探讨综合护理干预在小儿喘息性疾病住院期间的应用价值

Exploration on application value of comprehensive nursing intervention in pediatric asthmatic diseases during hospitalization

目的探讨综合护理干预在小儿喘息性疾病住院期间的应用价值。方法 60例小儿喘息性疾病住院患儿,随机分为对照组及研究组,各30例。对照组采用常规护理,研究组基于常规护理采取综合护理干预。比较两组患儿的呼吸功能[最大呼气流速(PEF)、第一秒用力呼气容积(FEV_1)、每分钟最大通气量(MVV)、气道阻力(Raw)]、护理效果、喘息发作频率及发作时间。结果护理后,两组患儿的PEF、FEV_1、MVV、Raw均较本组护理前改善,且研究组护理后PEF(4.81±0.50)L/s、FEV_1(2.99±0.50)L和MVV(55.50±5.35)L均高于对照组[(3.50±0.30)L/s、(2.69±0.29)L和(50.50±4.38)L],Raw(85.00±6.29)cm H_2O/(ml·s)低于对照组(105.30±8.30)cm H_2O/(ml·s),差异均具有统计学意义(P<0.05)。研究组护理总有效率为93.33%,高于对照组的60.00%,差异具有统计学意义(P<0.05)。护理后,两组患儿喘息发作频率和发作时间均较本组护理前改善,且研究组护理后发作频率(1.2±0.6)次/d少于对照组(3.5±0.5)次/d,发作时间(10.0±5.0)min/次短于对照组(30.0±9.8)min/次,差异均具有统计学意义(P<0.05)。结论综合护理干预在小儿喘息性疾病住院期间的应用效果显著,有利于改善患儿的呼吸功能,提高护理质量,减少发作频率,缩短发作时间,具有理想的临床价值。

Objective To explore the application value of comprehensive nursing intervention inpediatric asthmatic diseases during hospitalization.Methods A total of60asthmatic diseases children in hospitalwere randomly divided into control group and research group,with30cases in each group.The control groupreceived conventional nursing,and the research group received comprehensive nursing intervention on the basisof conventional nursing.Comparison were made on respiratory function[maximal expiratory flow(PEF),forcedexpiratory volume in one second(FEV1),maximal voluntary ventilation(MVV),airway resistance(Raw)],nursingeffect,wheezing onset frequency and time in two groups.Results After nursing,both groups had improved PEF,FEV1,MVV and Raw than before nursing,and the research group had higher PEF as(4.81±0.50)L/s,FEV1as(2.99±0.50)L and MVV as(55.50±5.35)L after nursing than the control group[(3.50±0.30)L/s,(2.69±0.29)Land(50.50±4.38)L],and lower Raw as(85.00±6.29)cm H2O/(ml·s)than(105.30±8.30)cm H2O/(ml·s)in the control group.Their difference had statistical significance(P<0.05).The research group had higher totalnursing effective rate as93.33%than60.00%in the control group,and the difference had statistical significance(P<0.05).After nursing,both groups had improved wheezing onset frequency and time than before nursing,andthe research group had less onset frequency as(1.2±0.6)times/d than(3.5±0.5)times/d in the control group,andshorter onset time as(10.0±5.0)min/time than(30.0±9.8)min/time in the control group.Their difference hadstatistical significance(P<0.05).Conclusion Comprehensive nursing intervention shows significant applicationeffect for pediatric asthmatic diseases during hospitalization,which helps to improve respiratory function,improvethe quality of nursing,reduce onset frequency and shorten onset time.So it has ideal clinical value.