摘要
目的研究风险预警结合层级链式管理对肺炎支原体肺炎(Mycoplasma pneumoniae pneumonia,MPP)患儿肺功能、症状消退速度、住院时间、服药依从性及生活质量的应用效果。方法选取2023年9月—2024年9月莆田学院附属医院收治的91例MPP患儿为研究对象,采用随机数字表法分为观察组(n=46)和对照组(n=45)。对照组接受常规小儿MPP干预,观察组在对照组基础上接受风险预警结合层级链式管理。对比2组用力肺活量(forced vital capacity,FVC)、第1秒用力呼气容积(forced expiratory volume in one second,FEV_(1))、呼吸频率(respiratory rate,RR)、症状消退速度、住院时间、中文版Morisky服药依从性评估量表评分、儿童生存质量测定量表体系(pediatric quality of life inventory measurement models,PedsQL)4.0评分。结果干预后5 d,观察组FVC及FEV_(1)水平、中文版Morisky服药依从性评估量表、PedsQL4.0总评分分别为(1.86±0.33)L、(1.68±0.27)L、(6.48±0.50)分、(76.41±5.60)分,均高于对照组的(1.69±0.39)L、(1.44±0.35)L、(6.22±0.42)分、(72.53±5.77)分;观察组RR水平为(38.48±3.17)次/min,低于对照组的(40.60±3.44)次/min;且观察组止咳、退热、喘息消退及住院时间分别为(2.09±0.35)d、(1.52±0.50)d、(5.72±0.66)d、(6.35±0.53)d,均短于对照组的(2.27±0.45)d、(1.78±0.64)d、(6.87±0.69)d、(7.16±0.60)d,差异均有统计学意义(P<0.05)。结论风险预警结合层级链式管理可改善MPP患儿生活质量,提升其服药依从性,增强其肺功能,缩短其症状消退时间,促进其身体恢复并尽快达到出院水平。
Objective To study the application effect of risk early warning combined with hierarchical chain management on lung function,symptom regression rate,hospitalization time,medication compliance and quality of life in children with Mycoplasma pneumoniae pneumonia(MPP).Methods A total of 91 children with MPP admitted to the Affiliated Hospital of Putian University between September 2023 and September 2024 were selected as the research subjects,randomly divided into an observation group(n=46)and a control group(n=45)using a random number table method.The control group was given conventional pediatric MPP intervention,while the observation group was given risk early warning combined with hierarchical chain management in addition to the standard care.The two groups were compared in terms of forced vital capacity(FVC),forced expiratory volume in 1st second(FEV_(1)),respiratory rate(RR),the speed of symptom subsidence,hospitalization time,and the score of the Chinese version of the Morisky medication compliance assessment scale,and score of the child quality of life measurement scale(PedsQL)4.0.Results At 5 d postintervention,the levels of FVC and FEV_(1),the Chinese version of the Morisky medication compliance assessment scale and the total PedsQL 4.0 score in the observation group were(1.86±0.33)L,(1.68±0.27)L,(6.48±0.50)points and(76.41±5.60)points,respectively.All were higher than those of the control group,which were(1.69±0.39)L,(1.44±0.35)L,(6.22±0.42)points,and(72.53±5.77)points.The RR level was(38.48±3.17)breaths/minutes in the observation group,which was lower than(40.60±3.44)breaths/minutes in the control group.Moreover,the duration of cough relief,fever reduction,wheezing regression and hospital stay in the observation group was(2.09±0.35)days,(1.52±0.50)days,(5.72±0.66)days and(6.35±0.53)days respectively.All were shorter than(2.27±0.45)days,(1.78±0.64)days,(6.87±0.69)days,(7.16±0.60)days in the control group,all the differences were statistically significant(P<0.05).Conclusion Risk early warning combined with hierarchical chain management can improve the quality of life of children with MPP,enhance their adherence to medication,strengthen their pulmonary function,shorten the time for symptoms to subside,and promote their physical recovery to reach the level of discharge as soon as possible.
作者
王容金
吴陈芳
WANG Rongjin;WU Chenfang(Department of Pediatrics,Affiliated Hospital of Putian University,Putian Fujian 351100,China)
出处
《中国卫生标准管理》
2025年第19期26-30,共5页
China Health Standard Management
关键词
风险预警
层级链式管理
肺炎支原体肺炎
肺功能
肺炎支原体
急性呼吸系统疾病
risk early warning
hierarchical chain management
Mycoplasma pneumoniae pneumonia
lung function
Mycoplasma pneumoniae
acute respiratory disease
