摘要
目的探讨综合护理在促进小儿支气管肺炎康复方面的作用.方法选取本院2019年1月—2021年6月收治的支气管肺炎患儿80例,随机分为两组.对照组(n=40)采用常规护理,观察组(n=40)在此基础上采用综合护理.比较两组的症状改善与住院时间,并比较患儿护理前后的用力肺活量(FVC)、第1秒用力呼气容积(FEV_(1))、最高呼气流速(PEF)及匹兹堡睡眠质量指数(PSQI)评分.结果观察组的咳嗽、发热、肺啰音、气促改善时间及住院时间分别为(4.76±0.84)d、(2.23±0.36)d、(3.12±0.44)d、(3.41±0.35)d、(5.52±0.71)d,均短于对照组,组间差异有统计学意义(P<0.05).干预后,观察组的FVC、FEV_(1)、PEF分别为(1.94±0.33)L、(1.56±0.30)L、(3.82±0.42)L/s,均高于对照组,组间差异有统计学意义(P<0.05).干预后,观察组PSQI指数中的睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、日间功能评分分别为(0.57±0.19)分、(0.40±0.18)分、(0.61±0.21)分、(0.42±0.18)分、(0.48±0.21)分、(0.31±0.14)分,均低于对照组,组间差异有统计学意义(P<0.05).结论支气管肺炎患儿采用综合护理能促进康复并提高肺功能,有利于提高患儿的睡眠质量,值得临床推广使用.
Objective To explore the effect of comprehensive nursing in promoting the rehabilitation of children bronchopneumonia.Methods A total of 80 children with bronchopneumonia admitted to our hospital from January 2019 to June 2021 were randomly divided into two groups.The control group(n=40)received routine nursing,while the observation group(n=40)received comprehensive nursing on this basis.The symptom improvement and length of hospital stay were compared between the two groups,and the forced vital capacity(FVC),forced expiratory volume in one second(FEV_(1)),peak expiratory flow(PEF)and Pittsburgh sleep quality index(PSQI)scores were compared before and after nursing.Results The improvement time of cough,fever,lung rales,shortness of breath and hospital stay in the observation group were(4.76±0.84)d,(2.23±0.36)d,(3.12±0.44)d,(3.41±0.35)d,(5.52±0.71)d,respectively,which were shorter than those in the control group,and the differences between the groups were statistically significant(P<0.05).After intervention,the FVC,FEV_(1)and PEF of the observation group were(1.94±0.33)L,(1.56±0.30)L and(3.82±0.42)L/s,respectively,which were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).After the intervention,in the observation group,the scores of sleep quality,falling asleep time,sleep time,sleep efficiency,sleep disturbance and daytime function in PSQI index were(0.57±0.19)points,(0.40±0.18)points,(0.61±0.21)points,(0.42±0.18)points,(0.48±0.21)points and(0.31±0.14)points,respectively,which were lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Comprehensive nursing for children with bronchopneumonia can promote rehabilitation and improve pulmonary function,and is conducive to improving the sleep quality of children,which is worthy of clinical application.
作者
殷琴
徐意乐
YIN Qin;XU Yile(Department of Pediatrics,Taixing People's Hospital,Taixing Jiangsu,225400,China)
出处
《反射疗法与康复医学》
2022年第18期66-69,115,共5页
Reflexology And Rehabilitation Medicine
关键词
综合护理
小儿支气管肺炎
肺功能
排痰
呼吸训练
睡眠质量
Comprehensive nursing
Bronchopneumonia in children
Lung function
Discharge of sputum
Breathing training
Quality of sleep
