细节管理对小儿肺炎护理效果及患儿肺功能的影响

Nursing Effect of Detail Management in Children with Pneumonia and the Influence of Lung Function

目的 研究细节管理用于小儿肺炎护理中,对护理效果及患儿肺功能的影响。方法 选取2020年1月-2022年2月在我院诊治的62例小儿肺炎患儿为研究对象,采用随机数字表法分为对照组和观察组,各组31例。对照组采用常规护理,观察组在对照组基础上联合应用细节管理,比较两组患儿肺功能指标[第1秒用力呼气容积(FEV_(1))、用力肺活量(FVC)、呼气峰值流速(PEF)]、临床症状(咳嗽、发热、气促、肺部湿啰音)缓解时间、血气指标[脉血二氧化碳分压(PaCO_(2))、动脉血氧饱和度(SaO_(2))、动脉血氧分压(PaO_(2))以及护理满意度。结果 两组护理后FEV_(1)、FVC、PEF均大于护理前,且观察组大于对照组(P<0.05);观察组咳嗽、发热、气促、肺部湿啰音缓解时间均短于对照组(P<0.05);两组护理后PaCO_(2)低于护理前,SaO_(2)、PaO_(2)均高于护理前,且观察组PaCO_(2)低于对照组,SaO_(2)、PaO_(2)均高于对照组(P<0.05);观察组健康教育、治疗性护理、服务态度、心理护理各维度护理满意度评分均高于对照组(P<0.05)。结论 细节管理用于小儿肺炎护理具有确切的效果,可促进肺功能、血气指标改善,缩短临床症状缓解时间,提高护理满意度。

Objective To study the effect of detail management on nursing effect and lung function in children with pneumonia.Methods A total of 62 children with pneumonia diagnosed and treated in our hospital from January 2020 to February 2022 were selected as the research objects.They were divided into control group and observation group by random number table method,with 31 children in each group.The control group was given routine nursing,and the observation group was combined with detail management on the basis of the control group.The pulmonary function indexes[forced expiratory volume in 1 second(FEV_(1)),forced vital capacity(FVC),peak expiratory flow rate(PEF)],clinical symptoms(cough,fever,shortness of breath,lung wet rales)remission time,blood gas indexes[pulse blood carbon dioxide partial pressure(PaCO_(2)),arterial oxygen saturation(SaO_(2)),arterial oxygen partial pressure(PaO_(2))and nursing satisfaction were compared between the two groups.Results After nursing,FEV_(1),FVC and PEF in the two groups were higher than those before nursing,and those in the observation group were higher than the control group(P<0.05).The remission time of cough,fever,shortness of breath and lung moist rale in the observation group was shorter than that in the control group(P<0.05).After nursing,PaCO_(2) in the two groups was lower than that before nursing,SaO_(2) and PaO_(2) were higher than those before nursing,and PaCO_(2) in the observation group was lower than the control group,SaO_(2) and PaO_(2) were higher than the control group(P<0.05).The nursing satisfaction scores of health education,therapeutic nursing,service attitude and psychological nursing in the observation group were higher than those in the control group(P<0.05).Conclusion Detail management has a definite effect on pediatric pneumonia nursing,which can promote the improvement of lung function and blood gas index,shorten the remission time of clinical symptoms and improve nursing satisfaction.