摘要
目的:探讨诺丁斯关怀理论护理干预模式对小儿支原体肺炎(MPP)雾化吸入治疗中结局影响。方法:选取2021年3月至2023年3月本院收治的92例MPP患儿,按随机数字表法分为两组,各46例。对照组采取常规护理,观察组实施以诺丁斯关怀理论为基础的护理干预,持续7d。对比两组雾化依从性、雾化舒适度、病情恢复时间、家属护理满意度。结果:观察组雾化依从性95.65%、家属护理满意度93.48%,高于对照组的80.43%、76.09%,差异有统计学意义(P<0.05);观察组面部表情评分(2.23±0.50)分、四肢活动评分(1.87±0.26)分、哭闹评分(1.65±0.33)分、体位评分(1.77±0.31)分、可安抚程度评分(1.30±0.47)分及总分评分(8.66±2.04)分,低于对照组的(3.52±0.95)分、(2.64±0.57)分、(2.40±0.51)分、(2.78±0.89)分、(2.13±0.43)分、(12.75±2.67)分,差异有统计学意义(P<0.05);观察组咳嗽缓解时间(2.67±0.83)d、气促缓解时间(3.04±0.69)d、肺部啰音缓解时间(3.55±0.79)d、发热缓解时间(3.21±0.70)d,短于对照组的(3.58±0.67)d、(4.23±0.81)d、(4.27±0.66)d、(4.23±0.84)d,差异有统计学意义(P<0.05)。结论:以诺丁斯关怀理论为基础的护理干预用于MPP患儿中,可提高患儿雾化舒适度与依从性,促进症状缓解,获得更高的家属护理满意度。
Objective:To explore the impact of the nursing intervention model of Noddings'care theory on the outcomes of nebulized inhalation therapy for pediatric mycoplasma pneumonia(MPP).Method:92 children with MPP admitted to our hospital from March 2021 to March 2023 were selected and randomly divided into two groups,with 46 cases in each group.The control group received routine care,while the observation group received nursing interventions based on the Noddings care theory,lasting for 7 days.Compare the compliance,comfort,recovery time,and nursing satisfaction of family members between the two groups.The results showed that the compliance rate of atomization in the observation group was 95.65%,and the satisfaction rate of family nursing was 93.48%,which was higher than 80.43%and 76.09%in the control group,with a statistically significant difference(P<0.05);The facial expression score(2.23±0.50),limb activity score(1.87±0.26),crying score(1.65±0.33),posture score(1.77±0.31),comfort level score(1.30±0.47),and total score score(8.66±2.04)in the observation group were lower than those in the control group(3.52±0.95),(2.64±0.57),(2.40±0.51),(2.78±0.89),(2.13±0.43),and(12.75±2.67),The difference was statistically significant(P<0.05);The cough relief time(2.67±0.83)days,shortness of breath relief time(3.04±0.69)days,lung rale relief time(3.55±0.79)days,and fever relief time(3.21±0.70)days in the observation group were shorter than those in the control group(3.58±0.67)days,(4.23±0.81)days,(4.27±0.66)days,and(4.23±0.84)days,with statistically significant differences(P<0.05).Conclusion:Nursing interventions based on Noddings'care theory can improve atomization comfort and compliance in MPP patients,promote symptom relief,and achieve higher family nursing satisfaction.
作者
闫吉慧
Yan Jihui(Department of Infectious Diseases,First People's Hospital of Pingyuan County,Pingyuan Shandong,253100,China)
出处
《中外女性健康研究》
2024年第10期1-3,共3页
Women＇s Health Research
关键词
小儿支原体肺炎
雾化吸入治疗
诺丁斯关怀理论
雾化依从性
Pediatric mycoplasma pneumonia
Nebulized inhalation therapy
Nottings care theory
Atomization compliance
