诺丁斯关怀教育理论下亲情式护理在支气管肺炎患儿中的应用研究  

Application of family nursing based on Noddings′caring education theory in children with bronchopneumonia

作　　者：刘贵霞[1] 吴露依 徐九云[2] 孙华雪 Liu Guixia;Wu Luyi;Xu Jiuyun;Sun Huaxue(Department of Pediatric Internal Medicine,Anqing Municipal Hospital,Anqing 246000,China;Department of Infectious Diseases,Anqing Municipal Hospital,Anqing 246000,China)

机构地区：[1]安庆市立医院儿内科,安庆246000 [2]安庆市立医院感染科,安庆246000

出　　处：《中国实用护理杂志》2024年第32期2489-2495,共7页Chinese Journal of Practical Nursing

基　　金：2021年度安徽高校自然科学研究项目(KJ2021A1291)。

摘　　要：目的探究诺丁斯关怀教育理论下亲情式护理在支气管肺炎患儿中的应用效果,为该疾病患儿的临床护理提供参考。方法采用随机对照研究方法,通过便利抽样法选择2023年8月至2024年3月安庆市立医院收治的120例支气管肺炎患儿为研究对象,参照随机数字表法将其分成对照组和试验组,对照组给予常规护理,试验组在此基础上给予诺丁斯关怀教育理论下亲情式护理,观察2组患儿的症状缓解情况(包括咳嗽停止时间和喘息消失时间)、住院时间、病灶吸收情况、雾化吸入依从性、遵医行为等。结果最终纳入支气管肺炎患儿对照组60例,男37例,女23例,年龄(5.75±1.09)岁;试验组60例,男36例,女24例,年龄(5.65±1.06)岁。试验组的咳嗽停止时间、喘息消失时间和住院时间分别为(5.98±0.61)、(4.31±0.45)、(5.50±0.65)d,短于对照组的(6.21±0.63)、(4.52±0.46)、(6.38±0.89)d,差异均有统计学意义(t=2.03、2.53、6.19,均P<0.05)。试验组病灶吸收率和雾化吸入依从性分别为95.00%(57/60)、91.67%(55/60),高于对照组的83.33%(50/60)、76.67%(46/60),差异均有统计学意义(χ^(2)=4.23、5.07,均P<0.05)。试验组遵医行为中按时按量用药、适度运动、合理饮食及自我护理得分分别为(4.02±0.41)、(3.39±0.37)、(3.87±0.48)、(3.13±0.37)分,高于对照组的(3.82±0.39)、(3.25±0.35)、(3.68±0.45)、(2.97±0.34)分,差异均有统计学意义(t值为2.13~2.74,均P<0.05)。结论诺丁斯关怀教育理论下亲情式护理有助于迅速减轻支气管肺炎患儿的临床症状和医疗恐惧感,提高其雾化吸入依从性,改善其遵医行为。ObjectiveTo explore the application effect of family nursing based on Noddings′caring education theory in children with bronchopneumonia,so as to provide reference for clinical nursing of children with bronchopneumonia.MethodsA randomized controlled study was conducted,120 children with bronchopneumonia admitted to Anqing Municipal Hospital from August 2023 to March 2024 were enrolled as the research objects by convenience sampling method.According to random number table method,they were divided into the control group and the experimental group.The control group was given routine nursing,while the experimental group was given family nursing based on Noddings′caring education theory on the basis of routine nursing.The symptoms remission(disappearance time of cough and wheezing),length of hospital stay,lesion absorption,compliance of aerosol inhalation,treatment compliance,etc in 2 groups were observed.ResultsA total of 60 children with bronchopneumonia were included in the control group,including 37 males and 23 females,aged(5.75±1.09)years old,and 60 cases were included in the experimental group,including 36 males and 24 females,aged(5.65±1.06)years old.The disappearance time of cough and wheezing,and length of hospital stay in the experimental group were(5.98±0.61),(4.31±0.45),(5.50±0.65)d,which were shorter than(6.21±0.63),(4.52±0.46),(6.38±0.89)d in the control group,the differences were statistically significant(t=2.03,2.53,6.19,all P<0.05).The lesion absorption rate and compliance of aerosol inhalation in the experimental group were 95.00%(57/60)and 91.67%(55/60),higher than 83.33%(50/60)and 76.67%(46/60)in the control group,the differences were statistically significant(χ^(2)=4.23,5.07,both P<0.05).The scores of treatment compliance(medication according to time and dosage,moderate exercise,reasonable diet,self-care)in the experimental groups were(4.02±0.41),(3.39±0.37),(3.87±0.48),(3.13±0.37)points,higher than(3.82±0.39),(3.25±0.35),(3.68±0.45),(2.97±0.34)points in the control group,the

关 键 词：支气管肺炎 诺丁斯关怀教育理论 亲情式护理 依从性 病灶吸收 

分 类 号：R473.72[医药卫生—护理学]