精细化护理模式对小儿哮喘急性发作期雾化吸入治疗效果的影响

The Effect of Fine Nursing Mode on the Effect of Aerosol Inhalation Treatment in Children with Asthma during Acute Attack

目的研究精细化护理模式对小儿哮喘急性发作期雾化吸入治疗效果的影响。方法方便选取2019年2月—2020年5月期间该院66例哮喘急性发作期雾化吸入治疗患儿为研究样本,随机分成对照组(n=33,常规护理)、观察组(n=33,精细化护理模式),对照组采用常规护理,观察组采用精细化护理模式。比较两组护理效果。结果观察组治疗总有效率为97.0%,高于对照组(63.6%),差异有统计学意义(χ^(2)=11.591,P<0.05);观察组用力肺活量(FVC)、第1秒用力呼气容积(FEV1)、呼气峰流速(PEF)明显高于对照组,差异有统计学意义(t=4.965、2.793、3.015,P<0.05);观察组护理认同度为97.0%,高于对照组(66.7%),差异有统计学意义(χ^(2)=10.185,P<0.05);两组血二氧化碳分压(PaCO2)比较,差异无统计学意义(t=0.281,P>0.05);观察组血氧分压(PaO2)高于对照组,差异有统计学意义(t=22.526,P<0.05)。结论为哮喘急性发作期雾化吸入治疗患儿予以精细化护理模式,可改善患儿肺功能与血气指标,提高治疗效果,获取患儿以及家长的认同。

Objective To study the effect of refined nursing mode on the effect of aerosol inhalation treatment of children with asthma during acute attack.Methods From February 2019 to May 2020,66 children with nebulization inhalation treatment during acute asthma attack in the hospital were convenient selected as research samples,and they were randomly divided into control group(n=33,routine care)and observation group(n=33,refined nursing mode),the control group adopted routine nursing,and the observation group adopted refined nursing mode.Compared the nursing effect of the two groups.Results The total effective rate of treatment in the observation group was 97.0%,which was higher than that in the control group(63.6%),and the difference was statistically significant(χ^(2)=11.591,P<0.05);the observation group's forced vital capacity(FVC)and forced expiratory volume in the first second(FEV1)and peak expiratory flow rate(PEF)were significantly higher than those of the control group,and the difference was statistically significant(t=4.965,2.793,3.015,P<0.05);the observation group’s nursing identity was 97.0%,which was higher than the control group(66.7%),the difference was statistically significant(χ^(2)=10.185,P<0.05);the difference in the partial pressure of carbon dioxide(PaCO2)between the two groups was not statistically significant(t=0.281,P>0.05);the blood oxygen score of the observation group pressure(PaO2)was higher than the control group,the difference was statistically significant(t=22.526,P<0.05).Conclusion The refined nursing mode for children with aerosol inhalation treatment during acute asthma attack can improve the lung function and blood gas indexes of the children,improve the treatment effect,and gain the approval of the children and their parents.