集束化护理在重症肺炎患儿病情改善中的应用效果研究

Effects of bundle nursing on the improvement of illness state in severe pneumonia children

目的：探讨集束化护理在重症肺炎中的应用效果。方法选取80例重症肺炎患者为研究对象，随机分为观察组和对照组各40例，对照组采用常规护理，观察组采用集束化护理，比较两组的护理效果。结果观察组的SaO2、PaO2高于对照组， PaCO2低于对照组，退热时间、肺部听诊改善时间、胸部X线片改善时间、并发症、住院时间少于对照组，疗效高于对照组，差异有统计学意义（ P＜0.05）；观察组的焦虑标分、生活标分、躯体标分等生活质量评分高于对照组，家长护理满意度高于对照组，差异有统计学意义（ P＜0.05）。结论集束化护理以循证医学为指导，能提高重症肺炎患儿的治疗效果，改善生活质量。

Objective To investigate the effect of bundle nursing in the treatment of severe pneumonia.Methods Eighty children with severe pneumonia were randomly divided into the observation group and the control group , the control group received routine nursing care, the observation group was used bundle nursing , nursing effects were compared between two groups.Results SaO2 , PaO2 in the obser-vation group were higher than those in the control group , PaCO2 was lower than that in the control group , the cooling time, improvment time of lung auscultation and chest X -ray, complications, hospitalization time were less than those in the control group , curative effect was high-er than that in the control group , with statistical significance （ P〈0.05 ） .Life quality grading score in anxiety scale , living standard , phys-ical standard in the observation group were higher than those in the control group , the parents nursing satisfaction was higher than that in the control group, with statistical significance （P〈0.05） .Conclusions Bundle nursing is directed by nursing evidence -based medicine;it can improve the treatment effects and the quality life of severe pneumonia children .