首页|基于临床路径的优质护理对支气管肺炎患儿体征、肺功能改善情况及家属满意度的影响

基于临床路径的优质护理对支气管肺炎患儿体征、肺功能改善情况及家属满意度的影响

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目的 观察基于临床路径的优质护理对支气管肺炎患儿体征、肺功能改善情况及家属满意度的影响。方法 将 2020 年 1 月至 2021 年 6 月于我院接受住院治疗的 90 例支气管肺炎患儿按随机数字表法分为对照组和观察组,各45 例。对照组实施常规护理,观察组采用基于临床路径的优质护理。比较两组的护理效果,体征、肺功能改善情况及家属满意度。结果 观察组的护理总有效率明显高于对照组(P<0。05)。观察组的咳嗽、发热、肺部啰音、肺部病灶消失时间及住院时间均短于对照组(P<0。05)。护理后,两组的用力肺活量(FVC)、第1秒用力呼气容积(FEV1)、FEV1/FVC、呼气峰值流速(PEF)均升高,且观察组高于对照组(P<0。05)。观察组的感知护理服务质量量表(PNSQ)各项(医疗环境、健康教育、服务态度及操作水平)评分均高于对照组(P<0。05)。结论 基于临床路径的优质护理可提高疗效,促进支气管肺炎患儿体征改善,还可提高患儿肺功能及家属满意度,值得临床选用。
Effects of high quality nursing based on clinical pathway on signs,pulmonary function improvement and family satisfaction of children with bronchopneumonia
Objective To observe the effects of high quality nursing based on clinical pathway on signs,pulmonary function improvement and family satisfaction of children with bronchopneumonia.Methods A total of 90 children with bronchopneumonia who were hospitalized in our hospital from January 2020 to June 2021 were divided into control group and observation group according to random number table method,with 45 cases in each group.The control group was given routine nursing,and the observation group was given high quality nursing based on clinical pathway.The nursing effect,signs and pulmonary function improvement and family satisfaction were compared between the two groups.Results The total effective rate of nursing in the observation group was significantly higher than that in the control group(P<0.05).The disappearance time of cough,fever,pulmonary rales,pulmonary lesions and hospitalization time in the observation group were shorter than those in the control group(P<0.05).After nursing,the forced vital capacity(FVC),forced expiratory volume in the first second(FEV1),FEV1/FVC and peak expiratory flow(PEF)in the two groups increased,and those in the observation group were higher than the control group(P<0.05).The scores of each item of Perceived Nursing Service Quality Scale(PNSQ)(medical environment,health education,service attitude and operation level)in the observation group were higher than those in the control group(P<0.05).Conclusion High quality nursing based on clinical pathway can improve the curative effect,promote the improvement of signs in children with bronchopneumonia,and improve the pulmonary function and family satisfaction of children,which is worthy of clinical selection.

bronchopneumoniaclinical pathwayhigh quality nursingclinical signspulmonary functionfamily satisfaction

井晶、张娜、叶宝妮、王秋爽

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铜川市人民医院,陕西 铜川,727000

支气管肺炎 临床路径 优质护理 临床体征 肺功能 家属满意度

中华国际科学交流基金会项目

Z2019LSXB006

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(8)
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