摘要
目的:探讨前馈控制法联合家庭成员参与情景游戏干预对支气管肺炎患儿雾化吸入治疗规范性及依从性的影响,为临床护理提供依据.方法:选取2021年2月—2022年5月萍乡市第三人民医院收治的74例支气管肺炎患儿作为研究对象,采用随机数表法将其分为对照组和联合组,每组各37例.对照组患儿采用常规护理干预,联合组患儿在常规护理基础上实施前馈控制法联合家庭成员参与情景游戏干预.比较两组患儿治疗规范性、治疗依从性、临床指标变化、疾病认知度及护理满意度情况.结果:联合组患儿治疗吸入动作正确及残余药量＜0.30 mL例数均明显高于对照组,差异有统计学意义(x2=4.385、4.163,P＜0.05).联合组患儿治疗依从性优良率明显高于对照组,差异有统计学意义(x2=5.103,P＜0.05).联合组患儿喘息消失时间、咳嗽消失时间、体温恢复正常时间、哮鸣音消失时间、住院时间均明显短于对照组,差异有统计学意义(t=2.164、2.137、2.381、3.157、2.648,P＜0.05).联合组患儿家属疾病诱因、疾病预防、生活方式、药物知识、自我护理维度评分均明显高于对照组,差异有统计学意义(t=3.048、3.778、3.312、5.045、6.774,P＜0.05).联合组患儿家属服务态度、健康教育、心理干预、操作水准维度评分及总体护理工作评分均明显高于对照组,差异有统计学意义(t=12.521、5.156、3.212、7.214、3.025,P＜0.05).结论:前馈控制法联合家庭成员参与情景游戏干预能够明显提升支气管肺炎患儿雾化吸入治疗规范性及依从性,改善患儿临床指标,提高患儿家属疾病认知度和护理满意度.
Abstract
Objective:To probe into the influence of feed-forward control method combined with family members participating in scene game intervention on the standardization and compliance of children with bronchopneumonia treated by atomization inhalation,so as to provide basis for clinical nursing.Methods:A total of 74 children with bronchopneumonia admitted to Respiratory Department of the Third People's Hospital of Pingxiang Province from February 2021 to May were collected,with 37 cases in each group.The control group was given routine nursing intervention,and the combined group was given feed-forward control method based on routine nursing.The treatment standardization,treatment compliance,clinical index change,disease cognition and nursing satisfaction were compared between the two groups.Results:The number of patients with correct inhalation action and residual dose of＜0.30 mL in the combined group was significantly higher than that in the control group(x2=4.385,4.163;P＜0.05).The compliance rate of the combined group was significantly higher than that of the control group(x2=5.103,P＜0.05).The disappearance time of wheeze,cough,temperature,wheeze and hospitalization in the combined group were significantly shorter than those in the control group,and the difference was statistically significant(t=2.164,2.137,2.381,3.157,2.648;P＜0.05).The scores of disease inducement,disease prevention,life style,drug knowledge and self-care of family members in the combined group were significantly higher than those in the control group,and the difference was statistically significant(t=3.048,3.778,3.312,5.045,6.774;P＜0.05).The scores of service attitude,health education,psychological intervention,operation level and total nursing work in the combined group were significantly higher than those in the control group,and the difference was significant(t=12.521,5.156,3.212,7.214,3.025;P＜0.05).Conclusion:The feed-forward control method combined with family members participating in scene game intervention can obviously improve the standardization and compliance of nebulized inhalation therapy in children with bronchopneumonia,and improve the clinical indexes of children with bronchopneumonia,to improve the disease cognition and nursing satisfaction of the family members of the patients.
维普
万方数据