气质维度在毛细支气管炎患儿护理中的应用  

Application of temperament dimensions in nursing care of children with capillary bronchitis

作　　者：刘洁琳 吴心琦[1] LIU Jielin;WU Xinqi(Department of the Second Internal Medicine,The Second Affiliated Hospital of Harbin Medical University,Heilongjiang,Harbin 150001,China)

机构地区：[1]哈尔滨医科大学附属第二医院儿内科,哈尔滨市150001

出　　处：《河北医药》2018年第21期3345-3348,共4页Hebei Medical Journal

基　　金：黑龙江省卫生厅课题项目(编号:2007-353)

摘　　要：目的研究气质维度在护理干预毛细支气管炎患儿中的临床应用价值。方法选取2014年2月至2016年2月收治的毛细支气管炎患儿84例,采用随机数字法将患儿分为对照组和观察组,每组42例。对照组患儿给予常规护理干预,观察组患儿给予临床护理路径(CNP)干预,比较2组患儿临床效果,同时比较护理后2组患儿气质分型和各气质维度评分差异。结果观察组患儿咳嗽消失时间、喘憋消失时间、肺部哮鸣音消失时间及住院时间均明显低于对照组(P <0. 05),治愈率明显高于对照组(P <0. 05)。观察组患儿中间偏易养型比例明显高于对照组(P <0. 05),间偏难养型比例明显低于对照组(P <0. 05)。观察组患儿的反应强度、节律性及反应阈评分均明显低于对照组(P <0. 05),活动水平和坚持度评分均明显高于对照组(P <0. 05)。结论采用临床护理路径干预毛细支气管炎患儿可明显提高患儿的各项气质维度的评分,同时患儿的各项临床症状均得到明显改善,同时还能加快疾病康复,极大提高了患儿的身心健康,同时气质维度也可作为毛细支气管炎患儿护理中的评价指标,具有较高的临床价值,值得广泛推广。Objective To study the clinical application value of temperament dimensions in nursing intervention in children with capillary bronchitis.Methods A total of 84 children patients with bronchiolitis who were treated in our hospital from February 2014 to February 2016 were enrolled in the study.All the patients were divided into observation group and control group according to random number table,with 42 cases in each group.The patients in control group were given routine nursing intervention,and those in experimental group were given clinical nursing pathway(CNP)intervention.The clinical effects as well as the differences in temperament classification and temperament dimension scores were observed and compared between the two groups after nursing.Results The disappearance time of cough,asthma and wheezing sound in the lungs,as well as duration of hospitalization in observation group were significantly shorter than those in control group(P<0.05),and the cure rate was significantly higher than that in control group(P<0.05).The proportion of intermediate-easy type in observation group was significantly higher than that in control group(P<0.05),and the proportion of intermediate-difficult type in observation group was significantly lower than that in control group(P<0.05).The response intensity,rhythmicity and response threshold scores in observation group were significantly lower than those in control group(P<0.05),and the activity levels and adherence score in observation group were significantly higher than those in control group(P<0.05).Conclusion CNP intervention in treatment of bronchiolitis in children can significantly improve the children’s temperament dimensions scores and clinical symptoms,and accelerate the recovery of the disease,at the same time,which can greatly improve the children's physical and mental health.Moreover temperament dimension can also be used as an evaluation index in the nursing of children with bronchiolitis.Therefore,it has a high clinical value and is worthy of popularization.

关 键 词：气质维度 毛细支气管炎患儿 临床护理路径 应用价值 

分 类 号：R473.5[医药卫生—护理学]