四位一体口腔护理模式在门诊婴幼儿雾化吸入治疗中的作用  

Application of the quaternity oral care model in outpatient infants with budesonide inhalation

作　　者：吴海英[1] 贾丽华[2] 宋亚军[2] 崔飞飞[1] Wu Haiying Jia Lihua Song Yajun Cui Feifei(Department of Nursing, the Affiliated Dongyang People＇s Hospital of Wenzhou Medical University, Dongyang 322100, China)

机构地区：[1]温州医科大学附属东阳医院护理部,322100 [2]温州医科大学附属东阳医院门诊输液科室,322100

出　　处：《中国实用护理杂志》2017年第4期296-298,共3页Chinese Journal of Practical Nursing

摘　　要：目的 探讨四位一体口腔护理模式对门诊婴幼儿雾化治疗依从性及口咽喉部并发症的干预效果.方法 将480例使用布地奈德悬浮液雾化治疗反应性呼吸道疾病患儿,按照随机数字表法分为对照组220例和观察组260例.对照组给予常规护理,观察组采用四位一体口腔护理模式进行干预,观察2组患儿对雾化治疗的依从性及口腔咽喉部并发症的发生情况.结果 观察组患儿雾化治疗的依从率为79.2%（206/260）,明显高于对照组的58.6%（129/220）,2组比较差异有统计学意义（χ2=23.97,P〈0.01）;对照组口腔疱疹及溃疡发生率为2.73%（6/220）,观察组为0.77%（2/260）,2组比较差异无统计学意义（χ2=2.79,P〉0.05）.对照组鹅口疮发生率为3.64%（8/220）,观察组为0,2组比较差异有统计学意义（χ2=9.62,P〈0.01）.结论 采用四位一体口腔护理模式进行干预,可明显提高婴幼儿对雾化吸入的依从性,同时可显著降低布地奈德导致口咽部并发症.Objective To discuss the intervention effect of four oral care model on compliance of atomizing inhalation and mouth and throat complications in outpatient infants and young children patients. Methods A total of 480 cases of children patients using budesonide inhalation for the treatment of respiratory tract infection were divided into the observation group（n=260）and the control group （n=220） according to the time sequence. The control group received conventional nursing, the observation group used quaternity oral care model in nursing care. The compliance and occurrence of complications in the mouth and throat were observed between the two groups. Results In the observation group with nebulae inhalation compliance was 79.2% （206/260）, evidently higher than that in the control group the compliance of 58.6%（129/220） （χ2=23.97,P〈0.01）. The incidence of oral herpes and ulcers in the control group was 2.73%（6/220）, and 0.77%（2/260） in the observation group, but no significant difference was seen （χ2=2.79, P〉0.05）. The incidence of thrushes was 3.64%（8/220） in the control group, and none occurred in the observation group, which showed significant difference （χ2=9.62, P〈0.01）. Conclusions Using quaternity oral care model in corticosteroid nebulae inhalation patientscan increase compliance and decreasecomplications of oral and throat of outpatient children.

关 键 词：四位一体口腔护理模式 雾化吸入糖皮质激素 门诊婴幼儿 

分 类 号：R473.72[医药卫生—护理学]