集束化护理干预对肺炎支原体感染合并支气管哮喘患儿肺功能、治疗依从性及生存质量的影响

目的探讨集束化护理干预对肺炎支原体感染合并支气管哮喘患儿肺功能的影响。方法选取2011年1月至2019年1月于南京医科大学附属无锡第二医院就诊的肺炎支原体感染合并支气管哮喘患儿60例为研究对象,按照随机数字表法分为对照组和观察组,各30例。对照组患儿给予常规护理干预;观察组患儿则在对照组基础上给予集束化护理干预,比较两组干预方式的临床效果,监测患儿干预前后肺功能、治疗依从性、生存质量变化,调查患儿家属的满意度。结果对照组、观察组的有效率分别为73.33%、90.00%,差异有统计学意义(P<0.05);干预后,观察组患儿的肺功能提高更明显,第1秒用力肺活量(FEV1)、最大肺活量(FVC)、第1秒呼气量占所有呼气量的比例(FEV1/FVC)、25%,50%,75%肺活量位的最大呼气流速(MEF25、MEF50、MEF75)等肺功能指标水平明显好于干预前及对照组,差异有统计学意义(P<0.05);观察组患儿的治疗依从性明显优于干预前及对照组,差异有统计学意义(P<0.05);观察组患儿治疗、症状、沟通、担心等相关方面维度的生存质量评分明显高于干预前及对照组,差异有统计学意义(P<0.05);对照组的家属满意度为76.67%,明显低于观察组的93.33%,差异有统计学意义(P<0.05)。结论肺炎合并反复性支气管哮喘小儿应用集束化护理干预,可提高临床疗效,增强肺功能,增加患儿治疗的依从性,改善患儿的生存质量,家属的满意度较高。

Effects of cluster nursing intervention on pulmonary function,treatment compliance and quality of life in children with mycoplasma pneumoniae infection complicated with bronchial asthma

Objective To investigate the effect of cluster nursing intervention on lung function in children with mycoplasma pneumoniae infection complicated with bronchial asthma.Methods A total of 60 children with mycoplasma pneumoniae infection complicated with bronchial asthma admitted to this hospital from January 2011 to January 2019 were selected as the research subjects.According to random number table method,they were divided into control group and observation group,with 30 cases in each group.Children in the control group were given routine nursing intervention.Children in the observation group were given cluster nursing intervention on the basis of the control group.The clinical effects of the intervention methods in the two groups were compared,changes in pulmonary function,treatment compliance and life quality before and after the intervention were monitored,and the satisfaction of the family members of the children were investigated.Results The effective rate of the control group and the observation group was 73.33%and 90.00%respectively,and the difference was statistically significant(P<0.05).After intervention,the pulmonary function of children in the observation group was significantly improved,and the pulmonary function indicators levels of forced vital capacity in the first second(FEV1),forced vital capacity(FVC),FEV1/FVC,maximum expiratory flow at 25%(MEF25),maximum expiratory flow at 50%(MEF50)and maximum expiratory flow at 75%(MEF75)were significantly better than those before intervention and the control group,and the differences were statistically significant(P<0.05).The treatment compliance in the observation group was significantly better than that before intervention and control group,and the difference was statistically significant(P<0.05).The quality of life scores of treatment,symptoms,communication,worry and other related dimensions in the observation group were significantly higher than those before intervention and control group,and the differences were statistically significant(P<0.05).The degree of family satisfaction in the control group was 76.67%,which was significantly lower than that in the observation group(93.33%),and the difference was statistically significant(P<0.05).Conclusions The application of cluster nursing intervention in children with pneumonia complicated with recurrent bronchial asthma can improve clinical efficacy,enhance lung function,increase the compliance of treatment,improve the quality of life of children,and the satisfaction of family members is high.