精细化护理在小儿急性支气管炎中的应用效果及对肺功能、白细胞计数、C反应蛋白的影响

Application Effect of Refined Nursing in Children with Acute Bronchitis and Its Influence on Lung Function,White Blood Cell Count and C-reactive Protein

目的评价精细化护理在急性支气管炎患儿中的应用效果及对肺功能和炎症相关指标的影响。方法简单随机选取2018年3月—2019年4月在该院儿科住院治疗的50例急性支气管炎患儿为研究对象,根据不同护理模式随机分为常规组和精细组,各25例。常规组给予传统护理,精细组给予精细化护理。对两组患儿护理效果、护理干预前后肺功能、白细胞计数和C反应蛋白水平的变化进行比较。结果精细组患儿护理效果96.00%明显优于常规组68.00%,差异有统计学意义(χ^(2)=4.878,P<0.05);干预前,两组患儿肺功能、白细胞计数和C反应蛋白比较差异无统计学意义(P>0.05)。干预后,精细组患儿FEV1(2.75±0.71)L、FVC(3.32±0.92)L均优于常规组,差异有统计学意义(P<0.05)。精细组白细胞计数和C反应蛋白水平分别为(4.43±1.68)×109/L、(2.41±0.82)mg/L均低于常规组,差异有统计学意义(P<0.05)。结论精细化护理能改善患儿肺功能,减轻炎症反应,进而提高护理效果。

Objective To evaluate the application effect of refined nursing in children with acute bronchitis and its influence on lung function and inflammation-related indicators.Methods 50 children with acute bronchitis hospitalized in pediatrics of the hospital from March 2018 to April 2019 were simply and randomly selected as the research object.According to different nursing modes,they were randomly divided into routine group and fine group,with 25 cases in each group.The routine group was given traditional nursing care,and the fine group was given fine nursing.The nursing effects,changes in lung function,white blood cell count and C-reactive protein levels before and after nursing intervention were compared between the two groups.Results The nursing effect of children in the fine group was 96.00%significantly better than that in the routine group 68.00%,and the difference was statistically significant(χ^(2)=4.878,P<0.05).Before intervention,there was no statistically significant difference in lung function,white blood cell count and C-reactive protein between the two groups of children(P>0.05).After intervention,FEV1(2.75±0.71)L and FVC(3.32±0.92)L of the fine group were better than those of the routine group,and the difference was statistically significant(P<0.05).The white blood cell count and C-reactive protein level of the fine group were(4.43±1.68)×109/L and(2.41±0.82)mg/L,respectively,lower than those of the routine group,and the difference was statistically significant(P<0.05).Conclusion Refined care can improve the lung function of children,reduce inflammation,and improve the nursing effect.