层级链式护理在肺炎患儿中的应用效果

Application effect of hierarchical chain nursing in children with pneumonia

目的探讨层级链式护理在肺炎患儿中的应用效果。方法选取2017年6~12月南方医科大学附属小榄医院收治的57例小儿肺炎为对照组,2018年1~7月收治的51例小儿肺炎为观察组。对照组实行常规护理,观察组实施层级链式护理,观察两组护理模式对患儿肺功能和治疗依从性的影响。结果两组护理前1 s用力呼气容积、用力肺活量、1秒用力呼气流速比较,差异无统计学意义(P>0.05)。观察组护理后1秒用力呼气容积、用力肺活量、1秒用力呼气流速分别为(1.89±0.24)、(2.21±0.23)L、(61.80±3.31)ml/s,均高于对照组的(1.47±0.22)、(1.97±0.20)L、(54.22±3.14)ml/s(P<0.05);观察组治疗依从率为90.20%,高于对照组的73.68%,,差异有统计学意义(P<0.05);观察组临床治愈率高于对照组,差异有统计学意义(P<0.05)。结论层级链式护理在小儿肺炎中的应用效果优于常规护理,可改善患儿肺功能,提高治愈率。

Objective To analyze the application effect of hierarchical chain nursing in pediatric pneumonia.Methods All 57 children with pneumonia admitted to our hospital from June to December 2017 were selected as control group,and 51 children with pneumonia admitted from January to July 2018 as experimental group.The control group received conventional nursing and the experimental group received hierarchical chainnursing.The effect of two groups of nursing mode on the pulmonary function and treatment compliance were compared.Results There were no significant differences in the 1s forced expiratory volume,forced vital capacity and 1s forced expiratory flow rate between the experimental group and the control group(P>0.05).After nursing,the 1 s forced expiratory volume,forced vital capacity and 1 s forced expiratory flow rate in the experimental group were(1.89±0.24),(2.21±0.23)L,(61.80±3.31)ml/s,respectively,which were higher than those in the control group for(1.47±0.22),(1.97±0.20)L,(54.22±3.14)ml/s,and the differences were statistically significant(P<0.05).The treatment compliance of the experimental group was 90.20%,higher than that of the control group(73.68%),and the difference was statistically significant(P<0.05).The clinical cure rate of the observation group was higher than that of the control group and the difference was statistically significant(P<0.05).Conclusion The application of hierarchical chain nursing in pediatric pneumonia is superior to conventional care,can improve the lung function of children,improve the cure rate.