层级链式护理模式在小儿肺炎护理中的应用
The Application of Hierarchical Chain Nursing in Pediatric Pneumonia Nursing
-
摘要: 目的 探讨层级链式护理模式应用于小儿肺炎护理中对疗效、症状改善和护理满意度的影响效果.方法 选取2015年3月至2016年3月无锡市儿童医院收治行常规护理的肺炎患儿58例作为对照组, 选取2016年4月至2017年4月收治行常规护理的肺炎患儿58例作为观察组.于护理2周后对比2组疗效、症状改善及护理满意度.结果 观察组护理2周后治疗总有效率高于对照组, 差异有统计学意义 (P<0.05) ;观察组发热消失时间、咳嗽消失时间、肺罗音消失时间、住院时间均短于对照组, 差异有统计学意义 (P<0.05) ;观察组病区环境、护理技术、责任心、健康教育、心理护理、服务态度评分均高于对照组, 差异有统计学意义 (P<0.05) .结论 层级链式护理模式应用于小儿肺炎护理中效果显著, 可有效提高疗效与护理满意度, 利于症状改善, 值得临床推广应用.Abstract: Objective To explore the effect of stratified chain nursing model on the efficacy, symptom improvement and nursing satisfaction in pediatric pneumonia nursing. Me thods 58 cases of pediatric pneumonia in our hospital from March 2015 to March 2016 were selected as the control group. 58 cases of pediatric pneumonia in our hospital from April to April 2017 were selected as observation group. After 2 weeks of care, the two groups were compared in the curative effect, the symptoms improved and the nursing satisfaction. Re s ults The total effective rate of the two groups was significantly higher than that of the control group (P<0.05) . The disappearance time of fever, the time of disappearance of cough, the time of disappearance of lung rales and the time of hospitalization were shorter than those of the control group, the difference was statistically significant (P <0.05) . The observation group had higher evaluation scores in ward environment, nursing technology, sense of responsibility, health education, psychological care, and service attitude than the control group, the difference was statistically significant (P <0.05) . Conclus ion Hierarchical chain nursing model is effective in the treatment of pediatric pneumonia, which can effectively improve the curative effect and nursing satisfaction, which is beneficial to the improvement of symptoms.
-
[1]王莉, 马荣伟.个性化护理干预在小儿肺炎支原体感染患儿中的应用效果[J].护理研究, 2017, 31 (9) :1143-1145. [2] 李茜.互动健康教育护理模式对小儿肺炎的临床效果及护理满意度的影响[J].护理学杂志, 2015, 35 (13) :1828-1830. [3]宋玛丽, 郑则广, 岑慧红, 等.2例鼻咽癌患者放疗后误吸致吸入性肺炎护理体会[J].护理学报, 2016, 23 (3) :53-54. [4] [4]SIMBALISTA R, ANDRADE D C, BORGES I C, et al.Differences upon admission and in hospital course of children hospitalized with community-acquired pneumonia with or without radiologically-confirmed pneumonia:a retrospective cohort study[J].BMC Pediatr, 2015, 15 (1) :166. [5]李萍.红外光谱穴位照射辅助治疗小儿肺炎的临床观察与护理[J].天津护理, 2015, 23 (3) :265-266. [6]罗玮燕, 黄华萍.家庭跟进式护理在老年卧床肺炎患者中的应用研究[J].护理管理杂志, 2017, 17 (3) :175-177. [7]廖羽.早期综合护理模式应用于脑瘫并发吸入性肺炎患儿对其体格及智力发育的影响[J].护士进修杂志, 2015, 20 (3) :1864-1866. [8]郭舒文, 谢丽琴, 陈开珠, 等.双氧水联合碳酸氢钠口腔护理对预防新生儿呼吸机相关性肺炎的效果研究[J].中华护理杂志, 2017, 52 (6) :645-648. [9]卓效芳.医护一体化方式治疗护理重症肺炎合并呼吸衰竭患儿的效果观察[J].天津护理, 2016, 24 (6) :512-514. [10] [10]GENTILE 1, BAKIR J, BIALORUS L, et al.Impact of the13-valent pneumococcal conjugate vaccine on the incidence of consolidated pneumonia in children younger than 5 years old in Pilar, Buenos Aires:A populationbased study[J].Arch Argent Pediatr, 2015, 113 (6) :502-509. [11]黎艳欢, 罗少芳, 叶文华, 等.应用查检表对ICU医护合作预防呼吸机相关性肺炎的效果观察[J].中国实用护理杂志, 2017, 33 (10) :721-724. [12]金芳, 李思涛, 温博贤, 等.基于PDCA循环的护理干预对小儿支气管肺炎并发症及治疗依从性的影响[J].中国实用护理杂志, 2016, 32 (24) :1876-1878. [13]郭冬梅, 张桂玉, 刘小平, 等.小儿肺炎护理质量评价指标体系的构建[J].中华现代护理杂志, 2017, 23 (9) :1215-1219. [14] [14]AL-OMARI A, MOHAMMED M, ALHAZZANI W, et al.Treatment of ventilator-associated pneumonia and ventilator-associated tracheobronchitis in the intensive care unit.A national survey of clinicians and pharmacists in Saudi Arabia[J].Saudi Med J, 2015, 36 (12) :1453-1462. [15]马晓平, 马莉, 马燕燕.亲情式护理对难治性肺炎患儿治疗依从性生命质量及家属心理状态的影响[J].山西医药杂志, 2017, 46 (08) :980-982. [16]陈桂琼, 麦润婵, 李倩倩, 等.雾化吸入盐酸氨溴索治疗小儿肺炎的个体化护理[J].中国临床护理, 2016, 8 (6) :507-509. [17]杨海冰, 邓丽娟, 郭嘉敏, 等.耳尖放血联合穴位贴敷在小儿肺炎喘嗽发热中的应用[J].齐鲁护理杂志, 2017, 23 (14) :91-93. -
点击查看大图
计量
- 文章访问数: 2916
- HTML全文浏览量: 1054
- PDF下载量: 90
- 被引次数: 0
下载:
