家庭参与式护理对提升毛细支气管炎患儿用药依从度及康复进程的影响

Effect of Family Participation Nursing on Improvement of Medication Compliance and Rehabilitation Process in Children with Bronchiolitis

目的家庭参与式护理对提升毛细支气管炎患儿雾化吸入用药依从度及康复进程的影响。方法选取该院2014年6月—2015年6月90例毛细支气管炎患儿为研究对象,将患儿抽签随机分为观察组与对照组,每组45例。两组均给予雾化吸入治疗,对照组行常规护理干预,观察组在对照组的基础上另行家庭参与式护理干预。比较患儿雾化吸入完成时间,治疗依从性,止咳时间、退热时间、肺部哮鸣音消失时间及住院时间。结果观察组雾化吸入完成时间(16.85±7.12)min短于对照组(25.13±7.36)min,差异有统计学意义(P<0.05)。观察组治疗依从性很好的患儿53.33%高于对照组31.11%,差异有统计学意义(P<0.05);观察组治疗依从性差的患儿4.44%低于对照组20.00%,差异有统计学意义(P<0.05)。观察组止咳时间(5.34±1.72)d、退热时间(2.41±0.86)d、肺部哮鸣音消失时间(7.15±1.56)d、住院时间(10.36±1.63)d均短于对照组,差异有统计学意义(P<0.05)。结论家庭参与式护理应用于毛细支气管炎患儿雾化吸入治疗,可明显改善患儿治疗依从性,缩短止咳时间、退热时间、肺部哮鸣音消失时间、住院时间,促使患儿康复,具有较好的临床应用价值。

Objective Effect of family participation nursing on improvement of aerosol inhalation medication compliance and rehabilitation process in children with bronchiolitis. Methods 90 children with bronchiolitis in our hospital from June 2014 to June 2015 were selected as the research objects, they were divided by random lot method into the observation group and the control group（each 45 cases）. The two groups received aerosol inhalation treatment, the control group received routine nursing intervention, the observation group received family participation nursing intervention on the basis of the control group. Finish time of aerosol inhalation, treatment compliance, the course of antitussive, antipyretic, disappearance of pulmonary wheezing rale and length of stay were compared. Results Finish time of aerosol inhalation in the observation group（16.85±7.12）min was significantly shorter than the control group（25.13 ±7.36）min（P〈0.05）. Children with good treatment compliance in the observation group 53.33% was significantly higher than the control group（31.11%）（P0.05）; children with poor treatment compliance in the observation group 4.44% was significantly lower than the control group（20.00%）（P0.05）. The course of antitussive（5.34±1.72）d, antipyretic（2.41±0.86）d,disappearance of pulmonary wheezing rale（7.15±1.56）d, length of stay（10.36±1.63）d in the observation group were significantly shorter than the control group（P0.05）. Conclusion Family participation nursing in aerosol inhalation treatment in children with bronchiolitis can improve compliance of children effectively, shorten the course of antitussive,antipyretic, disappearance of pulmonary wheezing rale and length of stay, prompt rehabilitation of children, has a good clinical application.