层级链式护理在毛细支气管炎患儿中的应用效果

Application effects of hierarchical chain nursing in children with bronchiolitis

目的:观察层级链式护理在毛细支气管炎患儿中的应用效果。方法:选取2019年6月至2021年6月该院收治的97例毛细支气管炎患儿进行前瞻性研究,依据随机数字表法将其分为对照组48例与研究组49例。两组均给予常规治疗,在此基础上,对照组行常规护理,研究组行层级链式护理,比较两组依从率、护理质量、护理前后家长健康知识掌握度评分和护理满意度。结果:研究组依从率为91.63%(40/49),高于对照组的62.50%(30/48),差异有统计学意义(P<0.05);研究组责任心、健康宣教、病房环境、服务态度、心理干预、技能护理等护理质量评分均高于对照组,差异有统计学意义(P<0.05);护理后,两组家长健康知识掌握度评分均高于护理前,且研究组高于对照组,差异有统计学意义(P<0.05);研究组家长护理满意度为97.96%(48/49),高于对照组的83.33%(40/48),差异有统计学意义(P<0.05)。结论:层级链式护理应用于毛细支气管炎患儿可提高依从率、护理质量评分、家长健康知识认知度评分和家长护理满意度,效果优于常规护理。

Objective:To observe application effects of hierarchical chain nursing in children with bronchiolitis.Methods:A prospective study was conducted on 97 children with bronchiolitis admitted to the hospital from June 2019 to June 2021.According to the random number table method,they were divided into control group(48 cases)and study group(49 cases).Both groups were given routine treatment.On this basis,the control group received routine nursing,while the study group received the hierarchical chain nursing.The compliance rate,the nursing quality,the parents’health knowledge mastery,and the nursing satisfaction were compared between the two groups before and after the nursing.Results:The compliance rate of the study group was 91.63%(40/49),which was higher than 62.50%(30/48)of the control group,and the difference was statistically significant(P<0.05).The scores of nursing quality such as responsibility,health education,ward environment,service attitude,psychological intervention and skill nursing in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the scores of parents’health knowledge mastery in the two groups were higher than those before the nursing,those in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).Further,the nursing satisfaction of parents in the study group was 97.96%(48/49),which was higher than 83.33%(40/48)in the control group,and the difference was statistically significant(P<0.05).Conclusions:The hierarchical chain nursing program in the children with bronchiolitis can improve the treatment compliance rate,the nursing quality scores,the parents’health knowledge awareness score and the parents’nursing satisfaction.Moreover,it is superior to the routine nursing.