王晓燕

[摘要] 目的 探讨和分析早期护理干预对于小儿肺炎的临床护理效果。 方法 整群选取2013年3月—2014年2月间，该院医治的130例小儿肺炎患者为对照组；2014年3月—2015年2月间，该院医治的130例小儿肺炎患者为观察组。在临床中，对于对照组只进行传统护理；对观察组则在早期进行系统护理，且有针对性的护理干预，对二者的疗效进行比较。 结果 观察组患儿的咳嗽、发热、肺部啰音的症状改善时间分别为（5.51±1.41）、（4.82±1.19）和（6.82±1.49）d，住院时间为（25.1±1.1）d；明显短于对照组患者，两组上述指标对比，差异有统计学意义（P<0.05）；观察组患者的医嘱依从率和护理满意率分别为98.46%和100%， 均明显高于对照组（74.62%、79.23%），两组患者的医嘱依从率和护理满意率对比，差异有统计学意义（P<0.05）。 结论 对于小儿肺炎患者，采用早期系统性的护理干预措施，对小儿肺炎的康复疗效明显，值得临床推广。

[关键词] 早期护理干预；儿科护理；小儿肺炎

[中图分类号] R473.5 [文献标识码] A [文章编号] 1674-0742（2015）10（a）-0176-03

Analysis of the Effect of Early Nursing Intervention on the Clinical Curative Effect of Infantile Pneumonia

WANG Xiao-yan

Department of Pediatrics， The People's Hospital of Huadian City， Huadian， Jilin Province， 132400 China

[Abstractive] Objective To explore and analyze the clinical effect of early nursing intervention on infantile pneumonia. Methods 130 children with pneumonia treated in our hospital from March 2013 to February 2014 were selected as the control group， and other 130 children with pneumonia treated in our hospital from March 2014 to February 2015 were selected as the observation group. Children in the control group were treated by traditional nursing， and those in the observation group were treated by early targeted and systematic nursing intervention. And the efficacy of the two groups was compared. Results In the observation group， the time for improving cough， fever and pulmonary rales was （5.51±1.41）d， （4.82±1.19）d and （6.82±1.49）d， respectively， the length of stay was （25.1±1.1）d， which was much shorter than that in the control group， respectively with statistically significant difference（P<0.05）. Compared with the control group， the observation group had obviously higher treatment compliance rate（98.46% vs 74.62%）， significantly higher level of nursing satisfaction（100% vs 79.23%） with statistically significant difference（P<0.05）. Conclusion Early systematic nursing intervention has significant effect on the rehabilitation in children with pneumonia， so it is worthy of clinical promotion.

[Key words] Early nursing intervention； Pediatric nursing； Infantile pneumonia

小儿肺炎是小儿最常见的一种呼吸道疾病，四季均易发生，婴幼儿在冬、春季节患肺炎较多， 如果治疗不彻底，很容易反复发作、引起多种重症并发症，影响孩子发育[1]。3岁以下的儿童，因机体免疫功能尚未健全，中枢神经系统发育也不完善，是这种病的高发阶段，并且极易发展成为重症肺炎，是发病率以及病死率较高的疾病，会严重威胁对儿童的健康[2]。可见，对小儿肺炎早期进行高效和系统的护理干预，对肺炎患儿的康复和治疗意义重大。该院对于收治的130例小儿肺炎患者，采用有针对性和系统的护理干预措施，收到了较好的疗效，现报道如下。

1 资料与方法

1.1 一般资料

整群选取2014年3月—2015年2月间，该院医治的130例小儿肺炎患者为观察组。其中，男性患者71例，女性患者59例；患者年龄在为3月到13个月，平均年龄为（14.26±7.02）月；同时选取本院2013年3月—2014年2月间，该院医治的130例小儿肺炎患者为对照组。……