预警护理对慢性支气管炎患儿症状缓解及治疗依从性的影响

Effect of early warning nursing on symptom relief and treatment compliance of children with chronic bronchitis

目的探讨对慢性支气管炎患儿实施预警护理,分析该护理模式对患儿症状缓解及治疗依从性的影响。方法选择2017年1月-2018年2月在本院治疗的小儿慢性支气管炎患儿84例,按照随机数表法分为2组,对照组42例予以常规护理,观察组42例予以预警护理,比较2组患儿症状缓解、护理质量、治疗及护理依从性。结果观察组患儿发热消失时间(1.85±0.40)d、气促消失时间(3.41±0.63)d、咳嗽消失时间(4.25±0.82)d及喘息消失时间(3.19±0.47)d,均短于照组[(3.56±0.56)d、(4.88±0.74)d、(6.22±0.91)d、(4.87±0.66)d],差异有统计学意义(P<0.05);观察组排班制度评分(24.20±1.25)分、风险防范评分(23.05±1.43)分、护理操作评分(22.35±1.36)分及业务能力评分(24.22±1.24)分,均高于对照组[(20.04±1.96)分、(19.33±1.15)分、(18.67±1.72)分、(19.56±1.63)分],差异有统计学意义(P<0.05);观察组治疗和护理依从性优良率(83.33%)高于对照组(59.52%),差异有统计学意义(P<0.05)。结论对慢性支气管炎患儿实施预警护理,可有效缩短患儿临床症状消失时间,提高护理质量、患儿对治疗及护理的依从性,值得推广应用。

Objective To discuss the early warning nursing for children with chronic bronchitis,and evaluate the effect of this nursing mode on symptom relief and treatment compliance.Methods A total of 84 children with chronic bronchitis who were treated in a hospital from January 2017 to February 2018 were randomly divided into a control group,which was given the routine nursing,and a trial group,which was given the early warning nursing,and there were 42 cases in each group.The symptom relief,nursing quality,and treatment and nursing compliance of the two groups were investigated and compared.Results The average disappearance time of fever,shortness of breath,cough,and wheeze in the trial group was(1.85±0.40)days,(3.41±0.63)days,(4.25±0.82)days,and(3.19±0.47)days respectively,which was shorter than that in the control group[(3.56±0.56)days,(4.88±0.74)days,(6.22±0.91)days,and(4.87±0.66)days,respectively],and there were significant differences(all P<0.05).The average scores of scheduling system,risk prevention,nursing procedure,and professional ability in the trial group were(24.20±1.25)points,(23.05±1.43)points,(22.35±1.36)points,and(24.22±1.24)points,respectively,which were higher than those in the control group[(20.04±1.96)points,(19.33±1.15)points,(18.67±1.72)points,and(19.56±1.63)points,respectively],and there were significant differences(all P<0.05).The excellent rat of treatment and nursing compliance in the trial group was 83.33%,which was higher than that in the control group(59.52%,P<0.05).Conclusion The early warning nursing for children with chronic bronchitis can effectively shorten the disappearance time of clinical symptoms,improve the quality of nursing and the compliance of treatment and nursing of the children,which is worth popularizing.