个体化护理干预在小儿重症肺炎患者中的应用

Application of individualized nursing intervention in children with severe pneumonia

目的探讨个体化护理干预在小儿重症肺炎患者中的应用效果。方法选取2014年1月~2016年12月在本院接受治疗的小儿重症肺炎患者60例作为研究对象,按护理方式不同分为两组,各30例。对照组实施常规护理,观察组实施个体化护理干预,比较两组患者住院的时间,机械通气时间,并发症发生率,评判患者治疗的依从性,对护理工作的满意度。并对出院3个月后生活质量进行比较。结果观察组患儿住院时间、机械通气时间、并发症发生率明显低于对照组且比较差异有统计学意义(P<0.05);观察组患儿治疗依从性、护理满意度均明显高于对照组,且比较差异有统计学意义(P<0.05);两组患儿出院后3个月生活质量进行SAQ评分,观察组活动受限、病情发作及生活质量评分明显优于对照组,且比较差异均有统计学意义(P<0.05)。结论对小儿重症肺炎患者实施个性化护理干预可有效改善各项生活指标,预后效果较好,值得临床推广。

Objective To explore the effect of individualized nursing intervention in children with severe pneumonia. Methods 100 cases of children with severe pneumonia treated in our hospital from January 2014 to December 2016 were divided into two groups according to different nursing methods. The patients in the control group were treated with routine nursing and the observation group was given individualized nursing intervention. The time of hospitalization, the time of mechanical ventilation, the complication rate, the compliance of the treatment and the satisfaction of the nursing were compared. And 3 months after discharge compared to the quality of life. Results The hospital stay, the duration of mechanical ventilation and the complication rate of the observation group were significantly lower than those of the control group（P〈0.05）. The treatment compliance and nursing satisfaction of the observation group were significantly higher than those of the control group（P〈0.05）. The quality of life（QOL） of the two groups was 3 months after discharge, SAQ scores were significantly higher in the observation group than in the control group, the activity limitation, the attack and the quality of life of the observation group were significantly better than those of the control group, and the difference was significant（P〈0.05）. Conclusion Individualized nursing interventions for children with severe pneumonia can effectively improve the life indicators, the prognosis is good, worthy of clinical popularization.