护理干预在小儿哮喘中应用效果分析.docVIP

护理干预在小儿哮喘中应用效果分析 　　 　　 　　[摘要] 目的 分析综合性护理干预在小儿哮喘中的应用效果。 方法 将本院收治的80例哮喘患儿随机分为观察组40例和对照组40例。对照组患儿行常规护理干预，观察组患儿行综合护理干预，即在常规护理的基础上进行患儿体位护理、病房环境护理、症状缓解护理、预见性护理及健康宣教、运动指导等。评价两组患儿的临床治疗效果，观察并统计患儿的临床症状、体征消失时间以及随访期间患儿哮喘的复发率、再住院率。 结果 观察组患儿的总有效率为95%，对照组为85%，观察组患儿的总有效率高于对照组（P＜0.05）；观察组患儿的平均咳嗽、喘息、呼吸困难及肺鸣音消失时间均短于对照组（P＜0.05）；观察组患儿随访期间的复发率及再住院率均低于对照组（P＜0.05）。 结论 在小儿哮喘的临床治疗中给予患儿综合性护理干预能有效提高患儿的临床治疗效果，尽快缓解症状及体征，降低哮喘的复发率和再住院率。 　　[关键词] 哮喘；小儿；护理干预 　　[中图分类号] R473.72[文献标识码] B[文章编号] 1674-4721（2014）05（b）-0125-03 　　 　　Analysis of application effects of nursing intervention in children with asthma 　　LIAO Li-xia 　　The Central People′s Hospital of Jian City in Jiangxi Province,Jian 343000,China 　　[Abstract] Objective To analyze the application effects of comprehensive nursing intervention measures in children with asthma. Methods Eighty children with asthma treated in our hospital were randomly divided into the observation group with 40 cases and the control group with 40 cases.The control group received conventional nursing intervention.The observation group received comprehensive nursing intervention,which was the implementation of body position nursing,ward environment nursing,symptom relief nursing,predictive nursing,health publicity and education,exercise guidance,etc on the basis of conventional nursing.The clinical treatment effects for the 2 groups of children were evaluated and the children′s clinical symptoms,signs disappearance time and the children′s asthma recurrence rates and rehospitalization rates during follow-up period were observed and analyzed statistically. Results The total effective rate of clinical treatment was 95% in the observation group and 85% in the observation group respectively.The observation group had higher total effective rate of clinical treatment than the control group (P 　　1.2.1 患儿体位的护理密切观察患儿的病情，协助患儿家属给予患儿合适的体位护理。针对哮喘非发作期的患儿，指导患儿取仰卧位，保持舒适的休息位；而针对哮喘急性发作期的患儿，则取半坐位或侧卧位，保持患儿上半身向前倾斜，以促进胸廓的扩大，保证患儿呼吸顺畅，防止哮喘病情加重[3]。 　　1.2.2 病房环境的护理保持病室空气新鲜，定时通风，温湿度适宜。同时，加强病房的除尘工作，及