持续气道正压通气治疗重症毛细支气管炎依从性的影响因素  

Compliance Influence Factors Analysis of Continuous Positive Airway Pressure Treatment with Severe Capillary Bronchitis

作　　者：梁丹 赵智华[1] 周鑫[1] 张韵[1] 黄英[1] 尹丽娟[1] 彭东红[1] 

机构地区：[1]重庆医科大学附属儿童医院,重庆400014

出　　处：《儿科药学杂志》2018年第2期12-15,共4页Journal of Pediatric Pharmacy

基　　金：2013-2014年度国家临床重点专科建设项目(临床护理);国卫办医涵[2013]544号

摘　　要：目的:探讨持续气道正压通气治疗重症毛细支管炎的依从性,分析相关影响因素。方法:回顾性分析2015年12月至2016年5月我院收治的毛细支气管炎患儿40例,其中符合重症毛细支气管炎诊断标准的34例患儿均行持续气道正压通气治疗,评价34例患儿治疗的依从性,收集相关暴露因素,并进行统计分析。结果:34例患儿治疗依从性为45.8%~98.3%(85.5%±4.3%)。单因素Logistic回归分析结果显示,痰液黏稠、照顾者紧张、呼吸机并发症是治疗依从性的不利因素(P<0.05);疾病严重程度轻、12 h及24 h治疗效果好、照顾者文化程度高、家庭经济状况好、照顾者对疾病和呼吸机治疗的认知度高是治疗依从性的有利因素(P<0.05)。多因素Logistic回归分析结果显示,照顾者紧张、痰液黏稠、呼吸机并发症是影响依从性的不利因素(P<0.05);疾病严重程度轻、照顾者对疾病和呼吸机治疗的认知度高、12 h及24 h治疗效果好是依从性的有利因素(P<0.05)。结论:重症毛细支气管炎患儿行持续气道正压通气治疗的依从性差,可以通过加强对患儿家属的健康教育、加强呼吸机并发症的护理预防以及和家属的积极沟通、及时吸痰缓解患儿的不适感,让患儿处于相对安静舒适的状态等护理方面的干预措施,提高患儿及家属的治疗依从性。Objective：To discuss the compliance of continuous positive airway pressure（CPAP） treatment in severe capillary bronchitis,collect and analyze the related factors influencing the curative effect.Methods：Retrospective analyze 40 cases of severe capillary bronchial in December 2015 to May 2016,34 children who met the inclusion criteria were given the standards of CPAP treatment,evaluated the treatment compliance and collected the related exposure factors.Results：The treatment compliance was 45.8%~98.3%（85.5%±4.3%）.The results of the single factor Logistic regression analysis showed that the viscosity of sputum,the intensity of the caregiver,and the complications of the ventilator were the adverse factors of the treatment compliance（P0.05）.Disease severity,treatment effects in 12 h and 24 h,caregiver＇s cultural degree,family economic condition,awareness of caregivers to disease and the treatment of breathing machine were the favorable factors of treatment compliance（P0.05）.The results of multifactor Logistic regression analysis showed that the severity of the disease,the intensity of the caregiver,the viscosity of sputum and the complications of the ventilator were the adverse factors affecting the compliance of the children（P0.05）.The severity of the disease,awareness of caregivers to disease and the treatment of breathing machine,treatment effects in 12 h and 24 h were the favorable factors of compliance（P0.05）.Conclusion：The compliance of severe capillary bronchitis children treat with continuous positive airway pressure is poor,we can strengthen the families of children with health education,prevention,and strengthening of the complications of breathing machine care and families of children with positive sputum suction and communication,timely relieve discomfort for children is in a state of relative quiet,comfortable and other nursing intervention measures can improve the treatment compliance of children and their families.

关 键 词：重症毛细支气管炎 持续正压通气 治疗依从性 影响因素分析 

分 类 号：R965.2[医药卫生—药理学]