分期运动护理对儿童支气管哮喘临床价值研究

Nursing value of staged exercise nursing intervention on children with bronchial asthma

目的探究分期运动护理对儿童支气管哮喘临床价值。方法选取2017年3月至2018年4月收治支气管哮喘儿童140例,按照随机数字表法分为观察组及对照组各70例,对照组进行常规护理,观察组在常规护理基础上行分期运动护理,对比哮喘控制情况、肺功能、运动能力及生命质量。结果观察组行分期运动护理后3个月儿童哮喘控制问卷评分(25.65±2.57)分及控制水平均高于对照组的儿童哮喘控制问卷评分(21.78±1.56)分及控制水平,差异有统计学意义(t值为7.332、Z值为5.915,P<0.001);观察组护理后3个月每千克体质量潮气量(VT/kg)(9.82±1.26)ml/kg、达峰时间比(TPEF/TE)(38.49±2.97)%、达峰容积比(VPEF/VE)(41.37±5.16)%、疲劳指数(FI)(48.61±3.79)、峰值功率(PP)(8.99±0.85)W/kg、平均功率(MP)(7.59±0.46)W/kg、儿科哮喘生命质量调查问卷(PAQLQ)3个维度症状(6.72±0.49)分、活动(6.72±0.46)分、情感(6.68±0.68)分,均高于对照组同期VT/kg(9.30±1.42)ml/kg、TPEF/TE(24.13±3.22)%、VPEF/VE(28.21±4.26)%、FI(48.61±3.79)、PP(7.91±0.96)W/kg、MP(7.20±0.81)W/kg、症状(6.52±0.52)分、活动(5.16±0.82)分、情感(6.40±0.58)分,差异有统计学意义(t值为2.292~27.427,P<0.05)。结论分期运动护理更为有效控制哮喘症状,改善患儿肺功能及运动能力,促进支气管哮喘患儿生命质量提升。

Objective To explore the clinical value of nursing intervention in children with bronchial asthma.Methods Totally 140 children with bronchial asthma admitted from March 2017 to April 2018 were randomly divided into observation group and control group with 70 cases in each group,the control group was given routine nursing care,while the observation group was given staged exercise nursing intervention on the basis of the control group.The asthma control,pulmonary function,exercise ability and quality of life of the two groups were compared before and after nursing.Results The scores of Asthma Control Test(25.65±2.57)points and control level in the observation group were higher than(21.78±1.56)points and control level in the control group(t=7.332,Z=5.915,P<0.001).3 months after nursing,observation group VT/kg(9.82±1.26)ml/kg、TPEF/TE(38.49±2.97)%,VPEF/VE(41.37±5.16)%,Fatigue Index(FI)(48.61±3.79),Peak Power(PP)(8.99±0.85)W/kg,Mean Power(MP)(7.59±0.46),three dimensions of Pediatric Asthma Quality of Life Questionnaire(PAQLQ)was Symptom(6.72±0.49)points,Activity(6.72±0.46)points,Emotion(6.68±0.68)points,all of them were higher than the control group VT/kg(9.30±1.42)ml/kg,TPEF/TE(24.13±3.22)%,VPEF/VE(28.21±4.26)%,FI(48.61±3.79),PP(7.91±0.96)W/kg,MP(7.20±0.81)W/kg,Symptom(6.52±0.52)points,Activity(5.16±0.82)points,Emotion(6.40±0.58)points(t values were 2.292-27.427,P<0.05).Conclusion Stage exercise nursing intervention could more effectively control the asthma symptoms of children with bronchial asthma,improve lung function and exercise ability,and strengthen the quality of life of children.