than that of the control group(P<0.05).The scores of nursing satisfaction and health knowledge of the observation group were also higher than those of the control group(P<0.05).One week after enrollment,the SAS scores of the accompanying family members for the 2 groups all significantly decreased,with those of the observation group being significantly lower than those of the control group(P<0.05).Conclusion The use of hierarchical chain nursing combined with early warning intervention could enhance the pulmonary function of child patients,increase the disease knowledge scores of parents and improve their psychological stress status.
作者
李晓婧
崔莉
姚敏
Li Xiaojing;Cui Li;Yao Min(Department of Respiratory Medicine,Affiliated Hospital of Yan′an University,Yan′an 716000,China)
出处
《海军医学杂志》
2020年第1期81-84,共4页
Journal of Navy Medicine
基金
陕西省科技攻关计划项目(2014-SF1-14)
关键词
儿童肺炎
层级链式护理
预警干预
肺功能
疾病知识评分
心理应激状态
Pediatric pneumonia
Hierarchical chain nursing
Early warning intervention
Lung function
Disease knowledge score
Psychological stress status
作者简介
通信作者:姚敏,电子信箱:lixiaojing187xj@qq.com。
