基于呼吸功能训练的康复护理对喘息性支气管炎患儿肺功能及症状消失时间的影响

Influence of Rehabilitation Nursing Based on Respiratory Function Training on Pulmonary Function and Symptom Disappearance Time in Children with Asthmatic Bronchitis

目的探讨基于呼吸功能训练的康复护理在喘息性支气管炎患儿中的应用价值.方法选取2020年9月—2021年9月山东省淄博市沂源县人民医院收治的喘息性支气管炎患儿96例为研究对象,按随机数字表法分为对照组48例与观察组48例.对照组采用常规护理,观察组在此基础上采用基于呼吸功能训练的康复护理,两组均持续护理14 d.对比两组的肺功能、临床症状消失时间及家属护理满意度.结果护理前,两组的第1秒用力呼气容积(FEV1)、用力肺活量(FVC)、1秒率(FEV1/FVC)比较,组间差异无统计学意义(P>0.05);护理后,观察组的FEV1、FVC、FEV1/FVC分别为(2.54±0.40)L、(2.79±0.38)L、(84.46±5.13)%,均优于对照组的(1.97±0.34)L、(2.47±0.40)L、(77.92±5.28)%,组间差异有统计学意义(P<0.05).观察组的咳嗽、肺部湿啰音、咳痰、喘息消失时间分别为(4.18±0.97)d、(4.96±1.20)d、(4.03±0.86)d、(4.38±1.05)d,均短于对照组的(6.02±1.23)d、(6.83±1.32)d、(5.98±1.01)d、(5.77±1.24)d,组间差异有统计学意义(P<0.05).观察组的家属护理满意度为95.83%,高于对照组的81.25%,差异有统计学意义(P<0.05).结论基于呼吸功能训练的康复护理能够有效改善喘息性支气管炎患儿的肺功能,加速临床症状消失,提高患儿家属护理满意度,具有较高的临床应用价值.

Objective To explore the application value of rehabilitation nursing based on respiratory function training in children with asthmatic bronchitis.Methods A total of 96 children with asthmatic bronchitis who were admitted to Yiyuan County People's Hospital from September 2020 to September 2021 were selected as the research subjects,and they were divided into a control group of 48 cases and an observation group of 48 cases according to the random number table method.The control group received routine nursing,the observation group received rehabilitation nursing based on respiratory function training on this basis,and both groups received continuous nursing for 14 days.The pulmonary function,clinical symptom disappearance time and family members'nursing satisfaction were compared between the two groups.Results Before nursing,there were no significant differences in forced expiratory volume in one second(FEV1),forced vital capacity(FVC),and forced expiratory volume in one second/forced vital capacity(FEV1/FVC)between the two groups(P>0.05);after nursing,the FEV1,FVC,FEV1/FVC in the observation group were(2.54±0.40)L,(2.79±0.38)L,(84.46±5.13)%,respectively,which were better than(1.97±0.34)L,(2.47±0.40)L,(77.92±5.28)%in the control group,the differences between the groups were statistically significant(P<0.05).The disappearance time of cough,pulmonary rales,expectoration and wheezing in the observation group were(4.18±0.97)d,(4.96±1.20)d,(4.03±0.86)d,(4.38±1.05)d,respectively,which were shorter than(6.02±1.23)d,(6.83±1.32)d,(5.98±1.01)d,(5.77±1.24)d of the control group,the differences between the groups were statistically significant(P<0.05).The nursing satisfaction of family members in the observation group was 95.83%,higher than 81.25%in the control group,and the difference was statistically significant(P<0.05).Conclusion Rehabilitation nursing based on respiratory function training can effectively improve the pulmonary function of children with asthmatic bronchitis,accelerate the disappearance of clinical symptoms,improve the nursing satisfaction of children's families,has a high clinical application value.