摘要
目的探讨基于护理程序的综合护理干预结合改良沟通技巧对小儿肺炎患儿雾化吸入治疗哭闹抵抗行为及医疗恐惧情绪的影响。方法选取2020年1月至2022年6月收治的120例行雾化吸入治疗的肺炎患儿,以抽签法将其分为对照组(常规护理)和观察组(常规护理+基于护理程序的综合护理干预结合改良沟通技巧),各60例。比较两组的干预效果。结果观察组的声音、肢体动作、面部表情及可安慰度评分低于对照组(P<0.05)。干预后,观察组的儿童医疗恐惧调查量表(CMFS)各维度评分均低于对照组(P<0.05)。干预后,观察组的呼气峰流速(PEF)、功能残气量(FRC)及25%肺活量时用力呼气流速(FEF_(25%))均高于对照组(P<0.05)。结论基于护理程序的综合护理干预结合改良沟通技巧可改善肺炎患儿雾化吸入治疗时的哭闹抵抗行为,缓解医疗恐惧情绪,提高雾化吸入治疗效果,值得推广。
Objective To explore the effects of comprehensive nursing intervention based on nursing procedure combined with improved communication skills on crying resistance behavior and medical fear in children with pneumonia treated by atomization inhalation.Methods From January 2020 to June 2022,120 children with pneumonia treated by atomization inhalation were selected and divided into control group(routine nursing)and observation group(routine nursing+comprehensive nursing intervention based on nursing procedure combined with improved communication skills)by lottery method,with 60 cases in each group.The intervention effects of the two groups were compared.Results The scores of voice,limb movement,facial expression and comfortability in the observation group were lower than those in the control group(P<0.05).After intervention,the scores of each dimension of the Child Medical Fear Scale(CMFS)in the observation group were lower than those in the control group(P<0.05).After intervention,the peak expiratory flow(PEF),functional residual capacity(FRC)and forced expiratory flow at 25%(FEF_(25%))in the observation group were higher than those in the control group(P<0.05).Conclusion Comprehensive nursing intervention based on nursing procedure combined with improved communication skills can improve the crying resistance behavior of children with pneumonia during atomization inhalation treatment,alleviate medical fear,and elevate the effect of atomization inhalation treatment,which is worthy of promotion.
作者
刘延莉
李妮
白媛
王惠琴
LIU Yanli;LI Ni;BAI Yuan;WANG Huiqin(Ansai District People's Hospital of Yan'an,Yan'an 717400;Yan'an University Affiliated Hospital,Yan'an 716000;the Second Affiliated Hospital of Shaanxi University of Chinese Medicine,Xianyang 712000,China)
出处
《临床医学研究与实践》
2024年第19期157-160,共4页
Clinical Research and Practice
基金
2020年陕西中医药大学第二附属医院学科创新团队项目(No.2020XKTD-C04)。
关键词
护理程序
综合护理
改良沟通技巧
小儿肺炎
雾化吸入
nursing procedure
comprehensive nursing
improved communication skill
pediatric pneumonia
atomization inhalation
作者简介
刘延莉(1983-),女,副主任护师,学士。研究方向:小儿内科疾病的护理;通讯作者:李妮,E-mail:2495314312@qq.com.
