摘要
目的探讨支气管肺炎氧疗患儿采用多模式促排痰护理联合全人照护管理的效果。方法选取2017年8月至2019年2月郑州市妇幼保健院接收的86例支气管肺炎氧疗患儿,以随机数字表法分为干预组(n=43,多模式促排痰护理联合全人照护管理干预)与对照组(n=43,常规护理干预),对两组排痰时间、排痰量、肺功能[第1秒用力呼气容积(FEV_1)、最大呼气流速(PEF)]、症状消失情况、生活质量[儿童生活质量测定量表(PedsQL 4.0)]进行比较。结果干预组排痰时间较对照组更短,排痰量更多,差异有统计学意义(P<0.05);干预后两组FEV_1、PEF均有所提高,且干预组高于对照组,差异有统计学意义(P<0.05);干预组症状消失时间较对照组更短,差异有统计学意义(P<0.05);干预后两组PedsQL 4.0评分均提高(P<0.05),且干预组高于对照组,差异有统计学意义(P<0.05)。结论支气管肺炎氧疗患儿给予多模式促排痰护理联合全人照护管理干预能够促进痰液排出,缩短排痰时间,促进肺功能恢复及症状消失,提升生活质量。
Objective To explore the effect of multi-mode expectoration promotion nursing combined with holistic care management in children with bronchial pneumonia receiving oxygen therapy.Methods A total of 86 children with bronchopneumonia receiving oxygen therapy in Zhengzhou Maternal and Child Health Hospital from August 2017 to February 2019 were selected and divided into an intervention group(n=43,multi-mode expectoration promotion nursing combined with holistic care management intervention)and a control group(n=43,routine nursing intervention)by random number table.The expectoration time,expectoration volume,lung function[forced expiratory volume in one second(FEV1),peak expiratory flow(PEF)],symptom disappearance,and quality of life[The Pediatric Quality of Life Inventory Measutement Models(PedsQL 4.0)]were compared between the two groups.Results The intervention group had a shorter expectoration time and more expectoration volume than the control group,and the difference was statistically significant(P<0.05).After the intervention,FEV1 and PEF were increased in both groups,and the intervention group was higher than the control group,the difference was statistically significant(P<0.05).The time of symptom disappearance in the intervention group was shorter than that in the control group,and the difference was statistically significant(P<0.05).After intervention,PedsQL 4.0 scores of both groups were increased(P<0.05),and the intervention group was higher than the control group,the difference was statistically significant(P<0.05).Conclusion Multi-mode expectoration nursing combined with holistic care management intervention can promote sputum discharge,shorten the time of expectoration,promote the recovery of lung function and symptoms,and improve the quality of life in children with bronchial pneumonia treated with oxygen therapy.
作者
乔俊敏
马占敏
QIAO Junmin;MA Zhanmin(Department of Pediatrics,Zhengzhou Maternal and Child Health Hospital,Zhengzhou Henan 450000,China)
出处
《临床研究》
2024年第1期153-156,共4页
Clinical Research
关键词
支气管肺炎
氧疗
多模式促排痰护理
全人照护管理
bronchopneumonia
oxygen therapy
multi-mode sputum promotion nursing
holistic care management
