基于儿童医疗游戏的护理方案在支气管肺炎患儿雾化吸入治疗期间的效果  

Effect of Nursing Program Based on Children’s Medical Game During Atomization Inhalation Treatment of Children with Bronchial Pneumonia

作　　者：张东营 李亚丽[1] 闫金玲 王莉敏[1] ZHANG Dongying;LI Yali;YAN Jinling;WANG Limin(Zhengzhou Maternal and Child Health Care Hospital,Zhengzhou 450000,Henan,China)

机构地区：[1]郑州市妇幼保健院,河南郑州450000

出　　处：《中国药物滥用防治杂志》2024年第1期180-183,188,共5页Chinese Journal of Drug Abuse Prevention and Treatment

基　　金：河南省医学科技攻关计划联合共建项目(编号:YNKY202304)。

摘　　要：目的:探讨基于儿童医疗游戏的护理方案对支气管肺炎患儿雾化吸入依从性的影响。方法:选择2021年1月—2022年12月于郑州市妇幼保健院接受雾化吸入治疗的100例支气管肺炎患儿作为研究对象,经随机数字表法分为对照组(n=50)与观察组(n=50),对照组采用常规护理方案,观察组采用基于儿童医疗游戏的护理方案。比较两组临床症状改善情况、肺通气功能[动脉血氧分压(PaO_(2))、动脉血二氧化碳分压(PaCO_(2))、动脉血氧饱和度(SaO_(2))]、雾化吸入依从性以及护理满意度。结果:护理后,观察组发热消退时间、咳嗽缓解时间、肺部湿啰音消失时间短于对照组(P<0.05);观察组PaO_(2)、SaO_(2)高于对照组,PaCO_(2)低于对照组(P<0.05);观察组护理期间患儿雾化吸入依从性、护理满意度高于对照组(P<0.05)。结论:支气管肺炎患儿采用儿童医疗游戏的护理方案可以有效改善临床症状,提高肺通气功能和雾化吸入依从性,患儿家长满意度高。Objective:To explore the effect of nursing program based on children’s medical game on the compliance of aerosol inhalation in children with bronchial pneumonia.Methods:A total of 100 children with bronchial pneumonia who received aerosol inhalation therapy in Zhengzhou Maternal and Child Health Hospital from January 2021 to December 2022 were selected as the research objects.They were divided into control group(n=50)and observation group(n=50)by random number table method.The control group was treated with routine nursing program,and the observation group was treated with nursing program based on children’s medical games.The improvement of clinical symptoms,pulmonary ventilation function[arterial partial pressure of oxygen(PaO_(2)),arterial partial pressure of carbon dioxide(PaCO_(2)),arterial oxygen saturation(SaO_(2))],atomization inhalation compliance and nursing satisfaction were compared between the two groups.Result:After nursing,the fever subsidence time,cough relief time and lung moist rale disappearance time in the observation group were shorter than those in the control group(P<0.05).PaO_(2) and SaO_(2) in the observation group were higher than those in the control group,and PaCO_(2) was lower than that in the control group(P<0.05).The compliance of atomization inhalation and nursing satisfaction in the observation group were higher than those in the control group(P<0.05).Conclusion:The nursing program of children with bronchial pneumonia using children’s medical games can effectively improve clinical symptoms,improve lung ventilation function and aerosol inhalation compliance,and the parents’satisfaction is high.

关 键 词：儿童 支气管肺炎 医疗游戏 护理 雾化吸入 依从性 

分 类 号：R473.72[医药卫生—护理学]