整体护理模式对重症肺炎患儿康复进程及生活质量的影响

Effect of Holistic Nursing Model on Rehabilitation Process and Quality of Life of Children with Severe Pneumonia

目的观察整体护理模式在重症肺炎患儿中的应用效果。方法选取我院2020年9月至2021年9月60例重症肺炎患儿进行研究,按照入院顺序分组,对照组(30例)予以常规护理,观察组(30例)在常规护理基础上采用整体护理模式。比较两组患儿的康复进程、并发症发生情况、干预前后血气指标、生活质量、家属护理满意度差异。结果观察组监护病房治疗时间、退热时间、机械通气时间、住院时间均短于对照组,差异显著(P<0.05);观察组并发症发生率3.33%(1/30)低于对照组的20.00%(6/30),差异显著(P<0.05);干预后观察组血氧饱和度(SaO_(2))、血氧分压(PO_(2))高于对照组,二氧化碳分压(PCO_(2))低于对照组,差异显著(P<0.05);干预后观察组生理功能、社会功能、情感功能、角色功能评分高于对照组,差异显著(P<0.05);观察组家属护理满意度93.33%(28/30)高于对照组66.67%(20/30),差异显著(P<0.05)。结论重症肺炎患儿以整体护理模式干预后,患儿并发症减少,康复时间缩短,血气指标明显改善,且患儿生活质量提高,家属护理满意度提升。

Objective To observe the effect of holistic nursing model in children with severe pneumonia.Methods Sixty children with severe pneumonia in our hospital from September 2020 to September 2021 were studied.They were divided into groups in the order of admission,with 30 cases in each group.The control group was given routine nursing,and the observation group adopted the holistic nursing mode on the basis of routine nursing.The rehabilitation process,complications,blood gas indexes,quality of life and nursing satisfaction of family members were compared between the two groups.Results The treatment time,antipyretic time,mechanical ventilation time and hospitalization time in the observation group were significantly shorter than those in the control group(P<0.05).The incidence of complications in the observation group was 3.33%(1/30)lower than 20.00%(6/30)in the control group(P<0.05).After the intervention,the blood oxygen saturation(SaO_(2))and partial pressure of blood oxygen(PO_(2))in the observation group were higher than those in the control group,and the partial pressure of carbon dioxide(PCO_(2))was lower than those in the control group(P<0.05).After the intervention,the scores of physiological function,social function,emotional function and role function in the observation group were significantly higher than those in the control group(P<0.05).The nursing satisfaction of family members in the observation group was 93.33%(28/30)higher than 66.67%(20/30)in the control group(P<0.05).Conclusion After the intervention of holistic nursing model in children with severe pneumonia,the complications of children are reduced,the rehabilitation time is shortened,the blood gas index is significantly improved,the quality of life of children is improved,and the nursing satisfaction of family members is improved.