无痛纤支镜下肺灌洗术治疗小儿肺部感染的护理

Nursing Care of Children with Pulmonary Infection Treated by Painless Bronchoscopic Lung Lavage

目的:分析无痛纤支镜下肺灌洗术治疗小儿肺部感染的护理。方法:选取笔者所在医院2018年1月-2019年1月收治的120例肺部感染患儿,按随机序列法分为观察组和对照组,每组60例,两组均行无痛纤支镜下肺灌洗术治疗,对照组行常规护理,观察组行综合护理。对比两组小儿护理依从性,术中血氧饱和度、家属焦虑评分。结果:观察组患儿护理依从性为96.67%(58/60),对照组患儿护理依从性为80.00%(48/60),两组差异有统计学意义(X^2=6.452,P<0.05)。观察组患儿术中血氧饱和度为(97.4±1.3)%,家属焦虑评分为(22.1±3.0)分;对照组患儿术中血氧饱和度为(95.1±1.2)%,家属焦虑评分为(34.2±3.8)分;两组比较差异均有统计学意义(t=15.142、16.933,P<0.05)。结论:无痛纤支镜下肺灌洗术治疗小儿肺部感染,可通过综合护理提升患儿依从性,改善肺功能,同时控制家属负性情绪,改善其心理态势。

Objective:To analyze the nursing of painless bronchoscopic lung lavage in the treatment of pulmonary infection in children.Method:A total of 120 cases of pulmonary infection in our hospital from January 2018 to January 2019 were randomly divided into observation group and control group,60 cases in each group.Both groups were treated with painless bronchoscopic lung lavage.The control group received routine nursing,while the observation group received comprehensive nursing.Compared two groups of children’s nursing compliance,intraoperative oxygen saturation,family anxiety score.Result:The nursing compliance of the observation group was 96.67% (58/60) and which of the control group was 80.00% (48/60).The difference between the two groups was statistically significant (X^2=6.452,P<0.05).In the observation group,the intraoperative oxygen saturation was (97.4±1.3)% and the family anxiety score was (22.1±3.0) points.In the control group,the intraoperative oxygen saturation was (95.1±1.2)% and the anxiety score of family members was (34.2±3.8) points.The differences between the two groups was statistically significant (t=15.142,16.933,P<0.05).Conclusion:Painless bronchoscopic lung lavage can improve the compliance of children with pulmonary infection,improve pulmonary function,control the negative emotions of family members and improve their psychological situation through comprehensive nursing.