舒适护理模式在小儿急性哮喘急诊护理中的应用价值

Application value of comfort nursing model in emergency nursing of children with acute asthma

目的探讨舒适护理模式在小儿急性哮喘急诊护理中的应用价值。方法选取2018年1~12月我院收治的96例小儿急性哮喘患儿作为研究对象,按照随机数字表法分为两组,每组各48例。对照组实施常规护理模式,研究组实施舒适护理模式。比较分析两组患儿的相关临床症状指标消失时间、肺功能指标改善情况以及临床护理总满意度。结果研究组患儿的咳嗽消失时间为(2.63±0.70)d,喘息消失时间为(3.25±0.33)d,呼吸困难消失时间为(2.30±0.55)d,肺部哮鸣音消失时间为(3.45±0.55)d,均短于对照组的(4.55±1.15)、(4.30±0.70)、(3.10±0.66)、(4.80±0.75)d,差异有统计学意义(P<0.05);研究组患儿呼出75%潮气量时的呼气流速(25%TEF)为(105.95±11.40)ml/s,呼出50%潮气量时的呼气流速(50%TEF)为(128.95±7.65)ml/s,均高于对照组的(80.45±10.20)、(105.70±6.30)ml/s,差异有统计学意义(P<0.05);研究组患儿呼出25%潮气量时的呼气流速(75%TEF)为(134.65±20.65)ml/s,峰值流速/潮气量(PTEF/VT)为1.51±0.58,均低于对照组的(159.50±18.30)ml/s、2.12±0.63,差异有统计学意义(P<0.05);研究组的临床护理总满意度为97.92%,均高于对照组的83.33%,差异有统计学意义(P<0.05)。结论在小儿急性哮喘急诊护理中落实开展舒适护理模式的应用价值确切。

Objective To explore the application value of comfort nursing model in emergency nursing of children with acute asthma.Methods Altogether 96 children with acute asthma treated in our hospital from January to December 2018 were selected as the subjects,and divided into two groups according to random number table methods.The control group was given routine nursing mode and the study group was given comfort nursing mode.The disappearance time of related clinical symptoms,improvement of pulmonary function and total clinical nursing satisfaction were compared and analyzed between the two groups.Results The disappearance time of cough,puffing,dyspnea and wheezing in the study group were (2.63±0.70),(3.25±0.33),(2.30±0.55) and (3.45±0.55) d respectively,which were significantly shorter than those in the control group for (4.55±1.15),(4.30±0.70),(3.10±0.66),(4.80±0.75) d,and the differences were statistically significant (P<0.05).In the study group,the expiratory flow rate at 75% tidal volume (25% TEF) was (105.95±11.40) ml/s,and the expiratory flow rate at 50% tidal volume (50% TEF) was (128.95±7.65) ml/s,which were significantly higher than those of the control group for (80.45±10.20),(105.70±6.30) ml/s,and the differences were statistically significant (P<0.05).The expiratory flow rate at 25% tidal volume (75% TEF) was (134.65±20.65) ml/s,and the peak flow velocity/tidal volume (PTEF TV) was 1.51±0.58,which were significantly lower than those in the control group for (159.50±18.30) ml/s and 2.12±0.63,and the differences were statistically significant (P<0.05).The total clinical nursing satisfaction of the study group was 97.92%,which was significantly higher than that of the control group (83.33%),and the difference was statistically significant (P<0.05).Conclusion Application of comfort nursing model has exact effectiveness in emergency nursing of children with acute asthma.