循证护理用于小儿支气管肺炎中的临床效果

Clinical Effect of Evidence-based Nursing in the Children with Bronchopneumonitis

目的对循证护理用于小儿支气管肺炎中的临床效果进行探讨。方法随机选取2016年12月—2017年12月期间在该院接受治疗的100例小儿支气管肺炎患儿,并采用随机分组的方法将入选患儿均分为观察组和对照组两组,每组50例患儿。对照组给予常规护理,观察组给予循证护理,对比两组患儿的住院时间、临床症状消失时间以及并发症发生情况。结果观察组的平均住院时间为(7.15±1.04)d,气促恢复时间为(3.14±0.48)d,发热恢复时间为(1.82±0.35)d,喘息恢复时间为(3.07±0.37)d,咳嗽恢复时间为(4.12±0.64)d,对照组的平均住院时间为(11.17±3.34)d,气促恢复时间为(4.67±0.79)d,发热恢复时间为(3.41±0.38)d,喘息恢复时间为(4.82±0.51)d,咳嗽恢复时间为(6.08±1.31)d,观察组在平均住院时间以及临床症状消失时间均短于对照组,两组差异有统计学意义(P<0.05)(t=7.147 3、6.973 4、6.748 2、6.932 8、6.741 5,P=0.034 1、0.039 2、0.037 1、0.039 1、0.037 8);观察组经过护理后出现2例并发症患儿,并发症发生率为4%,对照组经过护理出现6例并发症患儿,并发症发生率为12%,观察组的并发症发生率低于对照组,两组差异有统计学意义(χ~2=6.748 3,P=0.031 4)。结论针对小儿支气管肺炎患儿采取循证护理能够降低并发症发生概率,同时还能够缩短住院时间,并使患儿症状减轻,护理效果较为突出,值得推广。

Objective To study the clinical effect of evidence-based nursing in the children with bronchopneumonitis.Methods 100 cases of children with bronchopneumonitis treated in our hospital from December 2016 to December 2017 were random selected and randomly divided into two groups with 50 cases in each, the control group used the routine nursing, while the observation group used the evidence-based nursing, and the length of stay, disappearance time of clinical symptoms and occurrence of complications were compared between the two groups. Results The average length of stay, anhelation recovery time, fever recovery time, asthma recovery time and cough recovery time in the observation group and in the control group were respectively（7.15 ±1.04）d,（3.14 ±0.48）d,（1.82 ±0.35）d,（3.07 ±0.37）d,（4.12 ±0.64）d and（11.17 ±3.34）d,（4.67 ±0.79）d,（3.41 ±0.38）d,（4.82 ±0.51）d,（6.08 ±1.31）d, and the average length of stay and disappearance time of clinical symptoms in the observation group were shorter than those in the control group, and the differences were obvious, with statistical significance（t=7.147 3, 6.973 4, 6.748 2, 6.932 8, 6.741 5, P=0.034 1, 0.039 2, 0.037 1, 0.039 1, 0.037 8）, after nursing, there were 2 cases with complications in the observation group and 6 cases with complications in the control group, and the incidence rate of complications in the observation group was lower than that in the control group（4% vs 12%）, and the difference was obvious, with statistical significance（χ~2=6.748 3, P =0.031 4）. Conclusion The evidence-based nursing in children with bronchopneumonitis can reduce the incidence rate of complications, shorten the length of stay and relieve the clinical symptoms, and the nursing effect is outstanding, and it is worth promotion.