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循证护理在小儿哮喘雾化吸入治疗中的效果及对患儿呼吸功能和家属满意度的影响 被引量:8

Effect of evidence-based nursing in children with asthma nebulization inhalation and its influence on children′s respiratory function and family satisfaction
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摘要 目的对小儿哮喘雾化吸入治疗患者予以循证护理,并对其护理效果、患儿呼吸功能改善情况及家属满意度情况加以探析。方法选取2018年9月~2019年8月大连医科大学附属大连市儿童医院收治的102例雾化吸入治疗的小儿哮喘患者作为研究对象,按随机数字表法分成A组与B组,每组各51例。A组给予常规基础护理,在此基础之上,B组予以循证护理。比较两组护理后的呼吸功能及家属满意度情况。结果B组的护理总有效率(94.1%)高于A组(76.5%),差异有统计学意义(χ^2=6.331,P<0.05);B组的喘息消失时间、咳嗽消失时间、胸闷消失时间及呼吸功能恢复时间均短于A组,差异有统计学意义(P<0.05);A、B组干预后的第1秒用力呼气容积(FEV1)、用力肺活量(FVC)、FEV1/FVC高于本组干预前,差异有统计学意义(P<0.05);B组患者干预后的FEV1、FVC、FEV1/FVC等指标均高于A组,差异有统计学意义(P<0.05);B组的护理总满意度(98.0%)高于A组(84.3%),差异有统计学意义(χ^2=4.387,P0.05)。结论对实施雾化吸入治疗的小儿哮喘患者予以循证护理,效果甚佳,能明显改善患儿的呼吸功能,能提升家属满意度,值得推广。 Objective To provide evidence-based nursing for children with asthma inhalation therapy for children with asthma,and to analyze the nursing effect,the improvement of respiratory function and the satisfaction of family members.Methods A total of 102 pediatric asthma children treated by atomization inhalation in Dalian Children′s Hospital Affiliated to Dalian Medical University from September 2018 to August 2019 were selected as the research objects,and divided into A and B groups according to the random digital table method,51 cases in each group.Group A was given routine basic nursing,on this basis,group B was given evidence-based nursing.The respiratory function and family satisfaction after nursing were compared between the two groups.Results The total effective rate of nursing in group B(94.1%)was higher than that in group A(76.5%),the difference was statistically significant(χ^2=6.331,P<0.05).The disappearance time of wheezing,cough disappearance,and chest tightness disappeared in group B patients and respiratory function recovery time were shorter than those in group A,the differences were statistically significant(P<0.05);the forced expiratory volume in one second(FEV1),forced vital capacity(FVC),and FEV1/FVC were higher than those of this group before intervention,the differences were statistically significant(P<0.05);FEV1,FVC,FEV1/FVC of group B after intervention were higher than those in group A,the differences were statistically significant(P<0.05);the nursing total satisfaction of family members in group B(98.0%)was higher than that in group A(84.3%),the difference was statistically significant(χ^2=4.387,P<0.05).Conclusion Evidence-based nursing of pediatric asthma patients undergoing nebulized inhalation therapy is very effective,can significantly improve the respiratory function of children,and can increase family satisfaction,which is worthy of vigorous implementation.
作者 李林华 崔妮 LI Lin-hua;CUI Ni(Department of Respiratory Medicine,Dalian Children′s Hospital Affiliated to Dalian Medical University,Liaoning Province,Dalian116012,China)
出处 《中国当代医药》 2020年第36期241-244,共4页 China Modern Medicine
关键词 小儿哮喘 循证护理 雾化吸入 呼吸功能 满意度 Pediatric asthma Evidence-based nursing Nebulized inhalation Respiratory function Satisfaction
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