环境改良及功能干预在小儿哮喘护理中的应用效果及预后影响

Application Effect and Prognostic Influence of Environmental Improvement and Functional Intervention in the Nursing of Children with Asthma

目的分析环境改良及功能干预在小儿哮喘护理中的应用效果及对预后影响。方法方便选取该院2020年7月—2021年6月收治的68例小儿哮喘患儿进行研究,以护理干预差异分组,分别设置为对比组、研究组,每组34例。对比组采取常规护理,研究组采取环境改良及功能干预,对比两组评估应用效果及对预后影响。结果相较对比组(7.36±1.41)d、(9.32±2.01)d、(20.29±4.37)分,研究组哮喘症状持续时间(5.35±1.38)d、住院时间(7.69±1.24)d均更短,哮喘控制评分(25.33±5.55)分更高,差异有统计学意义(t=5.940、4.024、4.160,P<0.05);干预前,两组血气指标水平比较,差异无统计学意义(P>0.05),干预后,研究组PaO_(2)(93.78±4.15)mmHg更高,PaCO_(2)(40.88±2.21)mmHg更低,差异有统计学意义(t=9.279、19.119,P<0.05);干预前,两组肺功能指标水平比较,差异无统计学意义(P>0.05),干预后,研究组PEF(2.96±0.61)L/s、FEV_(1)(1.83±0.26)L、FVC(3.37±0.63)L均更高,差异有统计学意义(P<0.05);干预前,两组生活质量各维度评分及总分比较,差异无统计学意义(P>0.05),干预后,研究组活动(42.16±1.83)分、情感(25.04±1.79)分、症状(42.85±1.66)分、总分(104.15±2.58)分均更高,差异有统计学意义(t=15.936、16.648、23.964、31.429,P<0.05);相较对比组(76.47%),研究组护理满意度(97.06%)更高,差异有统计学意义(χ^(2)=4.610,P=0.032)。结论在小儿哮喘护理中,采取环境改良及功能干预,可缩短症状持续及住院时间,提高哮喘控制评分,同时在改善血气指标、肺功能情况及患儿生活质量等多个方面也具有积极作用和影响,且能够获得家属认可,获得较高满意度。

Objective To analyze the application effect of environmental improvement and functional intervention in the care of children with asthma and its influence on the prognosis.Methods Included 68 children with asthma in the hospitalfrom July 2020 to June 2021 were conveniently selected for research.They were divided into groups according to differences in nursing intervention and set up as a comparison group and a study group,34 cases in each group.The control group received routine care,the study group received environmental improvement,and functional intervention.To compare and evaluate the application effect and its prognostic impact.Results Compared with the comparison group(7.36±1.41)d,(9.32±2.01)d,(20.29±4.37)points,the duration of asthma symptoms in the study group was(5.35±1.38)d,and the hospital stay(7.69±1.24)d were shorter,the asthma control score(25.33±5.55)points was higher,the difference was statistically significant(t=5.940,4.024,4.160,P<0.05).Before the intervention,there was no statistically significant difference in blood gas index levels between the two groups(P>0.05).After the intervention,PaO_(2)(93.78±4.15)mmHg in the study group was higher,and PaCO_(2)(40.88±2.21)mmHg was lower,the difference was statistically significant(t=9.279,19.119,P<0.05).Before the intervention,there was no statistically significant difference in the levels of pulmonary function indexes between the two groups(P>0.05).After the intervention,PEF(2.96±0.61)L/s,FEV_(1)(1.83±0.26)L,FVC(3.37±0.63)L were all higher in the study group,the difference was statistically significant(P<0.05).Before the intervention,there was no statistically significant difference in the scores and total scores of the quality of life of the two groups(P>0.05).After the intervention,the study group had activity(42.16±1.83)points,emotion(25.04±1.79)points,symptom(42.85±1.66)points,and total points(104.15±2.58)points were all higher,the difference was statistically significant(t=15.936,16.648,23.964,31.429,P<0.05).Compared with the comparison group(76.47%),the study group's nursing satisfaction(97.06%)was higher,the difference was statistically significant(χ^(2)=4.610,P=0.032).Conclusion In the care of children with asthma,environmental improvement and functional intervention can shorten the duration of symptoms and hospital stay,and improve asthma control scores.At the same time,it also has a positive effect and influence in improving blood gas indicators,lung function and quality of life of children,and can be recognized by family members and win high satisfaction.