个体化综合护理在小儿支气管肺炎中的应用效果

Application effect of individualized comprehensive nursing on pediatric bronchial pneumonia

目的探讨个体化综合护理措施在小儿支气管肺炎中的应用效果。方法选取2016年1~12月在我院住院治疗的135例支气管肺炎患儿作为研究对象,2016年1~6月入院治疗的65例患儿为对照组,2016年7~12月入院治疗的70例患儿为干预组。对照组给予常规护理方法,干预组给予个体化的综合护理措施。比较两组患者的住院时间、体温正常时间、肺部啰音消失时间、并发症发生率、出院后3个月复发率、家长焦虑程度、家长对肺炎护理知识掌握情况及家长满意度。结果干预组患儿住院时间[(9.71±1.53)d]、体温正常时间[(6.35±1.21)d]、肺部啰音消失时间[(6.12±2.10)d]短于对照组[(11.48±1.82)、(8.87±1.33)、(7.46±1.87)d],差异有统计学意义(P<0.01);干预组患儿并发症发生率(5.7%)及出院后3个月复发率(7.1%)低于对照组(20.0%,18.5%),差异有统计学意义(P<0.05);干预组患儿焦虑程度[(45.42±3.14)分]低于对照组[(52.33±3.22)分],家长疾病知识得分[(16.47±2.04)分]和护理满意度[(17.30±1.92)分]高于对照组[(13.85±2.31),(14.64±2.23)分],差异均有统计学意义(P<0.01)。结论个体化综合护理能够有效提高小儿支气管肺炎的治疗护理效果,提高家长对护理的满意度,降低患儿肺炎复发率,有利于患儿病情康复。

Objective To explore the application effect of individualized comprehensive nursing on pediatric bronchial pneumonia.Methods Children with bronchial pneumonia who were hospitalized in our hospital from January to December 2016 were selected as the study subjects.65 cases of children from January to June 2016 were control group,while70 cases of children from July to December 2016 were intervention group.Patients in control group received routine nursing care, while patients in intervention group received individualized comprehensive nursing.The hospital stays,body temperature normal time,the disappear time of pulmonary rales,rate of complications,recurrence rate of 3 months after leave hospital,parental anxiety,the parents′ mastery of pneumonia nursing knowledge and parents′ satisfaction were compared.Results The hospital stays [（9.71±1.53）d],body temperature normal time [（6.35±1.21）d] and disappear time of pulmonary rales [（6.12±2.10）d] in the intervention group were shorter than those in the control group [（11.48 ±1.82）,（8.87±1.33）,（7.46±1.87）d],and the differences were statistically significant（P〈0.01）.The rate of complications（5.7%） and recurrence rate（7.1%） of 3 months after leave hospital in the intervention group were lower than those in the control group（20.0%,18.5%）,and the differences were statistically significant（P〈0.05）.The parents′mastery scores of pneumonia nursing knowledge [（16.47±2.04） scores] and nursing satisfaction [（17.30±1.92） scores] in the intervention group were higher than those in the control group [（13.85 ±2.31,14.64±2.23） scores],the degree of anxiety [（45.42±3.14） scores] in the intervention group was lower than that in the control group [（52.33±3.22） scores],and the differences were statistically significant（P〈0.01）.Conclusion Individualized comprehensive nursing can effectively improve the treatment of children with bronchial pneumonia care effect,improve patients′ satisfaction with care,reduce the recurrence rate of pneumonia in children,and help children′s disease rehabilitation.