风险预警护理结合责任制强化干预在重症肺炎患儿中的应用效果  

Application Effects of Risk Warning Care Combined with Accountability Intensive Intervention in Children with Severe Pneumonia

作　　者：刘舒雅 李嘉琪 白双双 LIU Shu-ya;LI Jia-qi;BAI Shuang-shuang(Pediatric Intensive Care Unit,Zhumadian Central Hospital Women's and Children's Hospital,Zhumadian 463000,China)

机构地区：[1]驻马店市中心医院妇女儿童医院儿童重症监护病房,驻马店463000

出　　处：《四川解剖学杂志》2024年第5期129-131,141,共4页Sichuan Journal of Anatomy

摘　　要：目的:探讨风险预警护理结合责任制强化干预在重症肺炎患儿中的应用效果.方法:选取 2020 年 6 月至2023 年 6 月本院收治的 92 例重症肺炎患儿为研究对象.依据护理方案,将其分为观察组(n=48,采取风险预警护理结合责任制强化干预)和对照组(n=44,采取常规护理干预).比较两组患儿肺功能相关指标[第一秒用力呼气容积(FEV1)、最大通气量(MVV)、用力肺活量(FVC)],疾病转归进程,生活质量及并发症发生情况.结果:干预后,观察组患儿FEV1、MVV、FVC指标及儿童生活测定量表(PQL)评分均高于对照组,差异均有统计学意义(P<0.05).观察组患儿体温恢复时间、咳嗽消失时间、湿啰音消失时间及住院时间,均短于对照组,差异均有统计学意义(P<0.05).观察组患儿并发症总发生率低于对照组,差异有统计学意义(P<0.05).结论:风险预警护理结合责任制强化干预在重症肺炎患儿中应用效果显著,可改善患儿肺功能,提高生活质量,降低并发症的发生率,促进其疾病转归.Objective:To explore the application Effects of risk-alert care combined with accountability intensive intervention in children with severe pneumonia.Methods:A total of 92 cases of children with severe pneumonia admitted to our hospital from June 2020 to June 2023 were selected as research objects.They were divided into observation group(n=48,received risk warning nursing combined with accountability intensive intervention)and control group(n=44,received conventional nursing intervention)according to the nursing program.The two groups were compared in terms of lung function[first second forced expiratory volume(FEV1),maximum ventilation volume(MVV),forced vital capacity(FVC)],disease regression process,quality of life and incidence of complications.Results:After the intervention,the FEV1,MVV,FVC indexes and PQL scores of observation group were higher than those of control group,and the differences were statistically significant(P<0.05).The recovery time of body temperature,the disappearance time of cough,the disappearance time of wet rales,and the hospitalization time of observation group were shorter than those of control group,and the differences were statistically significant(P<0.05).The total incidence of complications in observation group was lower than that of control group,and the difference was statistically significant(P<0.05).Conclusion:Risk warning nursing combined with accountability intensive intervention in children with severe pneumonia has been applied effectively to improve lung function,enhance quality of life,reduce the incidence of complications,and promote disease regression.

关 键 词：风险预警护理 责任制强化干预 重症肺炎患儿 疾病转归 影响 

分 类 号：R473.72[医药卫生—护理学]