兴趣诱导结合低液体量雾化吸入对哮喘急性发作患儿的影响

目的 探讨兴趣诱导结合低液体量雾化吸入对哮喘急性发作学龄前患儿的影响。方法 选择在我院急诊科接受雾化吸入治疗的90例哮喘急性发作学龄前患儿为研究对象,采用随机数字表法将其分为观察组和对照组,各45例,对照组给予常规雾化吸入及护理干预,观察组给予兴趣诱导干预,同时减少雾化吸入液体量,比较2组患儿的焦虑情绪、雾化吸入依从性、治疗效果以及家属的满意度。结果 观察组Spence儿童焦虑量表(Spence child anxiety scale,SCAS)评分明显低于对照组(t=2.066, P=0.042),雾化吸入时间短于对照组(t=2.568,P=0.012),患儿治疗依从性和治疗效果均优于对照组(Z=-2.392,P=0.017; Z=-2.374,P=0.018),家属对护理服务的满意度好于对照组(t=3.840,P<0.001)。结论 兴趣诱导结合低液体量雾化吸入有利于缓解患儿焦虑情绪,提高患儿雾化吸入依从性、临床疗效及家属对护理工作的满意度,值得临床推广。

The influence of interest induction combined with low liquid volume atomization inhalation on the children with acute asthma attack

Objective To investigate the effect of interest induction combined with low fluid atomization inhalation on the preschool children with acute asthma attacks. Methods Totally 90 preschool children with acute asthma were selected and randomly divided into an observation group and a control group, each of 45. Both groups were given routine aerosol inhalation treatment and nursing, while the observation group was additionally provided with interest induction and less amount of atomized inhaled liquid. The anxiety, inhalation compliance, clinical efficacy and satisfaction of parents were compared between the 2 groups. Results During the inhalation, the Spence child anxiety scale (SCAS) of the observation group was significantly lower than that of the control group (t=2.066, P=0.042). The duration of atomization inhalation of the observation group was significantly shorter than that of the control group (t=2.568, P=0.012), and the overall compliance and the efficacy of the observation group was significantly better than that of the control group (Z=-2.392, P=0.017; Z=-2.374, P=0.018). The satisfaction of family members was also significantly higher than that of the control group (t=3.840,P<0.001). Conclusion The interest induction combined with low liquid volume atomization inhalation can help to alleviate the anxiety of children, improve their compliance with atomization inhalation, and promote the clinical curative effect and family satisfaction with the nursing work. It is worthy of clinical promotion.