综合护理干预对小儿雾化吸入影响的临床观察

Clinical observation of comprehensive nursing intervention on children aerosol inhalation

目的观察评价综合护理干预对雾化吸入患儿的影响。方法将210例哮喘患儿随机分为综合护理干预(研究组,n=110)和常规治疗组(对照组,n=100)。对照组进行常规治疗和雾化吸入,研究组在此基础上进行综合护理干预,提高患儿和家长对雾化吸入治疗技巧的掌握。观察两组的临床疗效和肺功能的改善状况等。结果研究组总有效率为86.4%,对照组为65.0%,差异有统计学意义(P<0.01)。两组患儿治疗后肺弹性阻力、气道阻力、气促缓解和哮鸣音消失时间、平均住院时间比较,差异均有统计学意义(P<0.05)。结论雾化吸入治疗中实施综合护理干预可以提高患儿和家属的依从性,提高临床疗效。

Objective To observe and evaluate the impact of the comprehensive nursing intervention on aerosol inhalation of children.Methods Two hundred and ten cases of asthma children were randomly assigned to integrated care intervention（study group,n = 110） and conventional treatment group（control group,n = 100）.The control group was given conventional treatment and inhalation,and integrated care intervention was given to the study group on this basis,to improve the mastery of children and parents on the treatment of inhalation techniques.Clinical efficacy and lung function of the two groups were observed.Results The total effective rate of the study group was 86.4%,that of the control group was 65.0%,the difference was statistically significant（P 0.01）.The data of lung elastic resistance,airway resistance,shortness of breath mitigation and wheeze disappeared time,and the average length of stay of the two groups compared,the differences were significant（P 0.05）.Conclusion Aerosol inhalation in the implementation of the comprehensive nursing intervention to children and their families can improve compliance and clinical outcomes.