护患沟通技巧对雾化吸入治疗的支气管肺炎患儿疾病转归和血气分析指标的影响

Influence of nurse-patient communication skills on disease outcomes and blood gas indices of children with bronchial pneumonia treated by atomization inhalation

目的探究护患沟通技巧对行雾化吸入治疗的支气管肺炎患儿疾病转归、血气分析指标的影响。方法收集2019年1月-2020年6月于开平市中心医院儿科就诊的支气管肺炎患儿120例,按照随机数字表法分人对照组(n=60)和观察组(n=60)。两组患儿均行雾化吸入治疗,对照组患儿予常规护理,观察组患儿则通过护患沟通技巧进行护理。观察并比较两组患儿的临床疗效、疾病转归情况、肺功能、血气分析指标和不良反应情况。结果观察组的总有效率为95.00%,显著高于对照组的75.00%(P<0.05)。观察组干预后的临床症状(发热、气喘、咳嗽、肺部啰音)消失时间,以及住院时间均显著短于对照组(Р值均<0.05)。干预后,两组间峰值呼气流速(PEF),1 s用力呼气容积(FEV1)、用力肺活量(FVC),FEV1/FVC,动脉血氧分压(PaO2)和动脉血氧饱和度(SaO2)均较干预前显著升高(P值均<0.05),且观察组均显著高于对照组(Р值均<0.05)。干预后,两组动脉血二氧化碳分压(PaCO2)均较干预前显著下降(P值均<0.05),且观察组显著低于对照组(P<0.05)。观察组不良反应发生率为8.33%,显著低于对照组的25.00%(P<0.05)。结论护患沟通技巧可以有效改善雾化吸入治疗支气管肺炎患儿的临床疗效,改善肺功能、血气分析指标,促进疾病转归,减少不良反应的发生,值得临床推广。

Objective To explore the effect of nurse-patient communication skills on disease outcomes and blood gas indices of children with bronchial pneumonia treated by atomizationinhalation.Methods A total of 120 children with bronchopneumonia treated in the Department ofPediatrics of Kaiping Central Hospital from January 2019 to June 2020 were collected andrandomly divided into a control group(n=60)and an observation group(n=60).Both groupsof children were treated with atomization inhalation.The control group was given routine nursing,and the observation group was given nursing care through nurse-patient communication skills.Theclinical efficacy,disease outcomes,pulmonary function,blood gas indices and adverse reactionsof the two groups were observed and compared.Results The total effective rate of theobservation group was 95.00%,which was higher than 75.00%of the control group(P<0.05).The disappearance time of clinical symptoms(fever,asthma,cough,pulmonary rales)and hospitalization time in the observation group were shorter than those in the control group(allP<0.05).After nursing,the peak expiratory flow(PEF),forced expiratory volume in 1 second(FEV1),forced vital capacity(FVC),FEV1/FVC,partial pressure of oxygen(PaO2)andarterial oxygen saturation(SaO2)of the two groups were both significantly higher than thosebefore nursing(all P<0.05),and those of the observation group were significantly higher thanthose of the control group(all P<0.05).The partial pressure of carbon dioxide(PaCO2)in thetwo groups was lower than that before nursing,and the observation group was lower than thecontrol group(both P<0.05).The incidence of adverse reactions in the observation was8.33%,lower than 25.00%in the control group(P<0.05).Conclusion Nurse-patientcommunication skills can effectively improve the clinical efficacy of atomization inhalation,improve pulmonary function,blood gas indicators,promote the prognosis of diseases and reducethe situation of adverse reactions in the treatment of children with bronchopneumonia,which canbe promoted.