小儿哮喘雾化治疗中全程护理干预实践探讨

Practice of Whole-course Nursing Intervention in Atomization Treatment of Asthma in Children

目的探讨小儿哮喘雾化治疗中全程护理干预的实践效果。方法选择我院收治的行雾化治疗的60例哮喘患儿作为本次研究主体,采用单双号法将其分为两组,30例分到单号者为对照组,采用常规护理干预,30例分到双号者为研究组,采用全程护理干预,对比两组患者护理前后的一秒用力呼气容积(Forced expiratory volume in one second,FEV1)、呼吸峰值流速(peak expiratory flow,PEF)水平、治疗依从性评分以及治疗过程中的不良反应发生率。结果护理前,两组患儿PEF、FEV1指标水平对比无显著差异(P>0.05);护理后,研究组患儿PEF、FEV1指标水平显著高于对照组(P<0.05)。研究组患儿治疗依从性评分显著高于对照组,研究组患儿治疗过程中的不良反应发生率显著低于对照组,差异具有统计学意义(P<0.05)。结论全程护理在小儿哮喘雾化治疗中的干预实践效果显著,不仅能提高患儿治疗依从性,还能降低其治疗过程中的不良反应发生率和改善其肺功能。

Objective To explore the practical effect of the whole-course nursing intervention in the aerosolization treatment of children with asthma.Methods Sixty children with asthma who were treated with nebulization in our hospital were selected as the main body of this study.They were divided into two groups by the odd and even number method,and 30 cases were assigned to the single number as the control group.Routine nursing intervention was used.Thirty patients with double numbers were assigned to the study group.The whole-course nursing intervention was used.To compare the forced expiratory volume in one second(FEV1)and peak expiratory flow(PEF)of the two groups before and after care.Level,treatment compliance score,and incidence of adverse reactions during treatment.Results Before nursing,there was no significant difference in the levels of PEF,FEV1 and other pulmonary function indexes between the two groups of children(P>0.05).After nursing,the levels of PEF,FEV1 and other pulmonary function indexes in the study group were significantly higher than those in the control group(P<0.05).The children's treatment compliance score in the study group was significantly higher than that of the control group.The incidence of adverse reactions in the study group was significantly lower than that of the control group.The comparison between the two groups was statistically significant(P<0.05).Conclusion The intervention practice effect of whole-course nursing in the aerosolization treatment of children with asthma is significant,which can not only improve the compliance of children with treatment,but also reduce the incidence of adverse reactions during the treatment and improve their lung function.