摘要
目的 探讨医疗游戏辅导干预联合PDCA循环管理模式对小儿肺炎患儿负性情绪的影响。方法 选取2019年11月至2022年10月医院收治的103例小儿肺炎患儿作为研究对象,按照随机数字表法分为对照组(51例)和观察组(52例)。对照组采用常规护理,观察组采用医疗游戏辅导联合PDCA循环管理模式实施干预。比较两组主要症状及体征缓解时间、肺功能指标、治疗依从性和心理状况。结果 干预后,观察组咳嗽改善时间、干啰音改善时间、体温恢复时间均短于对照组,差异有统计学意义(P<0.05)。干预前,两组第1秒用力呼气容积(FEV_(1))、肺活量(VC)及每分钟最大自主通气量(MVV)比较,差异无统计学意义(P>0.05);干预后,两组FEV_(1)、VC及MVV均高于干预前,且观察组均高于对照组,差异有统计学意义(P<0.05);观察组治疗依从性问卷总分及各维度得分均高于对照组,差异有统计学意义(P<0.05)。入院第1天,两组儿童焦虑性情绪障碍筛查表(SCARED)评分比较,差异无统计学意义(P>0.05);入院第4天,观察组SCARED评分低于对照组,差异有统计学意义(P<0.05)。结论 医疗游戏辅导联合PDCA循环管理模式对小儿肺炎患儿实施干预,能有效缩短主要症状及体征缓解时间,改善肺功能及心理状况,提高治疗依从性。
Objective The effects of medical game counseling intervention combined with PDCA cycle management mode on negative emotions of children with pneumonia were explored.Methods 103 children with pneumonia admitted to the hospital from November 2019 to October 2022 were selected as the research objects,and were randomly divided into a control group(51 cases)and an observation group(52 cases).The control group was given routine nursing care,while the observation group was given medical game counseling combined with PDCA cycle management mode for intervention.The remission time of main symptoms and signs,lung function index,treatment compliance and psychological status were compared between the two groups.Results After the intervention,the improvement time of cough,dry rales and body temperature in the observation group were shorter than those in the control group,with statistically significant differences(P<0.05).Before the intervention,there was no significant difference in forced expiratory volume in one second(FEV1),vital capacity(VC)and maximal voluntary ventilation(MVV)per minute between the two groups(P>0.05).After the intervention,FEV1,VC and MVV of the two groups were higher than those before the intervention,and the observation group was higher than that of the control group,with statistically significant differences(P<0.05).The total scores of the treatment compliance questionnaire and scores of every aspects in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).On the first day of admission,there was no significant difference in the SCARED scores between the two groups(P>0.05).On the fourth day after admission,the SCARED scores of the observation group was lower than that of the control group,with statistically significant difference(P<0.05).Conclusion Medical game counseling combined with PDCA cycle management mode applied in children with pneumonia can effectively shorten the remission time of main symptoms and signs,improve lung function and psychological status,and improve treatment compliance.
作者
刘娜玲
Liu Naling(The 910 Hospital of Joint Logistic Support Force,Quanzhou Fujian 362000,China)
出处
《医疗装备》
2023年第14期153-156,共4页
Medical Equipment
关键词
医疗游戏辅导干预
PDCA循环管理模式
小儿肺炎
负性情绪
Medical game counseling intervention
PDCA cycle management mode
Pneumonia in children
Negative emotion