小儿支气管哮喘吸入糖皮质激素治疗中的护理

Nursing Care of Children with Bronchial Asthma Inhaled Corticosteroids

目的观察护理干预在小儿支气管哮喘吸入糖皮质激素治疗中的应用效果。方法采用医学研究对比法,筛选该院2018年5月—2019年5月间收治的80例小儿支气管哮喘患儿的临床资料,根据研究需要等分为两组。给予对照组常规吸入糖皮质激素治疗,给予观察组吸入糖皮质激素治疗护理观察,临床对比统计两组患儿的护理效果。结果观察组护理优良率90.00%(36/40)明显高于对照组护理优良率67.50%(27/40),两组数据差异有统计学意义(χ2=8.632,P<0.05);治疗后,观察组患儿的治疗依从性为40.00%(16/40)明显高于对照组患儿的22.50%(9/40),两组数据差异有统计学意义(χ2=12.054,P<0.05);两组患儿在治疗前临床症状评分差异无统计学意义(t=1.025、0.063,P>0.05);治疗后,观察组患儿的临床症状评分明显低于对照组患儿,两组数据差异有统计学意义(t=10.245、12.012,P<0.05)。结论护理干预在小儿支气管哮喘吸入糖皮质激素治疗中的应用效果比之单独对症支持治疗更具临床疗效优良率,显著改善患儿的临床症状,具有较高的护理满意度和治疗依从性,值得临床大力推广。

Objective To observe the effect of nursing intervention on inhaled corticosteroids in children with bronchial asthma.Methods The clinical data of 80 children with bronchial asthma admitted to our hospital from May 2018 to May 2019 were screened by medical research.They were divided into two groups according to the research needs.The control group was given conventional inhaled corticosteroid treatment,and the observation group was given inhaled corticosteroids for nursing observation.The clinical comparison and statistics were used to compare the nursing effects of the two groups.Results The excellent and good nursing rate of the observation group was 90.00%(36/40),which was significantly higher than that of the control group 67.50%(27/40).The difference between the two groups was statistically significant(χ2=8.632,P<0.05).After treatment,the adherence of the observation group was 40.00%(16/40),which was significantly higher than that of the control group 22.50%(9/40).The difference between the two groups was statistically significant(χ2=12.054,P<0.05).There was no significant difference in the clinical symptom scores between the two groups before treatment(t=1.025,0.063,P>0.05).After treatment,the clinical symptom scores of the observation group were significantly lower than those of the control group.The data were statistically significant(t=10.245,12.012,P<0.05).Conclusion The effect of nursing intervention on inhaled glucocorticoid therapy in children with bronchial asthma is more effective than the single symptomatic supportive therapy.It can significantly improve the clinical symptoms of children,and has higher nursing satisfaction and treatment compliance.It is worthy of clinical promotion.