全程精细化心理支持护理干预在行支气管镜术治疗肺炎患儿中的应用

Application on Whole-process Fine Psychological Support Nursing Intervention in Children with Pneumonia Undergoing Bronchoscopy Treatment

目的:探究全程精细化心理支持护理干预在行支气管镜术治疗肺炎患儿中的应用。方法:选取2020年6月-2021年12月宿迁市第一人民医院接收的122例行支气管镜术治疗的肺炎患儿,通过随机数字表法将其分为对照组和试验组,各61例。对照组实施常规心理护理干预,试验组实施全程精细化心理支持护理干预,观察两组患儿临床症状、恐惧、治疗依从性、护理满意度等情况。结果:试验组体温恢复时间、喘息消失时间、咳嗽消失时间、湿啰音消失时间及住院时间显著优于对照组,差异均有统计学意义(P<0.05)。干预1、3、7 d,试验组恐惧评分逐渐降低,且低于对照组,治疗依从性逐渐升高,且高于对照组,差异均有统计学意义(P<0.05)。试验组被接纳、信息获取、舒适度、获得支持及保证病情等家属满意度评分显著高于对照组,差异均有统计学意义(P<0.05)。结论:对行支气管镜术治疗肺炎患儿采取全程精细化心理支持护理干预,可改善患儿自身临床症状指标改善作用,纾解患儿不良心理情绪,提高临床治疗依从性。

Objective:To explore the effect of whole-process fine psychological support nursing intervention in children with pneumonia undergoing bronchoscopy treatment.Method:A total of 122 children with pneumonia undergoing bronchoscopy in Suqian First People’s Hospital from June 2020 to December 2021 were selected and they were divided into control group and experimental group by random number table method,with 61 cases in each group.The control group carried out routine psychological nursing intervention,the experimental group used the whole-process fine psychological support nursing intervention.Clinical symptoms,fear,treatment compliance,nursing satisfaction in the two groups were observed and analyzed.Result:The body temperature recovery time,wheezing disappearance time,cough disappearance time,wet rales disappearance time and hospital stay of the experimental group were significantly better than those of the control group,the differences were statistically significant(P<0.05).After 1,3 and 7 d of intervention,the fear scores of the experimental group were gradually decreased and lower than those of the control group,and the treatment compliance scores were gradually increased and higher than that of the control group,the differences were statistically significant(P<0.05).The family satisfaction scores of acceptance,information acquisition,comfort,support and condition assurance of the experimental group were significantly higher than those of the control group,the differences were statistically significant(P<0.05).Conclusion:For children with pneumonia treated by bronchoscopy,the whole-course fine psychological support nursing intervention can improve their own clinical symptoms,relieve adverse psychological emotions and improve clinical treatment compliance.