家属参与共治原则对急性支气管炎患儿临床症状改善的影响

Influence of principle of co-governance with family members’participation on clinical symptom improvement in children with acute bronchitis

目的研究家属参与共治原则对急性支气管炎患儿临床症状改善和护理满意度的影响。方法选取2022年在我院进行治疗的急性支气管炎患儿80例为研究对象,以随机数字表法分为观察组(常规护理联合家属参与共治原则干预)及对照组(常规护理),每组40例,比较2组患儿的临床症状改善情况、肺功能指标[用力肺活量(FVC)、第1秒用力呼气容积(FEV_(1))及呼气流量峰值(PEF)]、治疗依从性、护理满意度及生活质量[儿童生存质量测定量表(PedsQL4.0)]。结果干预后,观察组患儿喘憋、发热、肺部湿啰音及咳嗽症状消失时间以及住院时间均较对照组短(P<0.05)。干预后,2组患儿FVC、FEV_(1)、PEF均升高,且观察组较对照组高(P<0.05)。干预后,2组患儿总依从率均升高,且观察组较对照组高(P<0.05)。干预后,观察组患儿家属护理满意度较对照组高(P<0.05)。干预后,2组患儿PedsQL4.0评分均升高,且观察组较对照组高(P<0.05)。结论采用家属参与共治原则可促进急性支气管炎患儿临床症状的改善,同时改善其肺功能,提高其治疗依从性、护理满意度及生活质量。

Objective To study the influence of principle of co-governance with family members’participation on the clinical symptom improvement and nursing satisfaction in children with acute bronchitis.Methods Eighty children with acute bronchitis visited our hospital from January 2022 to December 2022 were enrolled in the study.They were assigned into observation group(n=40,routine nursing combined with principle of co-governance with family members’participation)and control group(n=40,routine nursing)by a random number table.The improvement status of clinical symptoms,lung function indicators(including forced vital capacity[FVC],forced expiratory volume in one second[FEV_(1)],peak expiratory flow[PEF]),treatment compliance,nursing satisfaction and Pediatric Quality of Life Inventory 4.0(PedsQL4.0)were compared between groups.Results After intervention,the disappearance time of symptoms(wheezing,fever,lung wet rales and cough),and hospitalization time in observation group were significantly shorter than those in control group(P<0.05).While,the levels of FVC,FEV_(1)and PEF in both groups were significantly increased after intervention,and the increases in observation group were more common relative to the control group(P<0.05).After intervention,the total compliance rate in the two groups was significantly elevated,and the elevation was more pronounced in observation group compared to the control group(P<0.05).After intervention,the nursing satisfaction of family members in observation group was significantly higher than that of control group(P<0.05).After intervention,the PedsQL4.0 scores in the two groups were significantly increased,and the observation group was superior to the control group for the PedsQL4.0 scores(P<0.05).Conclusion The principle of co-governance with family members’participation can promote the status of clinical symptoms in children with acute bronchitis,improve the lung function,and enhance the treatment compliance,nursing satisfaction,and quality of life.