整体与局部相结合护理在小儿呼吸道感染中的应用  

Application of Integrated and Partial Nursing in Children with Respiratory Infection

作　　者：房秀娟 黄美娜 FANG Xiu-juan;HUANG Mei-na(Department of Respiratory Medicine,Fuzhou Children's Hospital,Fuzhou,Fujian Province,350000 China)

机构地区：[1]福州儿童医院呼吸内科一区,福建福州350000

出　　处：《中外医疗》2020年第33期124-126,136,共4页China & Foreign Medical Treatment

摘　　要：目的探究整体与局部相结合护理在小儿呼吸道感染中的应用效果。方法便利选取2018年4月—2019年4月于该院治疗的136例呼吸道感染患儿作为研究对象,依据随机数表法分成实验组和对照组各68例。两组均给予患儿局部护理,实验组在其基础上联合整体护理进行干预。观察护理前和护理7 d后两组患儿生命质量[欧洲五维健康量表-少年儿童版(EQ-5D-Y)、视觉模拟量表(EQ-VAS)]评分变化,比较护理期间两组患儿临床症状体征消失时间和依从性差异。结果护理7 d后,对照组患儿EQ-5D-Y和EQ-VAS评分分别为(0.76±0.19)分、(77.53±11.78)分,实验组分别为(0.84±0.15)分、(83.47±11.21)分,两组均较护理前显著升高,且实验组均明显高于对照组,差异有统计学意义(t=2.725、3.012,P<0.05)。护理期间,实验组发热、鼻塞、咳嗽及扁桃体充血症状消失时间分别为(1.22±0.45)d、(1.95±0.52)d、(1.91±0.66)d、(2.34±0.73)d,均短于对照组的(1.97±0.46)d、(2.70±0.58)d、(3.06±0.74)d、(3.97±0.85)d,差异有统计学意义(t=9.611、7.934、9.564、11.996,P<0.05);实验组患儿依从率97.06%(66/68)高于对照组的77.94%(53/68),差异有统计学意义(χ^2=11.361,P<0.05)。结论整体与局部相结合护理对呼吸道感染患儿进行干预可有效缓解临床症状,患儿生命质量和依从性随之提升。Objective To explore the application effects of holistic nursing combined withlocal nursing in respiratory tract infection in children.Methods A total of 136 children patients with respiratory tract infection admitted to the hospital from April 2018 to April 2019 were convenient selected as the study subjects.According to the random number table method,the patients were divided into experimental group and control group,with 68 cases in each group.The two groups were given local nursing,and experimental group was combined with holistic nursing intervention on this basis.The changes of quality of life[European quality of life 5-dimensions-children’s version(EQ-5D-Y),visual analogue scale(EQ-VAS)]were observed in the two groups before nursing and after 7 d of nursing.The disappearance times of clinical symptoms and signs and compliance during nursing were compared between the two groups.Results After 7 d of nursing,the scores of EQ-5D-Y and EQ-VAS were(0.76±0.19)points and(77.53±11.78)points in control group and were(0.84±0.15)points and(83.47±11.21)points in experimental group,and the two scores in the two groups were significantly increased compared with those before nursing,and the scores in experimental group were significantly higher than those in control group,the difference was statistically significant(t=2.725,3.012,P<0.05).During nursing,the disappearance times of fever,nasal congestion,cough and tonsil congestion were(1.22±0.45)d,(1.95±0.52)d,(1.91±0.66)d and(2.34±0.73)d in experimental group,which were significantly lower than those in control group with(1.97±0.46)d,(2.70±0.58)d,(3.06±0.74)d and(3.97±0.85)d,there were significant differences in indicators between the two groups(t=9.611,7.934,9.564,11.996,P<0.05).The compliance rate of children in the experimental group[97.06%(66/68)]was higher than 77.94%(53/68)in the control group,the difference was statistically significant(χ^2=11.361,P<0.05).Conclusion Holistic nursing combined with local nursing for children patients with respiratory tr

关 键 词：呼吸道感染 整体护理 局部护理 

分 类 号：R473.72[医药卫生—护理学]