延续性护理措施对小儿支气管肺炎家庭雾化治疗的影响

The Effect of Continuous Nursing Measures on Family Nebulization Treatment of Children with Bronchial Pneumonia

目的探讨延续性护理措施对小儿支气管肺炎家庭雾化治疗的影响。方法研究对象均为方便选取2019年1月—2020年12月该院收治的304例支气管肺炎患儿,以随机数字表法将其划分为两组。对照组102例患儿接受家庭雾化治疗与常规出院指导,研究组102例患儿在此基础上应用延续性护理措施。比较两组治疗依从性、临床症状与体征消失时间,以及出院时与出院2周时的肺功能[最大呼气流速(PEF)、肺活量(FVC)、第1秒用力呼气量(FEV1)与FVC比值]。结果研究组患儿家庭雾化治疗的总依从率为96.71%较对照组88.82%高,差异有统计学意义(χ^(2)=7.056,P<0.05)。研究组患儿咳嗽消失时间(5.03±1.39)d、憋喘消失时间(3.59±1.52)d、湿啰音消失时间(5.62±1.58)d较对照组短(6.65±1.55)、(4.23±1.60)、(6.80±1.60)d,差异有统计学意义(t=9.593、3.575、6.470,P<0.05)。出院2周时,研究组PEF(72.06±10.52)L/min、FVC(2.73±0.49)L与FEV1/FVC(84.69±12.03)%指标较对照组(68.00±5.03)L/min、(2.54±0.42)L与(80.60±11.08)%高,差异有统计学意义(t=4.293、3.630、3.083,P<0.05)。结论延续性护理措施能够提高支气管肺炎患儿家庭雾化治疗的依从性,快速改善临床症状,强化肺功能,适于临床推广。

Objective To explore the effect of continuous nursing measures on family atomization treatment of children with bronchopneumonia.Methods Convenient select the 304 subjects were all children with bronchial pneumonia admitted to the hospital from January 2019 to December 2020,and they were divided into two groups using a random number table.102 children in the control group received home atomization treatment and routine discharge guidance,and 102 children in the study group applied continuous nursing measures on this basis.Comparison of treatment compliance,disappearance time of clinical symptoms and signs,and lung function at discharge and 2 weeks after discharge[maximum expiratory flow rate(PEF),vital capacity(FVC),forced expiratory volume in the first second(FEV1)and FVC ratio].Results The total compliance rate of family atomization therapy in the study group was 96.71%higher than 88.82%in the control group,the difference was statistically significant(χ^(2)=7.056,P<0.05).The disappearance time of cough(5.03±1.39)d,asthma(3.59±1.52)d and wet rales(5.62±1.58)d in the study group were shorter than those in the control group(6.65±1.55)d,(4.23±1.60)d,(6.80±1.60)d,the difference were statistically significant(t=9.593,3.575,6.470,P<0.05).At the time of discharge,the indexes of PEF(72.06±10.52)L/min,FVC(2.73±0.49)L and FEV1/FVC(84.69±12.03)%in study group were higher than those in control group(68.00±5.03)L/min,(2.54±0.42)L and(80.60±11.08)%,the difference were statistically significant(t=4.293,3.630,3.083,P<0.05).Conclusion Continuous nursing measures can improve the compliance of home nebulization therapy for children with bronchial pneumonia,quickly improve clinical symptoms,strengthen lung function,and are suitable for clinical promotion.