临床护理路径对耐药肺炎链球菌肺炎患儿的肺功能改善及护理满意度的影响分析

Clinical nursing pathway for the improvement of pulmonary function in children with drug resistant Streptococcus pneumoniae pneumonia and its influence on nursing satisfaction

目的:探讨临床护理路径对耐药肺炎链球菌(SP)肺炎患儿的肺功能改善及护理满意度的影响。方法:选择2012年8月至2015年5月在我院住院治疗的耐药SP肺炎患儿120例,根据数字表法随机分成观察组(应用临床护理路径)及对照组(应用常规护理),各60例。对比两组患儿护理相关指标、护理前后患儿的肺功能指标以及患儿家属对护理工作的满意度情况。结果:观察组住院时间、体温恢复所需时间、血常规恢复所需时间及肺呼吸音恢复所需时间均显著少于对照组,差异均有统计学意义(P<0.05)。护理后观察组的达峰时间比(t PTEF/t E)、呼出75%潮气量时的呼气流速/潮气呼气峰流速(25/PF)、平均呼气流速(MEF)及平均吸气流速(MIF)水平均显著高于对照组,差异均有统计学意义(P<0.05)。观察组患儿家属对护理工作的满意度为90.0%,显著高于对照组的63.3%,差异有统计学意义(P<0.05)。结论:对耐药SP肺炎患儿给予临床护理路径模式,能够较好地促进患儿肺功能的改善,提升患儿家属对护理工作的满意度,效果明显,值得推广。

Objective： To study clinical nursing pathway for improvement of pulmonary function in children with drug resistant Streptococcus pneumoniae pneumonia and its influence on nursing satisfaction. Methods： One hundred and twenty cases of drug resistant Streptococcus pneumoniae pneumonia children patients treated in our hospital from August 2012 to May 2015 were enrolled as study subjects, and they were randomized into observation group （ application of clinical nursing pathway） and control group （ application of routine nursing） with 60 in each group. The correlation index of nursing, the pulmonary function index before and after nursing, and the satisfaction degree of nursing were compared between the two groups. Results： The time of hospitalization, of body temperature recovery, of blood recovery and of lung breathing recovery was significantly less than that of the control group, thedifferences being statistically significant （ P 〈 0.05 ）. The levels of MIF, 25/PF, MEF and tPTEF/tE in the observation group were significantly higher than those in the control group （P 〈 0.05 ）. The satisfaction degree of children in the observation group was 90.00%, significantly higher than that of the control group＇s 63.33% （P 〈 0.05 ）. Conclusion： Clinical nursing pathway for children patients with drug resistant Streptococcus pneumoniae pneumonia can better improve pulmonary function and the satisfaction of patients＇ family members with nursing service.