摘要
目的:观察层级链式护理在重症肺炎患儿中的应用效果。方法:选取88例重症肺炎患儿为研究对象,按随机数字表法将其分为对照组和观察组各44例。对照组接受常规护理,观察组接受层级链式护理,比较两组护理前后血气指标[动脉血氧分压(PaO;)、动脉血氧饱和度(SaO_(2))、动脉血二氧化碳分压(PaCO_(2))]水平、临床症状体征消失时间、住院时间、护理前后患儿家长负性情绪[9项患者健康问卷(PHQ-9)、广泛性焦虑障碍量表(GAD-7)]评分。结果:护理后,观察组PaCO_(2)水平低于对照组,PaO;和SaO_(2)水平均高于对照组,差异有统计学意义(P<0.05);观察组咳嗽、发热、肺啰音等临床体征消失时间和住院时间均短于对照组,差异有统计学意义(P<0.05);观察组家长PHQ-9、GAD-7评分均低于对照组,差异有统计学意义(P<0.05)。结论:层级链式护理应用于重症肺炎患儿可改善血气指标水平,缩短临床症状体征消失时间,降低患儿家长负性情绪评分,效果优于常规护理。
Objective:To observe application effects of hierarchical chain nursing in children with severe pneumonia.Methods:88 children with severe pneumonia were selected as the research objects,and were divided into control group and observation group according to the random number table method,44 cases in each group.The control group received routine nursing,while the observation group received the hierarchical chain nursing.The levels of blood gas index levels[arterial blood oxygen partial pressure (PaO;),arterial blood oxygen saturation (SaO_(2)),arterial carbon dioxide partial pressure (PaCO_(2))],the disappearance time of clinical symptoms and signs,the hospitalization time,and the parental negative emotion scores[9-item patient health questionnaire (PHQ-9),generalized anxiety disorder scale (GAD-7)]before and after the nursing were compared between the two groups.Results:After the nursing,the level of PaCO_(2) in the observation group was lower than that in the control group;the levels of PaO;and SaO_(2) were higher than those in the control group;and the differences were statistically significant (P<0.05).The disappearance time of cough,fever,lung rales and other clinical signs and the hospitalization time in the observation group were shorter than those in the control group,and the differences were statistically significant (P<0.05).Further,the scores of PHQ-9 and GAD-7 in the observation group were lower than those in the control group,and the differences were statistically significant (P<0.05).Conclusions:The hierarchical chain nursing for the children with severe pneumonia can improve the blood gas index levels,shorten the disappearance time of clinical symptoms and signs,and reduce the parental negative emotional scores of these children.Moreover,it is superior to the routine nursing.
作者
张鑫
ZHANG Xin(Department of Pediatric Critical Care Medicine of Zhumadian Central Hospital,Zhumadian 463000 Henan,China)
出处
《中国民康医学》
2022年第8期174-176,共3页
Medical Journal of Chinese People’s Health
关键词
重症肺炎
患儿
层级链式护理
症状
血气指标
负性情绪
Severe pneumonia
Children
hierarchical chain nursing
Symptom
Blood gas index
Negative emotion
