细节护理联合舒适护理应用于肺炎患儿药物雾化治疗期间的效果  

Effect of Detailed Nursing Combined with Comfortable Nursing on Children with Pneumonia During Drug Atomization Treatment

作　　者：王慧芳[1] 赵小琼 洪建东[1] 陈培玲 黄惠燕 WANG Huifang;ZHAO Xiaoqiong;HONG Jiandong;CHEN Peiling;HUANG Huiyan(Department of Hematology and Nephrology,Quanzhou Children’s Hospital,Quanzhou 362000,Fujian,China)

机构地区：[1]泉州市儿童医院血液肾内科,福建泉州362000

出　　处：《中国药物滥用防治杂志》2023年第11期2063-2066,共4页Chinese Journal of Drug Abuse Prevention and Treatment

基　　金：泉州市科技计划项目合同书(编号:2022NS051)。

摘　　要：目的:探讨细节护理及舒适护理在小儿肺炎雾化治疗中的应用效果。方法:选取我科2021年10月—2022年10月收治的100例肺炎患儿作为研究对象,应用随机数字表法将患者分为观察组与对照组,每组50例。所有患者均采取布地奈德联合异丙托溴铵治疗,对照组患儿在治疗过程中实施常规护理,观察组患儿在治疗过程中实施细节及舒适护理,比较两组临床指标、肺功能指标[呼气流量峰值(PEF)、呼出气一氧化氮(FeNO)]及炎症因子水平[白细胞计数(WBC)、降钙素原(PCT)、超敏C反应蛋白(hsCRP)]、患儿家属满意度情况。结果:观察组患儿肺啰音/哮鸣音消失时间、咳嗽消失时间、发热总天数、影像学恢复时间、住院时间短于对照组(P<0.05);观察组PEF水平高于对照组,FeNO、PCT、hsCRP、WBC水平低于对照组(P<0.05);观察组患者护理满意度高于对照组(P<0.05)。结论:细节护理及舒适护理在小儿肺炎雾化治疗中应用效果确切,能够缩短患儿临床症状持续时间,促进其早日康复,且能够进一步提升患儿呼吸功能,辅助降低机体炎症因子反应,患儿家属满意度较高。Objective:To explore the application effect of detail nursing and comfort nursing on children with pneumonia during drug atomization treatment.Methods:A total of 100 children with pneumonia admitted to our department from October 2021 to October 2022 were selected as the research objects.The patients were divided into observation group and control group by random number table method,with 50 children in each group.All patients were treated with budesonide combined with ipratropium bromide.The control group received routine nursing during the treatment,and the observation group received detailed and comfortable nursing during the treatment.The clinical indicators,lung function indicators[peak expiratory flow(PEF),exhaled nitric oxide(FeNO)]and inflammatory factor levels[white blood cell count(WBC),procalcitonin(PCT),high-sensitivity C-reactive protein(hsCRP)],and family satisfaction were compared between the two groups.Results:The disappearance time of lung rales/wheezing rales,cough disappearance time,total fever days,imaging recovery time and hospitalization time in the observation group were shorter than those in the control group(P<0.05).The level of PEF in the observation group was higher than that in the control group,and the levels of FeNO,PCT,hsCRP and WBC were lower than those in the control group(P<0.05).The nursing satisfaction of the observation group was higher than that of the control group(P<0.05).Conclusion:The application of detailed nursing and comfortable nursing on children with pneumonia during drug atomization treatment is effective,which can shorten the duration of clinical symptoms and promote the early recovery of children.Meanwhile,it can further improve the respiratory function of children,assist in reducing the body’s inflammatory factor response,and the satisfaction of children’s families is high.

关 键 词：细节护理 舒适护理 布地奈德 异丙托溴铵 小儿 肺炎 

分 类 号：R473.72[医药卫生—护理学]