摘要
目的分析并评价健康教育对毛细支气管炎婴幼儿肺功能治疗效果的影响。方法将选取的120例婴幼儿毛细支气管炎患儿随机分为对照组和观察组各60例,对照组给予常规护理,观察组在对照组的基础上给予健康教育指导,分析患儿肺功能各项指标变化、相关知识掌握和遵医行为等情况,以评价其治疗效果。结果观察组患儿肺功能测定各项指标值中,潮气量(VT)为(6.41±1.15)mL、达峰时间比(TPTEF/TE)为(17.92±6.79)、达峰容积比(VPEF/VE)为(21.98±4.12),均高于对照组患儿肺功能测定的各项指标VT(5.79±1.51)mL、TPTEF/TE(15.31±6.69)、VPEF/VE(20.29±4.18);而观察组患儿呼吸频率(RR)为(38.12±9.28)min,低于对照组患儿RR(41.97±10.11)min,组间经比较差异均具有统计学意义(t值分别为2.53、2.12、2.23和2.17,均P<0.05),说明观察组患儿干预后气道阻塞轻,病情较轻。观察组患儿家长对疾病知识掌握率为96.67%,遵医行为率为93.33%,肺功能测定了解率91.67%,护理质量总满意率为96.67%;对照组各项调查项目分别为58.33%、65.00%、53.33%、78.33%,观察组高于对照组,组间经比较差异均具有统计学意义(x^2值分别为25.28、14.60、22.11和9.22,均P<0.05)。结论健康教育指导有效提高了患儿家长对疾病知识的掌握、肺功能测定了解、遵医行为和护理质量总满意度,改善患儿肺功能,对治疗起到至关重要的作用。
Objective To analyze and evaluate the therapeutic effect of health education on lung function of infants with bronchiolitis . Methods Totally 120 infants with bronchiolitis were randomly divided into control group and observation group , with 60 cases in each group.The control group received routine care , while the observation group was given health education guidance on the basis of the control group.Indicators change of lung function , parents ’ related knowledge and compliance behavior were analyzed in order to evaluate the therapeutic effect.Results In observation group VT was 6.41 ±1.15 mL, TPTEF/TE was 17.92 ±6.79, and VPEF/VE was 21.98± 4.12.They were higher than those in the control group (5.79 ±1.51 mL, 15.31 ±6.69, and 20.29 ±4.18, respectively) (t value was 2.53, 2.12 and 2.23, respectively, all P〈0.05).The respiratory rate (RR) of the observation group was significantly lower than that of the control group (38.12 ±9.28 min vs 41.97 ±10.11 min) (t=2.17, P〈0.05).It indicated that airway obstruction was milder and the illness was milder in the observation group after intervention .The awareness rate of knowledge on disease , rate of compliance behavior, understanding rate of spirometry and overall satisfactory rate of nursing quality in the observation group were 96.67%, 93.33%, 91.67%and 96.67%, respectively.And they were 58.33%, 65.00%, 53.33% and 78.33%, respectively in the control group .The values of the observation group were significantly higher than the control group (χ2 value was 25.28, 14.60, 22.11 and 9.22, respectively, all P 〈0.05).Conclusion Health education guidance improves the knowledge of parents on disease , understanding of spirometry, compliance behavior and overall satisfaction , and improves the lung function of the cases .The treatment has played a crucial role.
出处
《中国妇幼健康研究》
2014年第2期187-189,共3页
Chinese Journal of Woman and Child Health Research