预警结合循证干预措施在治疗肺炎支原体感染儿童中的应用效果研究

Effect of early warning nursing combined with evidence-based interventions on treatment of children with Mycoplasma pneumoniae infection

目的探讨预警结合循证干预措施在治疗儿童支原体肺炎中的应用效果。方法选取2015年9月-2016年12月医院就诊的肺炎支原体感染儿童1024例,2015年9月-2016年4月为对照组(499例),2016年5月-12月为试验组(525例);两组患儿均采用阿奇霉素静脉滴注抗感染,氨溴索、布地奈德混悬液雾化吸入,止咳,平喘,祛痰等治疗,试验组采用预警结合循证干预措施,对照组采用常规干预措施,比较两组患儿治疗1周后疗效、症状持续时间、治疗时间、治疗中出现的并发症、患儿及家属满意度。结果治疗1周后试验组治疗总有效率为97.3%,高于对照组(P<0.05);试验组发烧、咳嗽、肺部干湿啰音持续时间均短于对照组(P<0.05);试验组抗菌药物使用时间、使用雾化吸入治疗时间、住院时间均低于对照组(P<0.05);试验组消化、神经、泌尿、血液、心血管、运动系统并发症的总发生率为8.6%,低于对照组(P<0.05);试验组患儿及家长对治疗等方面的满意度高于对照组(P<0.05)。结论在治疗儿童支原体肺炎时运用预警和循证干预措施可以增加治疗疗效,减少并发症的发生,增加患儿及家长的满意度。

OBJECTIVE To explore the effect of early warning nursing combined with evidence-based interventions on treatment of children with Mycoplasma pneumonia.METHODS A total of 1024 children with M.pneumoniae infection who were treated in hospitals from Sep 2015 to Dec 2016 were recruited as the study objects,499 children who were treated from Sep 2015 to Apr 2016 were assigned as the control group,and 525 children who were treated from May 2016 to Dec 2016 were set as the experimental group.The children of both groups were given intravenous drip of azithromycin for treatment of infection,aerosol inhalation of ambroxol and budesonide suspension for treatment of cough,wheezing and expectoration.The experimental group was treated with early warning nursing combined with evidence-based interventions,and the control group was treated with conventional interventions.The curative effect of the first week of treatment,duration of symptoms,treatment time,complications in treatment and the children and their families’ satisfaction were observed and compared between the two groups.RESULTS The total effective rate of treatment of the experimental group was 97.3% after the treatment for 1 week,significantly higher than that of the control group（P〈0.05）.The durations of fever,cough and pulmonary wet and dry rales were significantly shorter in the experimental group than in the control group（P〈0.05）.The time of use of antibiotics,time of aerosol inhalation and length of hospital stay were significantly shorter in the experimental group than in the control group（P〈0.05）.The total incidence of digestive system,nervous system,urinary system,blood system,cardiovascular system and motor system complications was 8.6% in the experimental group,significantly lower than that in the control group（P〈0.05）.The children and their parents’ satisfaction with the treatment was significantly higher in the experimental group than in the control group（P〈0.05）.CONCLUSION The early warning nursing combined with evidence-based interventions may boost the curative effect on treatment of the children with M.pneumonia,reduce the incidence of complications and raise the children and their families’ satisfaction.