强化家长监督下的行为转变护理对肺炎住院儿童遵医行为及预后的影响  

The Impact of Intensive Parent-Supervised Behaviour Change Care on Compliance Behaviour and Prognosis of Children Hospitalised with Pneumonia

作　　者：张小萍 ZHANG Xiaoping(Tancheng Street Community Health Service Centre,Jianyang District,Nanping 353000,China)

机构地区：[1]南平市建阳区潭城街道社区卫生服务中心,南平353000

出　　处：《中国医药指南》2024年第22期115-117,共3页Guide of China Medicine

摘　　要：目的分析强化家长监督下的行为转变护理对肺炎住院儿童遵医行为及预后的影响。方法选取2021年7月到2023年10月南平市建阳区潭城街道社区卫生服务中心收治的86例住院肺炎儿童,按随机数字表法将患儿分为试验组(43例)和对照组(43例),对照组予以常规护理,试验组在对照组基础上予以强化家长监督下的行为转变护理,对比两组患儿遵医行为、症状消失时间、不良反应发生情况。结果试验组依从性高于对照组(95.35%vs.74.43%,P=0.016)。试验组肺炎儿童喘息[(2.28±0.44)d vs.(5.34±1.47)d]、发热[(2.17±0.37)d vs.(5.58±0.77)d]及咳嗽[(3.24±0.41)d vs.(6.45±0.72)d]消失时间短于对照组(均P<0.001),试验组不良反应发生率低于对照组(2.33%vs.16.28%,P=0.029)。结论强化家长监督下的行为转变护理能有效减少不良反应发生,降低炎性反应程度,提高患儿的遵医行为,改善患儿的生活质量。Objective To analyse the impact of behavioural change nursing under intensive parental supervision on the compliance behaviour and prognosis of children hospitalized with pneumonia.Methods A total of 86 cases of hospitalized children with pneumonia admitted to Nanping Jianyang District Tancheng Street Community Health Service Center from July 2021 to October 2023 were selected,and the children were divided into the experimental group(43 cases)and the control group(43 cases)according to the method of random number table,and the control group was provided with routine nursing,and the experimental group was provided with strengthened parental-supervised behavioural change nursing on the basis of the control group,and the two groups were compared with each other in the compliance behaviour,the disappearance time of the symptoms,and the occurrence of adverse reactions,Compliance behaviour,symptom disappearance time,and occurrence of adverse reactions were compared between the two groups.Results The compliance of the experimental group was higher than that of the control group(95.35%vs.74.43%,P=0.016).The disappearance time of wheezing[(2.28±0.44)days vs.(5.34±1.47)days],fever[(2.17±0.37)days vs.(5.58±0.77)days],and cough[(3.24±0.41)days vs.(6.45±0.72)days]was shorter than that of the control group in the experimental group(all P<0.001).incidence was lower than that of the control group(2.33%vs.16.28%,P=0.029).Conclusions Strengthening behavioural change nursing under parental supervision can effectively reduce the occurrence of adverse reactions,lower the degree of inflammatory reaction,improve the children's compliance behaviour and improve the children's quality of life.

关 键 词：肺炎 住院儿童 强化家长监督 行为转变护理 遵医行为 预后 

分 类 号：R563.1[医药卫生—呼吸系统] R725.6[医药卫生—内科学] R473.72[医药卫生—临床医学]