精细化护理管理在小儿急性支气管炎中的应用效果

Effect of refined nursing management in children with acute bronchitis

目的探讨精细化护理管理在小儿急性支气管炎中的应用效果及对肺功能、白细胞计数、C反应蛋白的影响。方法选取本院儿科门诊接诊的128例小儿急性支气管炎患者作为研究对象,根据随机数法分为2组,各64例。对照组实施传统护理,研究组实施精细化护理管理措施,对比2组症状消失时间、肺功能[第1秒用力呼气容积(FEV1)、最大呼气峰速(PEFR)、用力肺活量(FVC)]、血氧饱和度、白细胞计数及C反应蛋白指标水平。结果研究组患儿咳嗽、哮喘等症状消失时间短于对照组,血氧饱和度高于对照组,差异有统计学意义(P<0.05);护理前,2组FEV1、FVC、PEFR检测指标水平差异无统计学意义(P>0.05);护理后,2组FEV1、FVC以及PEFR指标改善,且研究组改善效果更佳,差异有统计学意义(P<0.05);护理后,2组C反应蛋白及白细胞计数均低于护理前,且研究组低于对照组,差异有统计学意义(P<0.05)。结论对小儿急性支气管炎患者实施精细化护理管理,能明显缓解哮喘、咳嗽症状,缩短治疗和住院时间,提升患儿治疗依从性,改善肺功能指标水平,应用效果显著,值得在临床推广应用。

Objective To study effect of refined nursing management in the treatment of asthma in children with acute bronchitis and its effect on lung function,white blood cell count and Creactive protein. Methods A total of 128 children with bronchitis admitted in our hospital were randomly divided into study group and control group,with 64 cases in each group. The patients in the control group were treated with traditional care,and the patients in the study group implemented refined nursing management. The symptom disappearing time,oxygen saturation,pulmonary function indicators [forced expiratory volume in one second（ FEV1）,forced vital capacity（ FVC）,peak expiratory flow rate（ PEFR） ],white blood cell count,and C-reactive protein were observed and compared in two groups. Results The symptoms disappeared time such as cough and asthma in the study group was significantly shorter,and oxygen saturation was higher than that in the control group（ P〈0. 05）. Before nursing intervention,levels of FEV1,FVC and PEFR between the two groups had no significant differences（ P〈0. 05）,and were significantly improved after nursing in both groups,and the study group improved more than that in the control group（ P〉0. 05）. After nursing intervention,the C-reactive protein and white blood cell counts in both groups were lower than before nursing,and the study group was lower than the control group,the difference was statistically significant（ P〈0. 05）. Conclusion Refined nursing management in children with acute bronchitis can significantly reduce asthma,cough symptoms,shorten treatment and hospitalization time,improve treatment compliance and lung function,so it is worthy of further promotion.