摘要
目的探究3H优质护理理念干预对重症肺炎患儿症状改善、不良反应及疾病知识掌握的影响。方法选取中国人民解放军空军军医大学第一附属医院2018年1月至2020年12月收治的108例重症肺炎患儿作为研究对象,经随机数字表法分为对照组和观察组,每组各54例。对照组采用常规护理干预,观察组在对照组的基础上采用3H优质护理理念干预。比较两组症状改善、不良反应、家属疾病知识掌握以及C反应蛋白(CRP)、白细胞介素6(IL-6)、肿瘤坏死因子α(TNF-α)水平情况。结果观察组退热时间、气促改善时间、止咳时间及住院时间短于对照组,差异有统计学意义(P<0.05)。观察组不良反应总发生率低于对照组,差异有统计学意义(P<0.05)。观察组家属疾病知识知晓率高于对照组,差异有统计学意义(P<0.05)。干预后,两组CRP、IL-6、TNF-α水平高于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。结论3H优质护理理念干预的应用,可以促进重症肺炎患儿症状的改善,减少不良反应的发生,提升家属疾病知识掌握率,抑制炎性因子的过度反应。
Objective To explore the impact of 3H high-quality nursing concept intervention on the improvement of symptoms,adverse reactions and disease knowledge in children with severe pneumonia.Methods A total of 108 children with severe pneumonia admitted to the First Affiliated Hospital of the Air Force Military Medical University of the Chinese People’s Liberation Army from January 2018 to December 2020 were selected as the research objects.They were divided into control group and observation group by a random number table method,with 54 cases in each group.The control group was adopted routine nursing intervention,and the observation group was adopted 3H high-quality nursing intervention on the basis of the control group.The improvement of symptoms,adverse reactions,knowledge of family members’diseases,and levels of C-reactive protein(CRP),interleukin 6(IL-6),and tumor necrosis factor-α(TNF-α)were compared between the two groups.Results The antipyretic time,shortness of breath improvement time,cough relieving time,and hospital stay of observation group were shorter than those of the control group,and the differences were statistically significant(P<0.05).The total incidence of adverse reactions in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The awareness rate of family members in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).After the intervention,the levels of CRP,IL-6,and TNF-αin the two groups were higher than before the intervention,and the observation group was lower than the control group,the differences were statistically significant(P<0.05).Conclusion The application of 3H high-quality nursing concept intervention can promote the improvement of the symptoms of children with severe pneumonia,reduce the occurrence of adverse reactions,improve the knowledge of family members,and inhibit the overreaction of inflammatory factors.
作者
朱晓宇
周敏
乔红玉
杨妮
ZHU Xiaoyu;ZHOU Min;QIAO Hongyu;YANG Ni(Department of Pediatrics,the First Affiliated Hospital of Air Force Military Medical University,Chinese People’s Liberation Army,Shaanxi Province,Xi’an710032,China)
出处
《中国医药导报》
CAS
2021年第25期170-173,共4页
China Medical Herald
基金
国家自然科学基金资助项目(81700314)。
关键词
3H理念
重症肺炎
症状改善
不良反应
知识掌握
炎症因子
3H concept
Severe pneumonia
Symptom improvement
Adverse reactions
Knowledge mastery
Inflammatory cytokines
