摘要
目的观察小儿重症肺炎采取基于护理程序的整体护理的应用效果及对血小板参数的影响。方法临床研究对象选择南阳市第一人民医院急诊重症监护室2020年3月至2022年3月接受小儿重症肺炎护理的86例患儿,采取随机数字表法分为对照组和观察组,各43例。对照组采取常规护理方法,观察组使用基于护理程序的整体护理,而对照组则采取常规护理方法,观察对比研究对象的血小板参数水平,临床症状持续时间,并发症发生情况,护理前后儿童抑郁量表(CDI)及儿童青少年多维度焦虑量表(MASC)及家属满意度。结果研究对象护理前血小板计数(PLT)、血小板压积(PCT)、血小板分布宽度(PDW)水平差异无统计学意义(P>0.05),护理后研究对象PLT、PCT及PDW水平相对于护理前均有所降低,且观察组低于对照组,差异有统计学意义(P<0.05)。护理后观察组的咳嗽、发热、咳痰及肺啰音临床症状持续时间低于对照组,差异有统计学意义(P<0.05)。护理后观察组并发症发生率(4.65%)相对于对照组(25.58%)更低,差异有统计学意义(P<0.05)。研究对象护理前CDI及MASC评分差异无统计学意义(P>0.05),护理后研究对象评分均低于护理前,且观察组评分低于对照组,差异有统计学意义(P<0.05)。护理后观察组家属护理满意度(95.35%)相对于对照组(76.74%)更高,差异有统计学意义(P<0.05)。结论针对小儿重症肺炎使用基于护理程序的整体护理,一方面可以降低血小板参数水平,减少临床病症持续时间和并发症;另一方面有利于缓解患儿情绪,提升患儿家属满意度,具备临床应用价值。
Objective To observe the effect of holistic nursing based on the nursing procedure and its influence on platelet parameters in children with severe pneumonia.Methods A total of 86 children receiving severe pneumonia care from the Emergency Intensive Care Unit of Nanyang First People's Hospital from March 2020 to March 2022 were selected as clinical subjects and divided into a control group and observation group by random number table method,with 43 cases in each group.The control group received conventional care,while the observation group received holistic care based on nursing procedures.Platelet parameters,duration of clinical symptoms,the occurrence of complications(Pre-nursing child depression scale(CDI)and multidimensional anxiety scale for children and adolescents(MASC)),children's emotional status,and family satisfaction were observed and compared.Results There was no significant difference in platelet count(PLT),platelet pressure(PCT),and platelet distribution width(PDW)before nursing(P>0.05).After nursing,PLT,PCT,and PDW levels of the study subjects were decreased,and the observation group was lower than the control group.The difference was statistically significant(P<0.05).After nursing,the duration of clinical symptoms of cough,fever,sputum,and pulmonary rales in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).After nursing,the complication rate of the observation group(4.65%)was lower than that of the control group(25.58%),and the difference was statistically significant(P<0.05).There was no significant difference in the scores of the children's depression scale(CDI)and the multidimensional anxiety scale for children and adolescents(MASC)before nursing(P>0.05).The scores of the study subjects after nursing were lower than those before nursing,and the scores of the observation group were lower than those of the control group,with statistical significance(P<0.05).The nursing satisfaction of the observation group(95.35%)was higher than that of the control group(76.74%),and the difference was statistically significant(P<0.05).Conclusion Holistic nursing based on the nursing procedure for severe pneumonia in children can reduce platelet parameter levels,duration of clinical symptoms,and complications on the one hand.On the other hand,it is helpful to relieve children's emotions,improve the satisfaction of children's families,and has clinical application value.
作者
李淑娟
韩虹
LI Shujuan;HAN Hong(Department of ICU,Nanyang First People's Hospital,Nanyang Henan 473000,China)
出处
《临床研究》
2023年第5期158-161,共4页
Clinical Research
关键词
整体护理
小儿重症肺炎
血小板参数
并发症
holistic nursing
severe pneumonia in children
platelet parameters
complications
