基于护理程序的综合护理干预结合改良沟通技巧对小儿肺炎患儿雾化吸入治疗哭闹抵抗行为及医疗恐惧情绪的影响
Effects of comprehensive nursing intervention based on nursing procedure combined with improved communication skills on crying resistance behavior and medical fear in children with pneumonia treated by atomization inhalation
刘延莉 1李妮 1白媛 2王惠琴3
作者信息
- 1. 延安市安塞区人民医院,陕西延安,717400
- 2. 延安大学附属医院,陕西延安,716000
- 3. 陕西中医药大学第二附属医院,陕西咸阳,712000
- 折叠
摘要
目的 探讨基于护理程序的综合护理干预结合改良沟通技巧对小儿肺炎患儿雾化吸入治疗哭闹抵抗行为及医疗恐惧情绪的影响.方法 选取2020年1月至2022年6月收治的120例行雾化吸入治疗的肺炎患儿,以抽签法将其分为对照组(常规护理)和观察组(常规护理+基于护理程序的综合护理干预结合改良沟通技巧),各60例.比较两组的干预效果.结果 观察组的声音、肢体动作、面部表情及可安慰度评分低于对照组(P＜0.05).干预后,观察组的儿童医疗恐惧调查量表(CMFS)各维度评分均低于对照组(P＜0.05).干预后,观察组的呼气峰流速(PEF)、功能残气量(FRC)及25％肺活量时用力呼气流速(FEF25％)均高于对照组(P＜0.05).结论 基于护理程序的综合护理干预结合改良沟通技巧可改善肺炎患儿雾化吸入治疗时的哭闹抵抗行为,缓解医疗恐惧情绪,提高雾化吸入治疗效果,值得推广.
Abstract
Objective To explore the effects of comprehensive nursing intervention based on nursing procedure combined with improved communication skills on crying resistance behavior and medical fear in children with pneumonia treated by atomization inhalation.Methods From January 2020 to June 2022,120 children with pneumonia treated by atomization inhalation were selected and divided into control group(routine nursing)and observation group(routine nursing+comprehensive nursing intervention based on nursing procedure combined with improved communication skills)by lottery method,with 60 cases in each group.The intervention effects of the two groups were compared.Results The scores of voice,limb movement,facial expression and comfortability in the observation group were lower than those in the control group(P＜0.05).After intervention,the scores of each dimension of the Child Medical Fear Scale(CMFS)in the observation group were lower than those in the control group(P＜0.05).After intervention,the peak expiratory flow(PEF),functional residual capacity(FRC)and forced expiratory flow at 25％(FEF25％)in the observation group were higher than those in the control group(P＜0.05).Conclusion Comprehensive nursing intervention based on nursing procedure combined with improved communication skills can improve the crying resistance behavior of children with pneumonia during atomization inhalation treatment,alleviate medical fear,and elevate the effect of atomization inhalation treatment,which is worthy of promotion.
关键词
护理程序/综合护理/改良沟通技巧/小儿肺炎/雾化吸入Key words
nursing procedure/comprehensive nursing/improved communication skill/pediatric pneumonia/atomization inhalation引用本文复制引用
基金项目
2020年陕西中医药大学第二附属医院学科创新团队项目(2020XKTD-C04)
出版年
2024
NETL
NSTL
万方数据