个性化护理干预对促进小儿肺炎康复效果分析

Analysis of the Effect of Individualized Nursing Intervention on Promoting the Rehabilitation of Children with Pneumonia

目的分析小儿肺炎患儿采用个性化护理干预对其康复效果产生的影响。方法随机选取2019年6月—2020年1月收治的130例小儿肺炎患儿分成两组,参考组(n=65)采用常规护理,为干预组(n=65)患儿提供个性化护理,对比临床症状消失时间、住院时间及干预前后肺功能指标。结果干预组临床症状消失时间及住院时间为气喘(5.42±0.75)d、发热(2.45±0.43)d、咳嗽(5.12±0.56)d、肺部啰音(5.42±0.48)d、住院时间(6.27±1.02)d,参考组临床症状消失时间及住院时间为气喘(7.13±0.69)d、发热(4.19±0.44)d、咳嗽(6.68±0.51)d、肺部啰音(7.19±0.52)d、住院时间(7.69±1.23)d,干预组患儿气喘、发热等临床症状消失时间及住院时间均显著短于参考组(t=4.106、5.752、3.714、3.512、5.339,P<0.05)。干预后干预组FEV1/FVC(75.17±5.32)%、PEF(246.45±24.35)L/min、FVC(2.87±0.56)L,参考组FEV1/FVC(66.58±5.27)%、PEF(195.24±21.67)L/min、FVC(2.37±0.54)L,干预后干预组FEV1/FVC等各项肺功能指标均优于参考组(t=3.219、7.353、3.817,P<0.05)。结论小儿肺炎患儿应用个性化护理干预可缩短病情缓解时间且肺功能改善效果明显优于常规护理,护理质量及护理水平均明显更佳。

Objective To analyze the impact of personalized nursing intervention on the rehabilitation effect of children with pneumonia.Methods Simple random select 130 children with pediatric pneumonia admitted from June 2019 to January 2020 into 2 groups.The reference group(n=65)was treated with routine care,and the intervention group(n=65)was provided divided with personalized care.The time to disappearance of clinical symptoms,length of hospitalization and lung function indexes before and after intervention was compared.Results The clinical symptoms disappeared time and hospital stay in the intervention group were asthma(5.42±0.75)d,fever(2.45±0.43)d,cough(5.12±0.56)d,pulmonary rales(5.42±0.48)d,hospital stay(6.27±1.02)d;the clinical symptoms disappeared and the hospital stay in the reference group were asthma(7.13±0.69)d,fever(4.19±0.44)d,cough(6.68±0.51)d,lung rales(7.19±0.52)d,hospitalization The time(7.69±1.23)d,the disappearance time of asthma,fever and other clinical symptoms and hospital stay in the intervention group were significantly shorter than those in the reference group(t=4.106,5.752,3.714,3.512,5.339,P<0.05).After intervention,intervention group FEV1/FVC(75.17±5.32)%,PEF(246.45±24.35)L/min,FVC(2.87±0.56)L,reference group FEV1/FVC(66.58±5.27)%,PEF(195.24±21.67)L/min,FVC(2.37±0.54)L,FEV1/FVC and other pulmonary function indexes in the intervention group were better than those in the reference group after the intervention(t=3.219,7.353,3.817,P<0.05).Conclusion The application of personalized nursing intervention in children with pneumonia in children can shorten the remission time and improve the effect of lung function significantly better than conventional nursing.The quality of care and the level of care are significantly better.