双轨道护理干预在大叶性肺炎患儿中的应用效果

Application effect of dual-track nursing intervention in children with lobar pneumonia

  • 摘要: 目的 探讨双轨道护理干预模式在大叶性肺炎患儿治疗过程中的应用效果。方法 选取186例大叶性肺炎患儿, 采用双盲法、随机分为对照组和干预组,每组93例。对照组接受常规护理干预,干预组在常规护理的基础上实施双轨道护理干预模式,包括护理小组成立与培训、个性化护理计划、健康宣教及心理支持; 院外则强化家庭支持、定期随访指导及社区合作教育。2组均接受3周干预。比较并分析2组患儿的临床症状改善时间、住院时间、护理前后肺功能指标、治疗依从性及家属对护理的满意度。结果 干预组患儿的退热时间(3.89±0.96) d、咳嗽缓解时间(6.21±1.34) d、肺部啰音消失的时间(7.89±1.56) d、住院时间(9.45±1.89) d分别短于对照组的(5.23±1.14)、(7.45±1.67)、(9.32±2.01)、(11.28±2.35) d, 差异有统计学意义(P < 0.05); 护理后,干预组患儿的第1秒用力呼气容积(FEV1)(1.51±0.22) L、用力肺活量(FVC)(1.75±0.25) L、FEV1/FVC(94.12±5.65)%分别高于对照组的(1.42±0.15) L、(1.66±0.22) L、(85.73±8.41)%, 差异有统计学意义(P < 0.05)。干预组患儿检查配合(23.91±3.82)分、护理配合(24.19±4.03)分、规范用药(24.26±3.94)分、合理饮食(23.77±3.62)分分别高于对照组的(20.16±3.53)、(19.64±3.46)、(23.05±3.68)、(18.85±3.41)分,差异有统计学意义(P < 0.05)。干预组患儿家属对护理工作的满意度98.92%高于对照组的89.25%, 差异有统计学意义(P < 0.05)。结论 双轨道护理干预模式在大叶性肺炎患儿中的应用效果显著,能够加速患儿康复进程,提高患儿的治疗依从性,促进肺功能改善,提高家属满意度。

     

    Abstract: Objective To explore the application effect of the dual-track nursing intervention model in the treatment process of children with lobar pneumonia. Methods A total of 186 children with lobar pneumonia were selected and randomly divided into control group and intervention group using a double-blind method, with 93 cases in each group. The control group received conventional nursing intervention, while the intervention group implemented the dual-track nursing intervention model on the basis of conventional nursing. This model included the establishment and training of nursing teams, personalized nursing plans, health education, and psychological support. Outside the hospital, it emphasized family support, regular follow-up guidance, and community-based collaborative education. Both groups received a 3-week intervention. The improvement times of clinical symptoms, hospital stay, pulmonary function indicators before and after nursing, treatment compliance, and family members' satisfaction with nursing were compared and analyzed between the two groups. Results The fever resolution time (3.89±0.96) d, cough relief time (6.21±1.34) d, disappearance time of pulmonary rales (7.89±1.56) d, and hospital stay duration (9.45±1.89) d in the intervention group were all shorter than those in the control group (5.23±1.14), (7.45±1.67), (9.32±2.01), and (11.28±2.35) d, respectively, with statistically significant differences (P < 0.05). After nursing, the forced expiratory volume in one second (FEV1) (1.51±0.22) L, forced vital capacity (FVC) (1.75±0.25) L, and FEV1/FVC (94.12±5.65)% in the intervention group were all higher than those in the control group (1.42±0.15) L, (1.66±0.22) L, and (85.73±8.41)%, respectively, with statistically significant differences (P < 0.05). The scores for examination cooperation (23.91±3.82) points, nursing cooperation (24.19±4.03) points, standardized medication use (24.26±3.94) points, and rational diet (23.77±3.62) points in the intervention group were higher than those in the control group (20.16±3.53), (19.64±3.46), (23.05±3.68), and (18.85±3.41) points, respectively, with statistically significant differences (P < 0.05). The satisfaction rate of family members with nursing work in the intervention group was higher than that in the control group, with a statistically significant difference (98.92% versus 89.25%, P < 0.05). Conclusion The dual-track nursing intervention model has a significant application effect in children with lobar pneumonia. It can accelerate their recovery process, improve treatment compliance, promote pulmonary function improvement, and enhance family members' satisfaction.

     

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