小兒重癥肺炎患兒實(shí)施優(yōu)質(zhì)護(hù)理干預(yù)的效果

1、    小兒重癥肺炎患兒實(shí)施優(yōu)質(zhì)護(hù)理干預(yù)的效果    閆麗媛【摘要】目的：探析將優(yōu)質(zhì)護(hù)理干預(yù)措施應(yīng)用到小兒重癥肺炎患兒護(hù)理工作中的臨床效果。方法：將我院2018年8月-2019年8月收治的重癥肺炎患兒60例分到觀察組和對(duì)照組，每組30例。給予對(duì)照組常規(guī)護(hù)理措施，將優(yōu)質(zhì)護(hù)理干預(yù)應(yīng)用到觀察組患兒的護(hù)理工作中。觀察和分析兩組患兒的護(hù)理效果。結(jié)果：通過(guò)對(duì)比得知，兩組患兒中，實(shí)施優(yōu)質(zhì)護(hù)理干預(yù)的觀察組，其退熱時(shí)間、心力衰竭消失時(shí)間、止咳時(shí)間和氣促改善時(shí)間明顯優(yōu)于對(duì)照組，差異較為明顯，有統(tǒng)計(jì)學(xué)意義（p<0.05）。結(jié)論：將優(yōu)質(zhì)護(hù)理干預(yù)應(yīng)用到小兒重癥肺炎患者的護(hù)理

2、中，對(duì)患兒預(yù)后情況的改善有著良好作用?！娟P(guān)鍵詞】小兒重癥肺炎;優(yōu)質(zhì)護(hù)理;臨床效果abstract objective：to explore the clinical effect of high quality nursing intervention in the nursing work of children with severe pneumonia. methods：60 children with severe pneumonia in our hospital from august 2018 to august 2019 were divided into obser

3、vation group and control group，30 cases in each group. routine nursing measures were given to the control group，and high-quality nursing intervention was applied to the nursing work of children in the observation group. the nursing effect of the two groups was observed and analyzed. results：through

4、comparison，the two groups of children，the implementation of high-quality nursing intervention in the observation group，the fever time，heart failure disappeared time，cough time and shortness of breath improvement time were significantly better than the control group，the difference was statistically s

5、ignificant （p < 0.05）. conclusion：the application of high quality nursing intervention in the nursing of children with severe pneumonia has a good effect on the improvement of the prognosis of children.key wordssevere pneumonia in children;quality nursing;clinical effect【中圖分類(lèi)號(hào)】r197.3a2095-6851（20

6、20）08-253-011 資料與方法1.1 一般資料將2018年8月-2019年8月在我院治療的60例重癥肺炎患兒作為研究對(duì)象，隨機(jī)均分到觀察組和對(duì)照組。對(duì)照組中有男性患兒16例，女性患兒14例，年齡5個(gè)月-7歲，平均年齡（3.42±2.61）歲。觀察組中男17例，女13例，年齡在6個(gè)月-6歲之間，平均（3.32±2.72）歲。兩組資料對(duì)比無(wú)差異（p>0.05），可比性較高。1.2 方法將患兒的生命體征監(jiān)測(cè)、用藥護(hù)理、環(huán)境護(hù)理、飲食護(hù)理等常規(guī)護(hù)理手段應(yīng)用到對(duì)照組患兒的護(hù)理工作中1。在此基礎(chǔ)上觀察組則使用針對(duì)性護(hù)理干預(yù);由于患兒接受治療期

7、間會(huì)出現(xiàn)焦慮和較多負(fù)面情緒，護(hù)理人員要積極的于患兒進(jìn)行溝通，可根據(jù)患兒的喜好選擇其喜歡的玩具吸引注意力，緩解患兒的負(fù)面情緒，使其能積極配合治療。其次，護(hù)理人員要給予患兒足夠的關(guān)系和呵護(hù)，做好日常護(hù)理工作。再次，做好患兒的呼吸道護(hù)理，協(xié)作患兒以正確的體位進(jìn)行排痰，同時(shí)對(duì)于排痰困難的患兒，要及時(shí)做好吸痰護(hù)理。最后，護(hù)理人員要做好機(jī)械同期護(hù)理。1.3 療效判斷標(biāo)準(zhǔn)對(duì)兩組患兒心力衰竭時(shí)間、退熱、止咳、氣促改善等時(shí)間進(jìn)行比較。1.4 統(tǒng)計(jì)學(xué)處理研究數(shù)據(jù)均使用spss 22.0統(tǒng)計(jì)學(xué)軟件完成處理，使用標(biāo)準(zhǔn)差（x±s）表示計(jì)量資料，統(tǒng)計(jì)學(xué)意義則以（p<0.05）表示。2 結(jié)果2.13 討論在兒科臨床醫(yī)學(xué)中，肺炎是常見(jiàn)的一種疾病2。一旦患有此病，就會(huì)對(duì)患兒的生活質(zhì)量造成嚴(yán)重的影響。因此專(zhuān)業(yè)人員要對(duì)該病進(jìn)行及時(shí)治療，同時(shí)在常規(guī)治療的基礎(chǔ)上要進(jìn)行優(yōu)質(zhì)的護(hù)理，只有這樣才能夠促進(jìn)患兒的恢復(fù)。本研究表明，實(shí)施優(yōu)質(zhì)護(hù)理的觀察組，其心力衰竭消失時(shí)間、退熱、止咳和氣促改善等時(shí)間都優(yōu)于對(duì)照組，差異顯著具有統(tǒng)計(jì)學(xué)意義（p<0.05）。綜上，將優(yōu)質(zhì)護(hù)理干預(yù)應(yīng)用到小兒重癥肺炎患者的護(hù)理中，能夠有效的改善患兒的臨床癥狀。參考文獻(xiàn)：1 宋瑤，