小儿支原体肺炎的家庭护理指导与针对性护理实施效果评估  

Effect evaluation of family nursing guidance and targeted nursing for children with mycoplasma pneumonia

作　　者：蓝桂英 陈慧[1] 陈蓉[1] LAN Guiying;CHEN Hui;CHEN Rong(Sanming First Hospital,Sanming,Fujian,365000,China)

机构地区：[1]三明市第一医院,福建三明365000

出　　处：《中西医结合护理(中英文)》2025年第2期145-148,共4页Journal of Clinical Nursing in Practice

摘　　要：目的评估家庭护理指导与针对性护理在支原体肺炎患儿中的实施效果。方法纳入2023年4~10月在福建省三明市第一医院诊治的90例支原体肺炎患儿,根据入院时间的先后顺序均分为2组,其中45例患儿接受常规护理,作为对照组;45例患儿接受家庭护理指导与针对性护理,作为观察组。比较2组干预前后的肺功能以及干预后的症状缓解时间和治疗依从性。结果观察组的咳嗽、喘息、肺部湿啰音及发热缓解时间均较对照组更早,住院时间较对照组更短,治疗总依从率较对照组更优(P均<0.05)。与入院时比较,2组在出院时和干预1个月后的达峰容积比、达峰时间比、25%潮气量的呼气流速和50%潮气量的呼气流速均上升(P均<0.05),且观察组的各项数值均较对照组更高(P均<0.05)。结论家庭护理指导与针对性护理可提高支原体肺炎患儿的治疗依从性,促进其临床症状缓解及肺功能恢复,加快整体康复进程。Objective To evaluate the implementation effect of family nursing guidance and targeted nursing in children with mycoplasma pneumonia.Methods A total of 90 children with mycoplasma pneumonia treated at Sanming First Hospital from April to October 2023 were included in the study.They were allocated into two groups according to the order of admission.Forty-five children who received routine nursing were set as the control group,and 45 children who received family nursing guidance and targeted nursing were set as the observation group.The pulmonary function before and after intervention,as well as the symptom relief time and treatment compliance after intervention were compared between the two groups.Results The relief time of cough,wheezing,pulmonary moist rales,and fever in the observation group was earlier than that in the control group(P<0.05).The hospitalization time was shorter than that in the control group(P<0.05).The overall treatment compliance rate was better than that in the control group(P<0.05).Compared with admission,the ratio of volume at peak tidal expiratory flow to expiratory tidal volume,ratio of time to peak tidal expiratory flow to total expiratory time,tidal expiratory flow rate at 25%of tidal volume,and tidal expiratory flow rate at 50%of tidal volume in both groups increased at discharge and after 1 month of intervention(P<0.05),and the observation group had higher values than the control group(P<0.05).Conclusion Family nursing guidance and targeted nursing can improve the treatment compliance of children with mycoplasma pneumonia,promote the relief of clinical symptoms and the recovery of pulmonary function,and accelerate the overall rehabilitation process.

关 键 词：小儿支原体肺炎 家庭护理指导 针对性护理 肺功能 

分 类 号：R473.72[医药卫生—护理学]