优质护理对小儿哮喘雾化治疗效果及依从性的影响  

Effect of High-quality Nursing on Nebulization Treatment Effect and Compliance in Children with Asthma

作　　者：王芳[1] 石云[1] Wang Fang;Shi Yun(Department of Pediatrics,Heji Hospital Affiliated to Changzhi Medical College)

机构地区：[1]长治医学院附属和济医院儿科,046000

出　　处：《长治医学院学报》2020年第1期68-72,共5页Journal of Changzhi Medical College

摘　　要：目的:探讨优质护理干预对小儿哮喘雾化吸入治疗效果及依从性的影响。方法:选取130例哮喘急性发作患儿,随机分为对照组和观察组,每组各65例。2组患儿均采用氧气雾化吸入法进行治疗。对照组给予常规护理,观察组实施优质护理,观察2组患儿临床症状缓解时间及肺功能指标变化情况;评价2组患儿治疗依从性、临床疗效及家长对护理质量的评价;随访2组患儿治疗后6个月哮喘急性发作次数。结果:观察组患儿治疗后呼吸困难、咳嗽、喘息等临床症状缓解时间明显快于对照组(P<0.05),用力肺活量(PVC)、第1秒用力呼气容积(FEV_1)和最大呼气流量(PEF)检测指标明显高于对照组(P<0.05);观察组患儿治疗依从性(92.31%vs 69.23%)、临床治疗总有效率(95.38%vs 80.00%)及家长对护理质量满意率(93.85%vs 81.54%)均明显优于对照组,差异有统计学意义(P<0.05);治疗后6个月观察组哮喘急性发作次数(2.41±0.74)次,明显少于对照组(4.25±0.56)次,差异有统计学意义(P<0.05)。结论:对雾化吸入治疗小儿哮喘提供优质护理干预,可有效提高患儿治疗依从性和临床治疗效果,缓解哮喘症状,改善肺功能指标,减少哮喘急性发作。Objective:To explore the effect of high-quality nursing intervention on the effect and compliance of nebulized inhalation in children with asthma.Methods:A total of 130 children with acute exacerbation of asthma were randomly divided into control group and observation group,with 65 cases in each group.Children in both groups were treated with oxygen nebulization.The control group was given routine care while the observation group was given high-quality care.The clinical symptom relief time and lung function indicators(forced vital capacity,forced expiratory volume in the first second,and maximum expiratory flow)in the two groups were observed.The treatment compliance,clinical efficacy,and parents evaluation of the quality of care were evaluated in the two groups.The number of acute asthma attacks in the two groups was followed up 6 months after treatment.Results:Patients in the observation group had significantly faster relief of clinical symptoms such as dyspnea,cough and wheezing after treatment than those in the control group(P<0.05),and three indicators of pulmonary function were significantly higher than those in the control group(P<0.05).Observation group children s treatment compliance(92.31%),total effective rate of clinical treatment(95.38%)and parents satisfaction rate of care quality(93.85%)were significantly better than the control group(69.23%,80.00%,81.54%),and the difference was statistically significant(P<0.05).The number of acute asthma attacks in the observation group(2.41±0.74)at 6 months after treatment was less than that in the control group(4.25±0.56),with significant statistical differences(P<0.05).Conclusion:Providing high-quality nursing intervention for nebulized inhalation to treat pediatric asthma can effectively improve children s treatment compliance and clinical treatment effect,relieve asthma symptoms,improve pulmonary function indicators,and reduce acute asthma attacks.

关 键 词：优质护理干预 小儿哮喘 雾化吸入 治疗依从性 

分 类 号：R473[医药卫生—护理学]