三维适性支持护理在肺炎患儿中的应用

Application of Three-dimensional Adaptive Support Nursing in Children with Pneumonia

目的:探讨三维适性支持护理在肺炎患儿中的应用效果。方法:随机抽取2019年9月1日~12月31日收治的166例肺炎患儿为研究对象,采用随机数字表法分为对照组和观察组各83例,对照组给予小儿肺炎常规护理,观察组在小儿肺炎常规护理基础上实施三维适性支持护理干预;比较两组干预2周内患儿的临床症状改善时间(包括体温正常时间、咳喘缓解时间、肺部湿啰音消失时间),比较两组干预前、干预1周后患儿的遵医行为(采用遵医行为问卷)及治疗舒适度[采用舒适状态量表(GCQ)],比较两组患儿主要照顾者的心理负担状况[采用照顾者负担量表(ZBI)]。结果:干预2周内,观察组体温正常时间、咳喘缓解时间、肺部湿啰音消失时间短于对照组(P<0.05);干预1周后,两组遵医行为评分、GCQ评分较干预前升高(P<0.05),且观察组高于对照组(P<0.05);干预1周后,两组ZBI评分低于干预前(P<0.05),且观察组低于对照组(P<0.05)。结论:三维适性支持护理可缩短肺炎患儿的体温正常时间、咳喘缓解时间、肺部湿啰音消失时间,改善患儿的遵医行为、治疗舒适度及主要照顾者的心理负担,具有良好应用效果。

Objective:To explore the application effect of three-dimensional adaptive support nursing in children with pneumonia.Methods:A total of 166 children patients with pneumonia admitted during September 1 to December 31,2019 were randomly selected as the research subjects.according to the random number table method,were randomly divcidec into the observation group and the control group with 83 cases in each group,the control group was given routine nursing for children with pneumonia,and the observation group implemented three-dimensional adaptive support nursing intervention on the basis of routine nursing.Within 1 week of intervention,the improvement time of clinical symptoms(normal body temperature recovery time,cough relief time,disappearance time of pulmonary rales)were compared between the two groups.The compliance behaviors(Compliance Behavior Questionnaire)and treatment comfort[General Comfort Questionnaire(GCQ)]were compared between the two groups before intervention and after 1week of intervention.the psychological burden status of main caregivers by Zarit Burden Inventory(ZBI)was compared between the two groups.Results:Within 2 weeks of intervention,the normal body temperature time,cough relief time,disappearance time of pulmonary rales in the observation group were shorter than those in the control group(P<0.05).After 1 week of intervention,the compliance behaviors scores and GCQ scores in the two groups were higher than those before intervention(P<0.05),and the scores in the observation group were higher than those in the control group(P<0.05).After 1 week of intervention,the ZBI scores in the two groups were lower than those before intervention(P<0.05),and the scores in the observation group were lower than those in the control group(P<0.05).Conclusion:Three-dimensional adaptive support nursing can reduce the normal body temperature time,cough relief time,and disappearance time of pulmonary rales,improve the compliance behaviors,treatment comfort and psychological burden of main caregivers in children with pneumonia,with good application effect.