基于儿童医疗空间童趣化设计的专项护理对雾化吸入期肺炎支原体肺炎患儿的影响

Effect of special nursing based on childlike design of children's medical space on children with mycoplasma pneumonia during atomization inhalation period

目的:探讨基于儿童医疗空间的童趣化设计的专项护理对雾化吸入期肺炎支原体肺炎患儿的影响。方法:选取行雾化吸入治疗的肺炎支原体肺炎患儿150例,其中未对儿科病房进行改造时期收治的75例患儿设为对照组,儿童医疗空间童趣化设计改造儿科病房后收治的75例患儿设为观察组。对照组给予常规治疗及护理;观察组在对照组基础上,给予儿童医疗空间童趣化设计及专项护理。干预1周后比较2组患儿的肺功能指标变化、雾化依从性变化、症状缓解时间及临床疗效。结果:治疗前2组患儿用力肺活量(FVC)和1 s用力呼气容积(FEV1)差异均无统计学意义(P>0.05);治疗后,2组患儿FVC、FEV1均较治疗前改善(P<0.05),且观察组FVC、FEV1均明显优于对照组(P<0.01)。观察组患儿雾化依从率为93.33%(70/75),明显优于对照组的73.33%(55/75)(P<0.01)。观察组患儿的退热时间、咳嗽消失时间以及肺部啰音消失时间均明显短于对照组(P<0.01)。观察组患儿治疗有效率为92.00%(69/75),明显优于对照组的82.67%(62/75)(P<0.01)。结论:基于儿童医疗空间童趣化设计的专项护理有助于促进雾化吸入期支原体肺炎患儿肺功能改善,提高雾化吸入依从性,缩短症状缓解时间,提高临床治疗效果,值得临床推广应用。

Objective:To explore the influence of special nursing based on childlike design of children's medical space on children with mycoplasma pneumonia during atomization inhalation period.Methods:One hundred and fifty children with mycoplasma pneumonia treated by atomization inhalation were selected.Among them,75 children treated during the period which the pediatric ward has not been transformed were set as control group,while the other 75 children treated after the transformation of ward room were set as observation group.The control group was given routine treatment and nursing.The observation group was given childlike design and special nursing of children's medical space on the basis of the control group.After 1 week of treatment,the changes of pulmonary function indexes,atomization compliance,symptom relief time and clinical efficacy were compared between the two groups.Results:There was no significant difference in forced vital capacity(FVC)and forced expiratory volume in 1 s(FEV1)between the two groups before treatment(P>0.05).After treatment,FVC and FEV1 in the two groups were improved compared with those before treatment(P<0.05),and FVC and FEV1 in the observation group was significantly higher than those in the control group(P<0.01).The atomization compliance rate of children in the observation group was 93.33%(70/75),which was significantly better than 73.33%(55/75)in the control group(P<0.01).The fever abatement time,cough disappearance time and lung rale disappearance time of children in the observation group were significantly shorter than those in the control group(P<0.01).The effective rate of the observation group was 92.00%(69/75),which was significantly better than 82.67%(62/75)of the control group(P<0.01).Conclusions:The special nursing based on childlike design of children's medical space can have a positive impact on children with mycoplasma pneumonia during compression atomization inhalation,promote the improvement of pulmonary function,improve the compliance of atomization inhalation,shorten the time of symptom relief,and improve the clinical treatment effect,which is worthy of clinical application.