个性化全程护理干预对小儿麻疹合并重症肺炎的影响分析

Analysis of Effect of Individual Whole-process Nursing Intervention in Children with Measles and Severe Pneumonia

目的探讨个性化全程护理干预对小儿麻疹合并重症肺炎的影响分析。方法方便2016年4月—2017年4月在牡丹江医学院红旗医院儿科治疗的68例小儿麻疹合并重症肺炎患儿随机分为两组,对照组给予常规护理,观察组给予个性化全程护理干预,比较两组患者的护理效果、症状改善时间、生活质量。结果观察组治疗有效率为94.12%,较对照组的76.47%明显提高,两组间差异有统计学意义(P<0.05);观察组护理后退疹时间(5.34±1.08)d、退热时间(4.15±1.24)d、咳嗽咳痰消失时间(4.64±1.03)d、住院时间(7.63±1.25)d与同期对照组的(7.96±1.32)、(7.38±1.47)、(7.96±1.37)、(11.52±1.56)d相比明显缩短,两组间差异有统计学意义(P<0.05);观察组护理后躯体功能(71.62±7.54)分、社会功能(56.21±20.45)分、心理功能(62.16±4.87)分、物质生活态度(60.13±6.86)分,较对照组(47.81±5.42)分、(43.37±14.75)分、(44.79±5.21)分、(47.04±7.63)分明显提升,差异有统计学意义(P<0.05)。结论个性化全程护理干预对小儿麻疹合并重症肺炎有良好的护理效果,能有效缩短治疗周期,提高疗效,提升患儿生活质量,具有积极的临床意义。

Objective To study the effect of individual whole-process nursing intervention in children with measles and severe pneumonia. Methods 68 cases of children with measles and severe pneumonia treated in our hospital from April 2016 to April 2017 were selected and randomly divided into two groups, the control group and the observation group respectively adopted the routine nursing and individual whole-process nursing intervention, and the nursing effect, symptoms improvement time and quality of life were compared between the two groups. Results The treatment effective rate in the observation group obviously increased compared with that in the control group,(94.12% vs 76.47%), and the difference was statistically significant(P<0.05), after nursing, the rash receding time, defervescence time, cough disappearance time and length of stay in the observation group were obviously shortened compared with those in the control group [(5.34 ±1.08),(4.15 ±1.24),(4.64±1.03),(7.63±1.25)d vs(7.96±1.32),(7.38±1.47),(7.96±1.37),(11.52±1.56)d], and the differences were statistically significant(P<0.05), after nursing, the somatic function, social function, mental function and material life attitude score in the observation group obviously increased compared with those in the control group [(71.62 ±7.54)points,(56.21 ±20.45)points,(62.16±4.87)points,(60.13±6.86)points vs(47.81±5.42)points,(43.37±14.75)points,(44.79±5.21)points,(47.04±7.63)points], and the differences were statistically significant(P<0.05). Conclusion The effect of individual whole-process nursing intervention in children with measles and severe pneumonia is good, which can shorten the treatment cycle, improve the curative effect and improve the quality of life of children with positive clinical significance.