循证护理与临床路径信息系统整合模式在儿科支气管肺炎患儿中的应用

Application of Evidence-Based Nursing and Clinical Pathway Information System Integration Model in Children with Pediatric Bronchopneumonia

目的探讨循证护理与临床路径信息系统整合模式在支气管肺炎患儿中的可行性。方法将2020年5月至2021年5月平顶山市第一人民医院儿科收治的64例支气管肺炎患儿作为本次研究病例,依照随机数字表法分为试验组和对照组,每组32例。给予对照组患儿常规护理服务,试验组在对照组基础上添加循证护理与临床路径信息系统整合模式。对比两组护理效果、临床症状消失时间、住院时间、护理满意度、并发症状况、生存质量评分。结果试验组总有效率(96.88%)高于对照组(78.13%)(P<0.05);试验组咳嗽消失时间、肺部啰音消失时间、发热消失时间、住院时间短于对照组(P<0.05);试验组总满意度(96.88%)高于对照组(75.00%)(P<0.05);试验组并发症发生率(6.24%)低于对照组(25.00%)(P<0.05);试验组活力状况评分、生理职能评分、总体健康评分高于对照组(P<0.05)。结论合理运用循证护理与临床路径信息系统整合模式可使支气管肺炎患儿临床症状在短时间内改善,且并发症少,利于患儿生活质量的提高,一定程度上提高了临床护理效果与护理满意度,值得推广。

Objective To explore the feasibility of the integration model of evidence-based nursing and clinical pathway information system for children with bronchial pneumonia.Methods A total of 64 children with bronchial pneumonia who were admitted to the Department of Pediatrics of the First People’s Hospital of Pingdingshan from May 2020 to May 2021 were randomly selected as the cases for this analysis,and the 64 children were equally divided into experimental group and control group according to the random number table method,with 32 cases in each group.The control group was provided with routine nursing services for children.The experimental group added evidence-based nursing and clinical pathway information system integration mode on the basis of the control group.The nursing effect,clinical symptom disappearance time,hospital stay,nursing satisfaction,complication status and quality of life score were compared between the two groups.Results The total effective rate of the experimental group(96.88%)was higher than that of the control group(78.13%)(P<0.05).The time to disappearance of cough,the time to disappearance of lung rales,the time to disappearance of fever and the length of hospital stay of the experimental group were all shorter than those of the control group(P<0.05).The overall satisfaction of the experimental group(96.88%)was higher than that of the control group(75.00%)(P<0.05).The incidence of complications of the experimental group(6.24%)was lower than that of the control group(25.00%)(P<0.05).The vitality status score,physiological function score and overall health score of the experimental group were higher than those of the control group(P<0.05).Conclusion Rational use of evidence-based nursing and clinical pathway information system integration model can improve the clinical symptoms of children with bronchial pneumonia in a short time with fewer complications,which is conducive to the improvement of patients’quality of life,and improves the clinical nursing effect and nursing satisfaction to a certain extent,which is worthy of promotion.