综合护理对小儿支气管肺炎并发心力衰竭的影响

The Effect of Comprehensive Nursing on Children With Bronchopneumonia Complicated With Heart Failure

目的探讨综合护理干预应用于小儿支气管肺炎并发心力衰竭护理中的临床效果分析。方法选取我院2015年3月—2017年2月收治的支气管肺炎并发心力衰竭患儿120例作为研究对象,将其随机分为研究组和对照组。对照组行常规护理,研究组在对照组的基础上,行综合护理干预。观察两组患儿的护理效果和综合治疗情况。结果(1)研究组中,40例显效,17例有效,3例无效,有效率为95.0%;对照组中,31例显效,13例有效,16例无效,有效率达73.3%,组间比较,研究组有效率高于对照组,差异具有统计学意义(P<0.05)。(2)研究组患儿心衰纠正时间和住院时间分别为(31.3±8.4)h和(8.7±2.8)d,短于对照组的(46.8±9.4)h和(12.0±3.1)d,并发症发生率为6.7%,低于对照组16.7%,差异具有统计学意义(P<0.05)。结论综合性护理应用于支气管肺炎合并心力衰竭患儿效果显著,可降低并发症发生率,有效缓解病情。

Objective To explore the clinical effect of comprehensive nursing intervention applied in the nursing of children with bronchopneumonia complicated with heart failure.Methods 120 cases of children with bronchopneumonia and heart failure who were admitted to our hospital from March 2015 to February 2017 were selected as the research subjects.They were randomly divided into the study group and the control group.The control group was given routine care.The study group received comprehensive nursing intervention on the basis of the control group.The nursing effect and comprehensive treatment of the two groups were observed.Results(1)In the study group,40 cases were markedly effective,17 cases were effective,3 cases were invalid,the effective rate was 95.0%;31 cases in the control group were markedly effective,13 cases were effective,16 cases were invalid,the effective rate was 73.3%,and the effective rate in the study group was significantly higher than that in the control group,the difference was statistically significant(P<0.05).(2)The corrected time of heart failure and hospitalization time in the study group were(31.3±8.4)h and(8.7±2.8)d,which were significantly shorter than those in the control group(46.8±9.4)h and(12.0±3.1)d,the incidence of complication was 6.7%,which was significantly lower than that in the control group of 16.7%,the difference was statistically significant(P<0.05).Conclusion Comprehensive nursing is effective for children with bronchopneumonia complicated with heart failure,which can reduce the incidence of complications and relieve the disease effectively.