分析层级链式护理结合睡眠护理在支原体肺炎患儿中的应用价值  

Analysis of the Application Value of Hierarchical Chain Nursing Combined with Sleep Nursing in Children with Mycoplasma Pneumonia

作　　者：陈小云 詹美仁 廖婕 陈福英 廖春连 CHEN Xiaoyun;ZHAN Meiren;LIAO Jie;CHEN Fuying;LIAO Chunlian(Department of Pediatrics,Second Hospital of Longyan City,Longyan 364000,China)

机构地区：[1]福建省龙岩市第二医院,龙岩364000

出　　处：《世界睡眠医学杂志》2024年第11期2507-2510,共4页World Journal of Sleep Medicine

摘　　要：目的:分析层级链式护理结合睡眠护理对支原体肺炎患儿肺康复及睡眠质量的影响。方法:选取2022年1月至2024年1月福建省龙岩市第二医院收治的支原体肺炎患儿130例作为研究对象,按照随机数字表法分为对照组和观察组,每组65例。对照组给予常规护理干预,观察组则给予层级链式护理结合睡眠护理。采用匹兹堡睡眠质量指数(PSQI)比较2组患儿睡眠质量的差异,采用肺功能仪对2组第一秒用力呼气肺活量(FEV1)、用力肺活量(FVC)、最大通气量(MVV)进行检测比较,并对FEV1/FVC进行计算症状消失时间,采用简体中文版儿童生命质量普遍适用核心量表4.0对患儿生命质量进行比较,并比较发热、咳嗽、肺啰音等症状消失时间。结果:干预后,观察组PSQI评分显著低于对照组,观察组发热、咳嗽、肺啰音等症状消失时间均显著低于对照组,观察组FEV1、FVC、MVV、FEV1/FVC以及生理功能、角色功能、社会功能、情感功能等维度评分均显著高于对照组,差异均有统计学意义(均P<0.05)。结论:为支原体肺炎患儿提供层级链式护理结合睡眠护理,能快速改善其临床症状,显著改善其肺功能,提升其睡眠质量及生命质量,具有推广价值。Objective:To analyze the effect of hierarchical chain nursing combined with sleep nursing on lung rehabilitation and sleep quality in children with mycoplasma pneumonia.Methods:A total of 130 children with mycoplasma pneumonia admitted to the Second Hospital of Longyan City,Fujian Province from January 2022 to January 2024 were selected as study subjects.They were randomly divided into a control group(n=65)and an observation group(n=65)according to the random number table method.The control group received routine nursing interventions,while the observation group received hierarchical chain nursing combined with sleep care.The Pittsburgh Sleep Quality Index(PSQI)was used to compare the differences in sleep quality between two groups of patients.The first second forced expiratory vital capacity(FEV1),forced vital capacity(FVC),and maximum ventilation volume(MVV)of the two groups were measured using a pulmonary function meter,and the FEV1/FVC ratio was calculated for symptom disappearance time.The simplified Chinese version of the Pediatric Quality of Life Inventory(PedsQL)4.0 Generic Core Scales were used to compare the quality of life of children,and the disappearance time of symptoms such as fever,cough,and lung rales were compared.Results:After intervention,the PSQI scores of the observation group were significantly lower than those of the control group.The disappearance time of symptoms such as fever,cough,and lung rales in the observation group was significantly lower than that of the control group.The FEV1,FVC,MVV,FEV1/FVC,as well as physiological function,role function,social function,and emotional function scores of the observation group were significantly higher than those of the control group.The differences between the two groups were statistically significant(P<0.05).Conclusion:Providing hierarchical chain nursing combined with sleep care for children with mycoplasma pneumonia can quickly improve their clinical symptoms,significantly improve their lung function,enhance their sleep quality and quality of

关 键 词：层级链式护理 睡眠护理 支原体肺炎 肺康复 第一秒用力呼气肺活量 用力肺活量 最大通气量 睡眠质量 

分 类 号：R375.2[医药卫生—病原生物学] R338.63[医药卫生—基础医学]