综合护理干预对婴幼儿雾化吸入依从性的影响.docVIP

综合护理干预对婴幼儿雾化吸入依从性的影响 　　【摘要】 目的：探讨综合护理干预在门诊婴幼儿雾化吸入治疗中对婴幼儿及家长依从性的影响。方法：选择在笔者所在医院儿科门诊进行吸入治疗的婴幼儿100例，根据患儿年龄和性格特点做好患儿及家长有关吸入治疗的知识宣教，严密观察病情，做好护患之间的沟通，治疗后协助患儿有效排痰，指导家长在治疗过程中的配合技巧，以消除因患儿不合作而影响治疗效果。结果：95%患儿能够完成治疗，依从性好。结论：针对不同年龄阶段婴幼儿及家长的心理特点，给予综合护理干预，有利于更好观察病情，提高护理安全性；减少其他治疗方式带来的潜在危险，提高患儿雾化吸入的依从性。 　　【关键词】 护理干预； 双人固定雾化吸入法； 依从性 　　中图分类号 R473.72 文献标识码 B 文章编号 1674-6805（2016）11-0070-03 　　【Abstract】 Objective：To explore the infants and parents compliance of comprehensive nursing intervention in the treatment of atomization inhalation for infants and young children.Method：In our hospital pediatric outpatient，100 cases of infant inhalation were selected，according to age and personality traits on inhalation therapy of knowledge education，strict observation condition，completed the communication between nurses and patients，helped children with effective expectoration drainage after treatment，guided the parents in the process of treatment with skill，eliminated the influence therapeutic effect for children not cooperation.Result：95% of the children were cured and had good compliance.Conclusion：According to the characteristics of the different age stages of infants and young children and their parents psychology，to give the comprehensive nursing intervention，is better to observe condition and improve the nursing safety，to reduce the potential risk by other treatments，raise compliance of children with atomization inhalation of adherence. 　　【Key words】 Nursing intervention； Double fixed atomization inhalation method； Compliance 　　First-author’s address：The Fourth People’s Hospital of Longgang District in Shenzhen City，Shenzhen 518114，China 　　doi：10.14033/j.cnki.cfmr.2016.11.039 　　随着环境气候变化，城市空气质量降低，婴幼儿免疫力下降，各种疾病感染发生率增加，尤其是呼吸道感染。雾化吸入是儿科门诊治疗婴幼儿呼吸道感染的一种常用治疗手段。常用的有超声雾化吸入、简易雾化罐雾化吸入等。笔者所在医院儿科门诊使用的是压缩空气式雾化吸入器，具有操作简便、用药量少、副作用小、起效快等优点；现已成为婴幼儿呼吸系统感染的最常用的给药方式之一。药物通过雾化吸入在呼吸道内直达病灶形成较高的药物浓度，达到湿化气道、解痉、消炎、化痰止咳作用[1]。婴幼儿处于生理、心理发育期，其认知和自控能力差，对雾化吸入治疗有抵触，甚至导致雾化吸入无法进行，影响雾化吸入疗效，也就是临床上常影响治疗效果的不依从性。因此，为了增加