预警护理对急性支气管炎患儿康复及病情改善情况的影响

Effect of early warning nursing on rehabilitation and condition improvement of children with acute bronchitis

目的探讨预警护理对急性支气管炎患儿康复及病情改善情况的影响。方法将2019年12月至2020年12月期间福州市第一医院收治入院的130例急性支气管炎患儿依据不同的护理方式分为对照组和观察组,各65例。对照组患儿采用常规护理,观察组患儿在常规护理的基础上联合预警护理。比较干预后2组患儿的症状消失时间和住院时长,并比较干预前和干预7 d后2组患儿的肺功能情况、血氧饱和度(SpO_(2))、C反应蛋白(CRP)和白细胞计数,以及2组家属的心理状态。结果观察组的住院时长明显短于对照组(P<0.05),咳嗽消失时间、发热消失时间、呼吸困难消失时间及肺部啰音消失时间均明显早于对照组(P均<0.05)。干预7 d后,2组的肺功能各项指标及SpO_(2)均明显高于干预前(P均<0.05),且观察组均高于对照组(P均<0.05);干预7 d后,2组的CRP、白细胞计数均明显低于干预前(P均<0.05),且观察组均低于对照组(P均<0.05);干预7 d后,2组家属的抑郁自评量表(SDS)、焦虑自评量表(SAS)评分均明显低于干预前(P均<0.05),且观察组家属均低于对照组家属(P均<0.05)。结论常规护理基础上联合预警护理可有效促进急性支气管炎患儿的疾病恢复,改善临床症状,缓解家属负性情绪。

Objective To explore the effect of early warning nursing on the rehabilitation and condition improvement of children with acute bronchitis.Methods A total of 130 children with acute bronchitis admitted to the First Hospital of Fuzhou from December 2019 to December 2020 were assigned to either a control group or an observation group according to different nursing methods,with 65 cases in each group.The control group received routine nursing,and the observation group received early warning nursing on the basis of routine nursing.The symptom disappearance time and length of hospital stay of the children in the two groups were compared after the intervention.The pulmonary function,peripheral oxygen saturation(SpO_(2)),C-reactive protein(CRP),and total leukocyte count of the children,as well as the psychological status of family members in the two groups were compared before and after the intervention.Results The length of hospital stay in the observation group was significantly shorter than that in the control group(P<0.05),and the disappearance time of cough,fever,dyspnea and rales in the observation group was significantly shorter than that in the control group(all P<0.05).After 7 days of intervention,the indicators of pulmonary function and SpO_(2) in the two groups were significantly higher than those before the intervention(all P<0.05),and the above indicators in the observation group were higher than those in the control group(all P<0.05).After 7 days of intervention,the CRP and total leukocyte count in the two groups were significantly lower than those before the intervention(all P<0.05),and those in the observation group were lower than those in the control group(both P<0.05).After 7 days of intervention,the self-rating depression scale(SDS)and self-rating anxiety scale(SAS)scores of the family members in the two groups were significantly lower than those before the intervention(all P<0.05),and the scores of the family members in the observation group were lower than those in the control group(both P<0.05).Conclusion On the basis of routine nursing,early warning nursing can effectively promote the recovery of children with acute bronchitis,relieve the clinical symptoms,and relieve the negative emotions of family members.