层级链式护理对肺炎患儿雾化吸入依从性、睡眠质量及症状改善的影响

Effects of Hierarchical Chain Nursing on Compliance,Sleep Quality and Symptom Improvement of Aerosol Inhala⁃tion in Children with Pneumonia

目的:探讨肺炎患儿采用层级链式护理对雾化吸入依从性、睡眠质量及症状改善的影响。方法:选取2021年3月-2020年7月萍乡市上栗县妇幼保健院收治的86例肺炎患儿作为研究对象,按照随机数表法分成干预组(n=43)与对照组(n=43)。对照组给予常规护理,干预组给予层级链式护理,对比两组患儿雾化吸入依从性、睡眠质量、症状改善及生活质量。结果:干预组雾化吸入依从性高于对照组,差异有统计学意义(χ^(2)=5.108,P<0.05);干预后,两组患儿匹兹堡睡眠质量指数量表(PSQI)评分均降低,干预组低于对照组,差异有统计学意义(t=8.720,P<0.05);干预后,两组患儿症状(发热、咳嗽、肺部啰音)评分均降低,干预组低于对照组,差异有统计学意义(t=7.325、4.895、5.763,P<0.05);干预后,两组患儿生存质量普适性核心量表(PedsQL4.0)评分均提高,干预组高于对照组,差异有统计学意义(t=7.037,P<0.05)。结论:层级链式护理应用于肺炎患儿干预中,能够提高其雾化吸入依从性,改善其睡眠质量,促进症状缓解,提高生活质量。

Objective:To explore the effect of hierarchical chain nursing on compliance,sleep quality and symptom improvement of aerosol inhalation in children with pneumonia.Methods:A total of 86 children with pneumonia who were admitted in the hospital from March 2021 to July 2020 were selected,and by random number table method,they were divided into the intervention group(n=43)and the control group(n=43).The control group was given routine nursing,and the intervention group was given hierarchical chain nursing.The compliance,sleep quality,symptom improvement and quality of life of the two groups were compared.Results:In comparison of the control group,the compliance of aerosol inhalation in the intervention group was higher(χ^(2)=5.108,P<0.05).After intervention,the scores of PSQI in both groups were decreased,with statistically significant difference(t=8.720,P<0.05).After intervention,the scores of symptoms(fever,cough and lung rale)in both groups decreased,and the scores in the intervention group were lower(t=7.325,4.895,5.763;P<0.05).After intervention,the scores of PedsQL4.0 in both groups increased,and in comparison of the control group,the scores in the intervention group were higher(t=7.037,P<0.05).Conclusion:The application of hierarchical chain nursing in the intervention of children with pneumonia can improve their compliance with aerosol inhalation,their sleep quality,symptom relief and their quality of life.