摘要
目的探讨基于护理程序的整体护理结合转变体位干预对重症肺炎患儿排痰情况及舒适度的影响。方法选取2020年1月至2022年1月收治的100例重症肺炎患儿为研究对象,根据护理方式的不同将其分为对照组和观察组,各50例。对照组实施常规护理,观察组在常规护理基础上实施基于护理程序的整体护理结合转变体位干预。比较两组的干预效果。结果观察组的排痰总有效率高于对照组(P<0.05)。干预后,观察组的心理维度、生理维度评分高于对照组(P<0.05)。干预后,观察组的动脉血氧分压(PaO_(2))、血氧饱和度(SaO_(2))高于对照组,动脉血二氧化碳分压(PaCO_(2))低于对照组(P<0.05)。观察组患儿家属的护理满意度高于对照组(P<0.05)。结论基于护理程序的整体护理结合转变体位干预能改善重症肺炎患儿的排痰情况,提高其舒适度,促进血气指标恢复,提高患儿家属的护理满意度,值得推广。
Objective To explore the effects of holistic nursing based on nursing procedure combined with position change intervention on expectoration and comfort of children with severe pneumonia.Methods A total of 100 children with severe pneumonia admitted from January 2020 to January 2022 were selected as the research objects and divided into control group and observation group according to different nursing methods,with 50 cases in each group.The control group was given routine nursing,and the observation group was given holistic nursing based on nursing procedure combined with position change intervention on the basis of routine nursing.The intervention effects of the two groups were compared.Results The total effective rate of expectoration in the observation group was higher than that in the control group(P<0.05).After intervention,the scores of psychological dimension and physiological dimension in the observation group were higher than those in the control group(P<0.05).After intervention,the partial pressure of oxygen in arterial blood(PaO_(2))and blood oxygen saturation(SaO_(2))in the observation group were higher than those in the control group,and the partial pressure of carbon dioxide(PaCO_(2))was lower than that in the control group(P<0.05).The nursing satisfaction of the family members of the children in the observation group was higher than that in the control group(P<0.05).Conclusion The holistic nursing based on nursing procedure combined with postural change intervention can improve the expectoration of children with severe pneumonia,improve their comfort,promote the recovery of blood gas indexes,and improve the nursing satisfaction of family members of children,which is worthy of promotion.
作者
黄雯
胡颖
马杰
HUANG Wen;HU Ying;MA Jie(Hanzhong People's Hospital,Hanzhong 723000;No.215 Hospital of Shaanxi Nuclear Industry,Xianyang 712000,China)
出处
《临床医学研究与实践》
2024年第9期141-144,共4页
Clinical Research and Practice
基金
咸阳市二0二0年重点研发计划项目(No.2020K02-98)。
关键词
基于护理程序的整体护理
转变体位干预
重症肺炎
排痰
舒适度
holistic nursing based on nursing procedure
position change intervention
severe pneumonia
expectoration
comfort
