雾化吸入前后拍背吸痰护理在肺炎患儿病情及睡眠质量改善中的作用  

The Effect of Back Patting and Sputum Suction Care before and after Atomizing Inhalation in Improving the Condition and Sleep Quality of Children with Pneumonia

作　　者：谢桂萍 XIE Guiping(Department of Pediatrics,Longyan People's Hospital,Longyan 364000,China)

机构地区：[1]福建省龙岩人民医院儿科,龙岩364000

出　　处：《世界睡眠医学杂志》2024年第11期2500-2503,共4页World Journal of Sleep Medicine

摘　　要：目的:探究雾化吸入前后拍背吸痰护理在肺炎患儿病情及睡眠质量改善中的作用。方法:选取2022年7月至2023年6月福建省龙岩人民医院收治的88例接受雾化吸入治疗的肺炎患儿作为研究对象,通过随机抽取1~88编号后以单双号分组方式分为对照组和观察组,每组44例。对照组实施常规护理,观察组在常规护理基础上,于雾化吸入前后实施拍背吸痰护理。比较2组患儿的潮气分析肺功能指标、临床症状消失时间、住院时间、睡眠质量、不良反应发生情况。结果:2组患儿比较雾化吸入治疗前的肺功能以及血气状态各项指标差异均无统计学意义(均P>0.05);经过护理后,观察组的潮气量与体质量比值(Vt/kg)、达峰时间比(tPTEF/tE)、达峰容积比(VPEF/VE)、动脉血氧分压(PaO_(2))均高于对照组,吸频率(RR)、动脉血二氧化碳分压(PaCO_(2))均低于对照组,临床症状消失时间、住院时间短于对照组,每日睡眠总时长、夜晚睡眠时长均长于对照组,白天睡眠次数、夜醒次数均少于对照组,差异均有统计学意义(均P<0.05);2组不良反应发生率差异无统计学意义(P>0.05)。结论:肺炎患儿接受雾化吸入治疗前后实施拍背吸痰护理,可改善肺功能及血气状态,缓解临床症状,以及对睡眠质量改善有积极作用,且安全性较高,值得临床推广。Objective:To study the effect of nursing care of patting back and sucking sputum before and after atomizing inhalation on improving the condition and sleep quality of children with pneumonia.Methods:A total of 88 children with pneumonia treated by aerosol inhalation from July 2022 to June 2023 were selected as research subjects.They were randomly divided into two groups,with 44 cases in each group,using odd and even numbers.The control group was given routine care,while the observation group received back patting and sputum suction care before and after aerosol inhalation in addition to routine care.The tidal volume,clinical symptom disappearance time,hospital stay,sleep quality and the occurrence of adverse reactions were compared between the two groups.Results:There was no significant difference in lung function and blood gas status between the two groups(P>0.05).After nursing,the ratio of tidal volume to body weight(Vt/kg),peak time ratio(tPTEF/tE),peak volume ratio(VPEF/VE)and arterial oxygen partial pressure(PaO_(2))in the observation group were higher than those in the control group.The respiratory rate(RR),and PaCO_(2) in arterial blood were lower than those in control group.The time of clinical symptom disappearance and hospitalization were shorter than those of the control group,while the total daily sleep time and night sleep time were longer than those in control group.The number of daytime sleep and night awakenings were fewer than those of the control group,with statistical significance(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion:Back patting and sputum suction care before and after aerosol inhalation treatment for children with pneumonia has a positive effect on the improvement of lung function and blood gas status,the relief of clinical symptoms and the improvement of sleep quality,and the nursing operation is safe and worthy of clinical promotion.

关 键 词：雾化吸入 拍背吸痰护理 肺炎 

分 类 号：R563.1[医药卫生—呼吸系统] R338.63[医药卫生—内科学]