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作 者:唐亚荠 黎旋 余小簪 TANG Yaqi;LI Xuan;YU Xiaozan(Department of Pediatrics,Outpatient and Emergency,Shenzhen Bao’an District People’s Hospital,Shenzhen,Guangdong,518000)
机构地区:[1]深圳市宝安区人民医院门急诊儿科,广东深圳518000
出 处:《智慧健康》2022年第34期200-203,共4页Smart Healthcare
摘 要:目的影响小儿肺炎继发性腹泻的多因素分析及综合护理效果体会。方法以继发性腹泻作为分组标准,将本院2019年5月-2020年5月收治的190例肺炎患儿分为两组,一组为继发腹泻组(n=60),另一组为未继发腹泻组(n=130),分析小儿肺炎继发性腹泻发生的相关危险因素,同时通过双盲选法将继发腹泻组患儿分为常规组(n=30)和试验组(n=30),分别安排开展常规护理和综合护理,比较其护理效果以及护理后的康复情况。结果年龄、住院时间、联用抗生素、使用抗生素以及侵入性操作和继发性腹泻的发生存在密切关系(P<0.05)。多因素Logistic回归分析结果显示,年龄、住院时间、联用抗生素、使用抗生素以及侵入性操作均为小儿肺炎继发性腹泻发生的独立危险因子,差异有统计学意义(P<0.05)。常规组护理有效率显著低于试验组(P<0.05),同时住院时间以及腹泻停止时间均显著长于试验组(P<0.05)。结论年龄、住院时间、联用抗生素、使用抗生素以及侵入性操作均为小儿肺炎继发性腹泻发生的独立危险因子,在患儿治疗期间开展综合护理可进一步提高护理效果,促进患儿早日康复。Objective To analyze the multiple factors and comprehensive nursing effect of secondary diarrhea in children with pneumonia.Methods Taking secondary diarrhea as the grouping standard,190 children with pneumonia treated in our hospital from May 2019 to May 2020 were divided into two groups:secondary diarrhea group(n=60)and non-secondary diarrhea group(n=130).The risk factors of secondary diarrhea in children with pneumonia were analyzed,and the secondary diarrhea group was divided into routine group(n=30)and experimental group(n=30)by double-blind selection.Routine nursing and comprehensive nursing were arranged respectively,and the nursing effect and rehabilitation after nursing were compared.Results Age,length of stay,combination of antibiotics,use of antibiotics and invasive operation were closely related to the occurrence of secondary diarrhea(P<0.05).Multivariate Logistic regression analysis showed that age,length of stay,combined use of antibiotics,use of antibiotics and invasive operation were independent risk factors for secondary diarrhea in children with pneumonia.The effective rate of nursing in the routine group was significantly lower than that in the experimental group(P<0.05),and the time of hospitalization and the time of stopping diarrhea in the routine group were significantly longer than those in the experimental group(P<0.05).Conclusion Age,length of stay,combined use of antibiotics,use of antibiotics and invasive operation are all independent risk factors for secondary diarrhea in children with pneumonia.Comprehensive nursing care during treatment can further improve the nursing effect and promote the early recovery of children.
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