基于预警理念的照护策略对支原体肺炎患儿临床疗效及不良反应的影响探究  

Effect of early warning based care strategy on treatment efficacy and adverse reactions in children with mycoplasma pneumonia

作　　者：朱彩勤[1] 龚蕾[1] 刘莉娜[1] ZHU Caiqin;Gong Lei;LIU Lina

机构地区：[1]江苏省无锡市儿童医院输液室

出　　处：《当代护士（下旬刊）》2019年第9期1-4,共4页Modern Nurse

基　　金：南京医科大学科技发展基金项目(2013NJMU181)

摘　　要：目的 探究基于预警理念的照护策略对支原体肺炎患儿的临床疗效及不良反应的影响。方法 选取本院2015年6月—2016年5月收治的46例支原体肺炎患儿,设为对照组,实施传统的护理干预模式;选取本院2016年6月—2017年5月收治的48例支原体肺炎患儿,设为研究组,采取基于预警理念的照护策略。根据两组患者临床症状改善情况评价临床疗效,记录两组患儿临床症状消失时间,记录两组患儿并发症发生率,比较两组患儿护理满意度情况。结果 研究组患者的治疗有效率为97.6%,高于对照组的86.9%,差异有统计学意义(P<0.05)。研究组患者发热消失时间、咳嗽消失时间、肺罗音消失时间及住院时间均短于对照组,差异有统计学意义(P<0.05)。研究组心损伤、肾损伤、肝损伤、肺损伤及其他等并发症发生率均低于对照组,差异有统计学意义(P<0.05)。研究组护理满意度高于对照组,差异有统计学意义(P<0.05)。结论 对于肺炎支原体患儿而言,引入基于预警理念为导向的照护策略,能提高其临床疗效,且能降低不良事件发生率,值得在临床上做进一步推广。Objective To explore the effect of early warning based care strategy on the treatment efficacy and adverse reactions of children with mycoplasma pneumonia. Methods 46 cases of mycoplasma pneumonia from June 2015 to May 2016, served as the control group, the traditional mode of nursing intervention;48 cases of mycoplasma pneumonia were selected from June 2016 to May 2017, for the study group, carry out the care strategies based on the concept of early warning. According to the improvement of clinical symptoms of two groups of patients to evaluate the clinical efficacy, record the disappearance time of clinical symptoms in two groups, record the complication rate of two groups, and compare the degree of nursing satisfaction between the two groups. Results The clinical efficacy of the study group was 97.6%, higher than 86.9% of the control group, the difference was statistically significant ( P <0.05). The study group of patients with fever disappeared time, cough disappearance time, pulmonary rales disappeared time and hospitalization time were shorter than the control group, the difference was statistically significant ( P <0.05). The incidence of heart injury, kidney injury, liver injury, lung injury and other complications in the study group were lower than that in the control group, and the difference was statistically significant ( P <0.05). The nursing satisfaction of the study group was higher than that of the control group, the difference was statistically significant ( P <0.05). Conclusion For the children with Mycoplasma pneumoniae, the introduction of early warning oriented care strategy can improve the clinical efficacy and reduce the incidence of adverse events. It is worthy of further promotion in clinical practice.

关 键 词：支原体肺炎 预警理念 照护 临床疗效 不良反应 

分 类 号：R473.5[医药卫生—护理学] R473.72[医药卫生—临床医学]