个性化护理对重症肺炎患儿呼吸功能及康复效果的影响

Effect of personalized nursing on respiratory function and rehabilitation efficacy in children with severe pneumonia

目的 探讨个性化护理对重症肺炎患儿呼吸功能及康复效果的影响。方法回顾性分析郑州大学附属儿童医院2020年1月—2022年1月收治的92例重症肺炎患儿的临床资料,将2020年1月—2021年5月实施常规护理的46例患儿作为对照组,将2021年6月—2022年1月实施个性化护理干预的46例患儿作为观察组。比较2组患儿临床症状持续时间、肺功能改善情况、治疗不适度以及家属护理满意情况。结果 观察组患儿咳嗽、气促、心率异常及哮鸣音持续时间均短于对照组,差异有统计学意义(P<0.05)。观察组患儿呼吸频率(RR)、每公斤潮气量(VT/kg)、峰值流速(PTEF)、达峰时间比(t PTEF/t E)以及达峰容积比(v PTEF/v E)等指标均优于对照组,差异均有统计学意义(P<0.05)。观察组患儿行为评估量表(FLACC)评分为(2.54±0.74)分,低于对照组的(4.32±0.96)分,差异有统计学意义(t=9.960,P<0.001)。观察组患儿家属护理满意度评分为(43.52±2.97)分,高于对照组的(35.68±3.01)分,差异有统计学意义(t=12.574,P<0.001)。结论 个性化护理有助于改善重症肺炎患儿临床症状及肺功能,减轻患儿治疗不适度,提高家属护理满意度。

Objective To explore the effect of personalized nursing on respiratory function and rehabilitation efficacy in children with severe pneumonia.Methods From January 2020 to January 2022,the clinical data of 92 children with severe pneumonia admitted to Children’s Hospital Affiliated of Zhengzhou University were analyzed retrospectively.Forty-six children who received routine nursing from January 2020 to May 2021 were selected as the control group,and 46 children who received personalized nursing intervention from June 2021 to January 2022 were selected as the observation group.The duration of clinical symptoms,improvement of pulmonary function,treatment discomfort,and family nursing satisfaction were compared between the two groups.Results The duration of cough,shortness of breath,abnormal heart rate,and wheezing in the observation group were significantly shorter than those in the control group(P<0.05).The respiratory rate(RR),tidal volume per kilogram(VT/kg),peak tidal expiratory flow(PTEF),rate of time to reach peak tidal expiratory flow(tPTEF/tE),and ratio of volume until peak tidal expiratory flow to total expiratory volume(vPTEF/vE) in the observation group were significantly superior to those in the control group(P<0.05).The Face,Legs,Activity,Cry,Consolability scale(FLACC) score of the observation group was 2.54±0.74,which was significantly lower than that(4.32±0.96) of the control group(t=9.960,P<0.001).The nursing satisfaction score of family members in the observation group was43.52±2.97,which was significantly higher than that(35.68±3.01) in the control group(t=12.574,P<0.001).Conclusion Personalized nursing is helpful to improve the clinical symptoms and pulmonary function of children with severe pneumonia,reduce the treatment discomfort,and increase the nursing satisfaction of family members.