临床护理路径在小儿肺炎护理中的应用效果

Application Effect of Clinical Nursing Path in the Nursing of Children with Pneumonia

目的分析临床护理路径(CNP)用于小儿肺炎的效果。方法选取2018年4月—2020年4月收治的小儿肺炎患儿91例。以抽签法为基准,A组计入46例予以CNP护理,B组计入45例予以常规护理。对比护理效果。结果A组的发热消退时间为(1.88±0.31)d,B组为(3.29±0.34)d,差异有统计学意义(t=20.681,P<0.001);A组的气促消退时间为(6.28±0.43)d,B组为(9.30±0.49)d,差异有统计学意义(t=31.269,P<0.001);A组的咳嗽消退时间为(3.29±0.91)d,B组为(7.69±0.99)d,差异有统计学意义(t=22.081,P<0.001);A组的肺啰音消退时间为(5.03±0.65)d,B组为(7.11±0.70)d,差异有统计学意义(t=14.693,P<0.001)。A组的住院时间为(6.15±0.34)d,B组为(8.59±0.48)d,差异有统计学意义(t=28.031,P<0.001)。A组的心力衰竭发生率为2.17%,B组为8.89%;A组的脓胸发生率为2.17%,B组为11.11%;A组的总并发症率为4.35%,B组为20.00%,差异有统计学意义(χ^(2)=5.244,P=0.022)。A组的护理依从性为93.48%,B组为77.78%,差异有统计学意义(χ^(2)=4.579,P=0.032)。A组家属的护理满意度为97.83%,B组为84.44%,差异有统计学意义(χ^(2)=5.080,P=0.024)。结论为小儿肺炎行CNP护理可促进症状消退,缩短住院周期,减少并发症,且能获得患儿的高度依从。

Objective To analyze the effect of clinical nursing pathway(CNP)for pediatric pneumonia.Methods Selected 91 children with pediatric pneumonia odmitted from April 2018 to April 2020.Based on the lottery method,46 cases in group A were included in CNP care,and 45 cases in group B were included in routine care.Compared the effect of care.Results The fever subsided time in group A was(1.88±0.31)d,group B was(3.29±0.34)d,the difference was statistically significant(t=20.681,P<0.001);the time of shortness of breath subsided in group A was(6.28±0.43)d,group B was(9.30±0.49)d,the difference was statistically significant(t=31.269,P<0.001);the cough resolution time of group A was(3.29±0.91)d,group B was(7.69±0.99)d,the difference was statistically significant(t=22.081,P<0.001);the pulmonary rales subsided in group A was(5.03±0.65)d,and in group B was(7.11±0.70)d,the difference was statistically significant(t=14.693,P<0.001).The length of hospital stay in group A was(6.15±0.34)d,and in group B was(8.59±0.48)d,the difference was statistically significant(t=28.031,P<0.001).The incidence of heart failure in group A was 2.17%,and that in group B was 8.89%;the incidence of empyema in group A was 2.17%,and that in group B was 11.11%;the overall complication rate in group A was 4.35%and that in group B was 20.00%,the difference was statistically significant(χ^(2)=5.244,P=0.022).The nursing compliance of group A was 93.48%,and that of group B was 77.78%,the difference between groups was statistically significant(χ^(2)=4.579,P=0.032).The nursing satisfaction rate of family members in group A was 97.83%,and that of group B was 84.44%,the difference was statistically significant(χ^(2)=5.080,P=0.024).Conclusion CNP nursing for children with pneumonia can promote the resolution of symptoms,shorten the hospitalization period,reduce complications,and can obtain a high degree of compliance in children.