精细化护理在小儿电子支气管镜术中的应用效果观察

Observation of the Application Effect of Fine Nursing in Pediatric Electronic Bronchoscopy

目的 分析在小儿电子支气管镜术中采取精细化护理管理的应用价值。方法 将2023年1月至2023年12月厦门大学附属中山医院儿科收治的需行电子支气管镜的患儿作为观察对象,共120例,以随机数字表法分组,观察组60例患儿选择精细化护理,对照组60例患儿采取常规护理,比较两组患儿护理后家属对护理的满意度、恢复时间(体温正常、咳嗽消失、住院时间),观察两组患儿护理前后炎症状态[C-反应蛋白(CRP)、白介素-6(IL-6)、降钙素原(PCT)]水平、情绪状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)]。结果 两组患儿护理后,观察组护理满意度更高,体温正常时间、咳嗽消失时间、住院时间更短(P <0.05);两组患儿护理前比较CRP、IL-6、PCT水平对比差异无统计学意义(P> 0.05),观察组与对照组护理后比较上述指标可见,前者改善较后者更明显(P <0.05);两组患儿护理前比较SAS、SDS评分对比差异无统计学意义(P> 0.05),观察组与对照组护理后比较上述指标可见,前者改善较后者更明显(P <0.05)。结论 在行电子支气管镜术的小儿护理中采取精细化护理技术可提高技术对护理的满意度,缓解患儿不良情绪,使其积极配合,提高护理效果。

Objective To analyze the application value of adopting refined nursing management in pediatric electronic bronchoscopy surgery.Methods A total of 120 pediatric patients who require electronic bronchoscopy admitted to the pediatric department of the hospital from March 1,2023 to December 2,2023 were selected as the observation objects.They were randomly divided into two groups using a random number table method.The observation group consisted of 60 children who received refined nursing care,while the control group consisted of 60 children who received routine nursing care.The satisfaction and recovery time(normal body temperature,disappearance of cough,and length of hospital stay)of the family members of the two groups of children with nursing care were compared,Observe the levels of inflammatory status[C-reactive protein(CRP),interleukin-6(IL-6),procalcitonin(PCT)],and emotional status[Self Rating Anxiety Scale(SAS),Self Rating Depression Scale(SDS)]before and after nursing care in two groups of children.Results After nursing the two groups of children,the observation group showed higher satisfaction with nursing,shorter time for normal body temperature,disappearance of cough,and hospitalization,with statistical significance(P<0.05);There was no significant difference in CRP,IL-6,and PCT levels between the two groups of children before nursing care(P>0.05).However,after nursing care,the above indicators were compared between the observation group and the control group.The former showed more significant improvement than the latter,and the comparison was statistically significant(P<0.05);There was no significant difference in SAS and SDS scores between the two groups of children before nursing care(P>0.05).However,after nursing care,the above indicators were compared between the observation group and the control group.The former showed more significant improvement than the latter,and the comparison was statistically significant(P<0.05).Conclusions Adopting refined nursing techniques in the care of children undergoing electronic bronchoscopy can improve the satisfaction of the technology with nursing,alleviate the negative emotions of the children,encourage their active cooperation,and improve nursing effectiveness.