慢性炎症性肠病患儿的护理对策

Nursing Strategies for Children with Chronic Inflammatory Bowel Disease

目的研究慢性炎症性肠病患儿的护理对策以及应用价值。方法遵从“平衡序贯法”分组,方便选取该院2019年3月—2020年1月收治的慢性炎症性肠病住院患儿90例分为对照组(45例,常规护理)和观察组(45例,综合护理干预);观察护理后两组患儿临床症状改善时间、生活质量以及家属护理满意度。结果①经护理后观察组患儿发热消失(2.05±0.33)d,腹痛缓解(2.14±1.25)d,恶心呕吐消失(3.33±1.25)d,腹泻缓解(2.33±0.45)d,稀水便消失(3.11±1.22)d,临床症状改善或消失时间较对照组短,差异有统计学意义(t=10.052、5.031、3.994、6.964、5.758,P<0.05)。②经护理后观察组患儿躯体功能(85.00±2.32)分,活力(88.12±5.45)分,心理卫生(90.22±1.00)分,躯体角色(88.47±5.58)分,社会功能(87.22±5.45)分,躯体疼痛(70.35±6.11)分,情绪角色(85.47±5.23)分,总体健康(91.00±2.00)分,生活质量各指标评分较对照组优,差异有统计学意义(t=7.454、7.740、11.627、2.429、4.989、9.756、12.785、5.678,P<0.05)。③经护理后观察组家长对基础干预(22.20±1.13)分,服务态度(21.00±1.32)分,沟通交流(20.31±1.53)分,操作技能(22.31±1.42)分满意度评分明显较对照组高,差异有统计学意义(t=14.060、11.616、13.492、9.962,P<0.05)。结论在慢性炎症性肠病患儿的临床护理干预中开展综合护理干预价值显著,可有效提升家长满意度并促进患儿尽快康复。

Objective To study the nursing strategies and application value of children with chronic inflammatory bowel disease.Methods According to the"balance sequential method"grouping,It is convenient to selec 90 hospitalized children with chronic inflammatory bowel disease in the hospital from March 2019 to January 2020 were divided into the control group(45 cases,routine nursing)and the observation group(45 cases,comprehensive nursing intervention);Observed the clinical symptoms improvement time,quality of life and family care satisfaction of the two groups of children after nursing.Results 1.After nursing,the children in the observation group had fever disappeared(2.05±0.33)d,abdominal pain relieved(2.14±1.25)d,nausea and vomiting disappeared(3.33±1.25)d,and diarrhea was relieved(2.33±0.45)d,the watery stool disappeared(3.11±1.22)d,and the clinical symptoms improved or disappeared in a shorter time than the control group,and the difference was statistically significant(t=10.052,5.031,3.994,6.964,5.758,P<0.05).2.After nursing,the children in the observation group were scored for physical function(85.00±2.32)points,vitality(88.12±5.45)points,mental health(90.22±1.00)points,physical role(88.47±5.58)points,and social function(87.22±5.45)points,body pain(70.35±6.11)points,emotional role(85.47±5.23)points,overall health points(91.00±2.00)points,the quality of life index scores were better than those of the control group,and the difference was statistically significant(t=7.454,7.740,11.627,2.429,4.989,9.756,12.785,5.678,P<0.05).3.Parents'basic intervention(22.20±1.13)points,service attitude(21.00±1.32)points,communication(20.31±1.53)points,operating skills(22.31±1.42)points,nursing satisfaction points in the observation group after nursing was significantly higher than that of the control group,and the difference was statistically significant(t=14.060,11.616,13.492,9.962,P<0.05).Conclusion The value of comprehensive nursing intervention in the clinical nursing intervention of children with chronic inflammatory bowel disease is significant,which can effectively improve parent satisfaction and promote the rapid recovery of children.