首页|童趣+舒适+精细护理路径干预在支气管肺炎患儿雾化吸入中的效果观察

童趣+舒适+精细护理路径干预在支气管肺炎患儿雾化吸入中的效果观察

扫码查看
目的 探讨童趣+舒适+精细护理路径干预对支气管肺炎患儿雾化吸入治疗依从性、舒适度及病情转归的影响.方法 选取医院2022年6-12月收治的支气管肺炎患儿96例以及患儿父母96例为研究对象,按照组间基线资料均衡可比的原则将患儿分为观察组和对照组,观察组49例患儿给予童趣+舒适+精细护理路径干预,对照组47例患儿行常规护理干预(常规雾化吸入、用药指导、饮食指导等).采用治疗依从性调查问卷和舒适状况量表(GCQ)评价并比较两组患儿的治疗依从性、舒适度;比较两组患儿症状缓解时间(发热、咳嗽、气促、哮鸣音);采用汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)评价患儿父母心理状况.结果 干预后,观察组患儿合理饮食、遵医用药、配合程度、健康行为维度评分高于对照组,差异有统计学意义(P<0.05);观察组患儿GCQ量表生理、心理、精神、社会文化和环境维度评分均高于对照组,差异有统计学意义(P<0.05);观察组患儿发热、咳嗽、气促、哮鸣音症状缓解时间短于对照组,差异有统计学意义(P<0.05);观察组父母的HAMD、HAMA评分低于对照组,差异有统计学意义(P<0.05).结论 童趣+舒适+精细护理路径干预不仅可有效提高患儿雾化治疗的舒适度,使患儿形成良好的治疗依从性,也可促进患儿发热、咳嗽、气促、哮鸣音等症状的恢复,改善患儿父母心理状态.
Observation on the effect of childlike,comfort,and fine nursing pathway intervention in nebulized inhalation therapy for children with bronchopneumonia
Objective To explore the impact of childlike,comfort,and fine nursing pathway intervention on compliance,comfort,and clinical outcomes of nebulized inhalation therapy in children with bronchopneumonia.Methods A total of 96 children with bronchopneumonia admitted to the hospital from June to December 2022,along with their parents,were selected.The patients were divided into an observation group and a control group following the principle of balanced and comparable baseline data between groups.In the observation group,49 children received childlike,comfort,and fine nursing pathway intervention,while 47 children in the control group received routine nursing intervention(including conventional nebulization,medication guidance,and dietary guidance,etc.).The treatment adherence questionnaire and General Comfort Questionnaire(GCQ)were used to evaluate and compare the treatment compliance and comfort levels between the two groups;the time of symptom relief(fever,cough,shortness of breath,wheezing sound)was compared between the two groups;and the psychological status of the children's parents was evaluated using the Hamilton Depression Scale(HAMD)and Hamilton Anxiety Scale(HAMA)scales.Results The scores of reasonable diet,medication adherence,cooperation,and health behavior among children in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).The GCQ scale scores of children in the observation group surpassed those of the control group across physical,psychological,spiritual,socio-cultural and environmental dimensions,the differences were statistically significant(P<0.05).The observation group experienced a shorter time to symptom relief for fever,cough,shortness of breath,and wheezing sound compared to the control group,the differences were statistically significant(P<0.05).The HAMD and HAMA scores of parents in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion The childlike,comfort,and fine nursing pathway intervention can not only effectively improve the comfort of children with nebulization therapy and enable patients to form good treatment compliance,but also promote the recovery of symptoms such as fever,cough,shortness of breath and wheezing sound,and improve the psychological state of their parents.

Childlike nursingComfort nursingFine nursingBronchopneumoniaNebulized inhalation

宋婷婷、向明丽、苏淑芳、麻彦、徐岩

展开 >

郑州大学第一附属医院(河南省郑州市,450000)

童趣护理 舒适护理 精细护理 支气管肺炎 雾化吸入

河南省卫生健康委医学科技攻关计划省部共建项目

SBGJ202102106

2024

护理实践与研究
河北省儿童医院

护理实践与研究

影响因子:1.354
ISSN:1672-9676
年,卷(期):2024.21(5)
  • 28