摘要
目的精细化综合护理干预在氧气驱动雾化吸入治疗儿童哮喘急性发作的应用效果及对睡眠质量的影响。方法选择福建省浦城县医院2020年1月至2022年1月收治的60例哮喘急性发作患儿为研究对象,按随机数字表分为对照组和观察组,每组各30例,两组患儿均给予特布他林、布地奈德氧气驱动雾化吸入治疗,对照组进行常规护理干预,观察组给予精细化综合护理干预,两组患儿均干预7 d,比较两组患儿症状改善时间(咳嗽、咳痰、喘息、肺部啰音),采用匹兹堡睡眠质量指数评价患儿睡眠治疗改善情况,治疗结束时评价两组临床疗效,出院时采用自制护理满意度调查表对患儿监护人进行调查,采用自制依从性调查表评估对患儿治疗过程中药物治疗依从性进行调查,记录治疗过程中不良反应发生情况。结果观察组患儿平均咳嗽、咳痰、喘息、肺部啰音消失时间分别为(4.08±1.26)d、(4.10±1.12)d、(3.06±0.88)d、(4.25±0.82)d,明显短于对照组,t=3.373、3.352、4.074、5.171,P<0.05。观察组临床总有效率为96.67%(29/30),明显高于对照组76.67%(23/30),χ^(2)=9.743,P<0.05。观察组治疗7 d结束时PSQI睡眠质量评分为(5.40±1.06)分,明显低于治疗前(14.46±2.34)分及对照组治疗后(7.48±1.32)分,P<0.05。观察组患儿监护人护理满意率和患儿治疗依从率分别为96.67%(29/30)和93.33%(28/30),明显高于对照组73.33%(22/30)和70.00%(21/30),χ^(2)=11.150、9.055,P<0.05。观察组不良反应发生率为6.67%(2/30),明显低于对照组30%(9/30),χ^(2)=5.455,P<0.05。结论精细化综合护理干预在氧气驱动雾化吸入治疗儿童哮喘急性发作应用具有较好的临床效果,能够提高患儿氧气驱动雾化吸入治疗依从性,提高雾化吸入药物的临床效果,且能提高患儿睡眠质量,从而提高护理满意度。
Objective To explore the application effect of refined comprehensive nursing intervention in the treatment of children with acute exacerbation of asthma by oxygen-driven atomization inhalation and its effect on sleep quality.Methods Choose Pucheng County Hospital of Fujian province between January 2020 and January 2022,60 cases of children with asthma acute attack as the research object,according to random number table is divided into control group and observation group,30 cases in each group,two groups of children were given terbutaline,oxygen budesonide aerosol inhalation therapy,the control group,routine nursing intervention,observation group was given the elaborating comprehensive nursing intervention,two groups of children with all 7 d intervention,compared two groups of children with symptoms improved time(cough,sputum,breathing and lung's),Pittsburgh Sleep Quality Index to evaluate the treatment to improve the situation,children sleep two groups of clinical curative effect evaluation at the end of the treatment,the hospital when using self-designed nursing satisfaction questionnaire to survey the child guardian,the Self-made Compliance Questionnaire was used to evaluate the compliance of drug treatment in children during treatment,and the occurrence of adverse reactions during treatment was recorded.Results The average disappearance time of cough,expectoration,wheeze and pulmonary rale in the observation group were(4.08±1.26)d,(4.10±1.12)d,(3.06±0.88)d,(4.25±0.82)d,respectively,which were significantly shorter than those in the control group(t=3.373,3.352,4.074,5.171,P<0.05).The total effective rate of the observation group was 96.67%(29/30),which was significantly higher than 76.67%(23/30)of the control group,χ^(2)=9.743,P<0.05.At the end of 7 days of treatment,the PSQI sleep quality score in the observation group was(5.40±1.06)points,which was significantly lower than that before treatment(14.46±2.34)points and after treatment in the control group(7.48±1.32)points,P<0.05.The nursing satisfaction rate and treatment compliance rate of the observation group were 96.67%(29/30)and 93.33%(28/30),which were significantly higher than those of the control group 73.33%(22/30)and 70.00%(21/30),χ^(2)=11.150,9.055,P<0.05.The incidence of adverse reactions in the observation group was 6.67%(2/30),which was significantly lower than 30%(9/30)in the control group,χ^(2)=5.455,P<0.05.Conclusions The refined comprehensive nursing intervention has a good clinical effect in the application of oxygendriven nebulization in the treatment of children with acute exacerbation of asthma,which can improve the compliance of children with oxygendriven nebulization,improve the clinical effect of nebulization drugs,and improve the sleep quality of children,so as to improve the satisfaction of nursing.
作者
郑仙花
ZHENG Xianhua(Pucheng County Hospital,Pucheng 353400,China)
出处
《中国医药指南》
2022年第30期9-12,共4页
Guide of China Medicine
关键词
儿童哮喘急性发作
精细化综合护理干预
氧气驱动雾化吸入
临床研究
Acute attack of asthma in children
Refined comprehensive nursing intervention
Oxygen driven atomization inhalation
Clinical research
