摘要
目的分析6S模式护理结合分期管理对小儿肺炎患儿呼吸功能、气道重塑效果及睡眠质量的影响。方法选取2021年8月—2022年8月于三明市中西医结合医院富兴堡分院收治的75例小儿肺炎患儿,根据肺炎患儿护理方法的不同将所选肺炎患儿分为研究组(38例,采用6S模式护理结合分期管理)和参考组(37例,采用常规护理)。比较两组肺炎患儿护理前后呼吸功能(指标包括动脉血氧分压、PaO_(2)/FiO_(2))、肺功能情况、气道重塑(指标包括:支气管腔直径、管壁面积占支气管断面总面积的百分比、支气管壁厚度)改善情况、不良反应发生率。结果两组肺炎患儿护理前呼吸功能(动脉血氧分压、PaO_(2)/FiO_(2))、每日睡眠时间、肺功能情况、气道重塑(支气管腔直径、管壁面积占支气管断面总面积的百分比、支气管壁厚度)相比,差异无统计学意义(P均>0.05);两组护理后呼吸功能、每日睡眠时间、肺功能情况、气道重塑指标水平均显著改善(P均<0.05),且研究组各项(动脉血氧分压、PaO_(2)/FiO_(2))、每日睡眠时间、肺功能情况、气道重塑(支气管腔直径、管壁面积占支气管断面总面积的百分比、支气管壁厚度)指标水平改善明显优于参考组(P均<0.05)。研究组肺炎患儿不良反应发生率明显低于参考组(P均<0.05)。结论6S模式护理结合分期管理能更加高效地改善小儿肺炎患儿呼吸功能,提升肺炎患儿的气道重塑效果及睡眠质量。
Objective To analyze the effect of 6S mode nursing combined with staged management on respiratory function,airway remodeling and sleep quality of children with pneumonia.Methods From August 2021 to August 2022,a total of 75 children with pneumonia were selected and treated in Fuxingbao Branch of Sanming Integrated Traditional and Western Medicine Hospital.According to different nursing methods for children with pneumonia,children with pneumonia were divided into the study group(38 cases,using 6S mode of nursing combined with staged management)and the reference group(37 cases,using conventional nursing).The respiratory function(including partial pressure of arterial blood oxygen,PaO_(2)/FiO_(2)),pulmonary function,airway remodeling(including the diameter of the bronchial lumen,the percentage of the area of the bronchial wall in the total area of the bronchial section,and the thickness of the bronchial wall)and the adverse reaction rate were compared between the two groups of children with pneumonia before and after nursing.Results There was no significant difference between the two groups in respiratory function(arterial partial pressure of oxygen,PaO_(2)/FiO_(2)),daily sleep time,pulmonary function,airway remodeling(diameter of the bronchial lumen,percentage of the area of the bronchial wall in the total area of the bronchial section,and thickness of the bronchial wall)before nursing(P>0.05),and the levels of respiratory function,daily sleep time,pulmonary function,and airway remodeling indicators after nursing were significantly improved(P<0.05),In addition,the improvement of indexes in the study group(arterial partial pressure of oxygen,PaO_(2)/FiO_(2)),daily sleep time,pulmonary function,airway remodeling(diameter of the bronchial lumen,percentage of the area of the bronchial wall in the total area of the bronchial section,thickness of the bronchial wall)was significantly better than that in the reference group(P<0.05),and the incidence of adverse reactions in children with pneumonia in the study group was significantly lower than that in the reference group(P<0.05).Conclusion 6S mode nursing combined with stage management can more effectively improve the respiratory function of children with pneumonia,improve the airway remodeling effect and sleep quality of children with pneumonia.
作者
黄玲华
彭彩芸
林晓霞
HUANG Linghua;PENG Caiyun;LIN Xiaoxia(Child Health Room,Fuxingbao Branch of Sanming Integrated Traditional Chinese and Western Medicine Hospital,Sanming Fujian 365000,China)
出处
《中国卫生标准管理》
2022年第24期184-188,共5页
China Health Standard Management
基金
福建省自然科学计划项目(2021J011384)。
关键词
6S模式护理
分期管理
小儿肺炎
呼吸功能
气道重塑
睡眠质量
6S mode nursing
management by stages
pediatric pneumonia
respiratory function
airway remodeling
sleep quality
