生理性海水洗鼻治疗小儿过敏性鼻炎的临床护理及效果观察

Nursing effect of children’s anaphylactic rhinitis with the treatment of nasal irrigation with hysiological sea water

目的探讨个性化综合护理在应用生理性海水洗鼻治疗小儿过敏性鼻炎中的护理效果。方法选取2017年7月至2017年12月本院收治的过敏性鼻炎患儿68例作为对照组,选取2018年1月至2018年6月收治的患儿70例作为对照组,两组患儿均接受生理海水鼻腔冲洗治疗,对照组实施常规护理,观察组实施个性化综合护理。比较两组患儿临床症状(流清涕、鼻塞、打鼾、打喷嚏)改善时间,治疗两周后,比较两组患儿临床疗效,根据匹兹堡睡眠指数量表(PSQI)比较两组患儿的睡眠质量,检测两组患儿治疗前后血清IFN-γ和IL-4水平,比较两组患儿和家长对于鼻腔冲洗治疗的依从性。结果观察组患儿流清涕、鼻塞、打鼾、打喷嚏改善时间均短于对照组(P<0.05),观察组患儿护理总有效率优于对照组(P<0.05),两组患儿治疗前PSQI得分差异无统计学意义(P>0.05),治疗后对照组患儿PSQI得分与治疗前相比,差异无统计学意义(P>0.05),治疗后观察组患儿PSQI得分较治疗前明显改善(P<0.05),治疗后观察组患儿的PSQI得分低于对照组(P<0.05),两组患儿治疗前血清IFN-γ和IL-4水平对比,差异无统计学意义(P>0.05),治疗后两组患儿血清IFN-γ和IL-4水平均较治疗前有所改善(P<0.05),观察组患儿治疗后IFN-γ水平高于对照组,IL-4水平低于对照组(P<0.05),观察组患儿和家长对治疗的依从性优于对照组(P<0.05)。结论个性化综合护理可以改善过敏性鼻炎患儿的临床症状、睡眠质量,提高生理性海水洗鼻的治疗效果和患儿以及家长的依从性,值得在临床进一步推广。

Objective To explore the nursing effect of children’s anaphylactic rhinitis with the treatment of nasal irrigation with hysiological sea water. Methods A total of 68 children with anaphylactic rhinitis admitted from July 2017 to December 2017 were selected as the control group, and 70 children admitted from January 2018 to June 2018 were selected as the observation group. The control group accepted routine nursing and the observation group accepted personalized comprehensive nursing. The response duration of clinical symptom(runny nose, stuffy nose, snoring, sneezing), clinical effective rate, PSQI score, levels of IFN-γ and IL-4 before and after treatment, compliance of the children and the parents between the two groups were compared. Results The response duration of clinical symptom in the observation group were shorter than those of the control group(P<0.05). The clinical effective rate in the observation group was better than that of the control group(P<0.05). There was no statistical significance of the PSQI score before the treatment in the two groups(P>0.05). After treatment, there was no statistical significance after the treatment in the control group compared with that before the treatment(P>0.05), the PSQI of the observation group was decreased after treatment(P<0.05). The PSQI score after treatment in the observation group was lower than that of the control group(P<0.05). There was no statistical significance of the levels of IFN-γ and IL-4 before the treatment in the two groups(P>0.05). After treatment, the levels of IFN-γ and IL-4 in the two groups were improved than those before the treatment(P<0.05). After treatment, the level of IFN-γ in the observation group was higher than that of the control group, and the level of IL-4 in the observation group was lower than that of the control group(P<0.05). The compliance of the children and the parents in the observation group was better than that of the control group(P<0.05). Conclusion Personalized comprehensive nursing can improve the clinical symptoms and sleep quality of children with anaphylactic rhinitis who were treated with physiological sea, improve the therapeutic effect and the compliance of children and their parents, which is worthy of further promotion in clinical practice.