曾蔚

[摘要]目的 探討人性化护理在氧气驱动雾化吸入布地奈德治疗小儿肺炎中的应用效果。方法 选取2014年1月～2015年11月我院收治肺炎患儿中随机抽取的83例。将其根据随机数字表法随机分为甲组41例和乙组42例。所有患儿接受氧气驱动雾化吸入布地奈德治疗，其中，甲组采用常规护理措施，乙组采用人性化护理措施。比较两组患儿雾化吸入治疗的依从性；患儿家长对雾化治疗知识的掌握度和雾化吸入操作的熟练度；干预前和干预后两组患儿临床症状评分、生活质量评分的差异；两组患儿发烧症状、咳嗽症状、咳痰症状持续时间、住院时间的差异。结果 乙组较甲组肺炎患儿雾化吸入治疗的依从性更高（P<0.01）；乙组较甲组患儿家长对雾化治疗知识的掌握度和雾化吸入操作的熟练度更高（P<0.01）；干预前两组临床症状评分、生活质量评分相似（P>0.05）；干预后乙组较甲组临床症状评分、生活质量评分改善更显著（P<0.05）；乙组患儿发烧症状、咳嗽症状、咳痰症状持续时间、住院时间均明显短于甲组（P<0.01）。结论 氧气驱动雾化吸入布地奈德治疗小儿肺炎效果确切，辅以人性化护理干预措施，可提高患儿家长对雾化吸入治疗的了解，并正确操作，可提高患儿治疗依从性，对促进临床症状消退和改善患儿生活质量效果确切，值得推广。

[关键词]氧气驱动雾化吸入；布地奈德；肺炎；生活质量；住院时间

[中图分类号] R563.1 [文献标识码] A [文章编号] 1674-4721（2017）04（a）-0182-04

Application of humanized nursing in the treatment of pediatric pneumonia by oxygen-driven atomized inhalation of budesonide

ZENG Wei

Department of Pediatrics，People′s Hospital of Chaoan District in Chaozhou City，Guangdong Province，Chaozhou 515638，China

[Abstract]Objective To study the application effect of humanized nursing in the treatment of children with pneumonia by oxygen-driven atomized inhalation of budesonide.Methods The research objects of 83 cases with pediatric pneumonia were randomly selected from January 2014 to November 2015 in our hospital.By a random number table，they were divided into group A （n=41） and group B （n=42）.All participants were treated by oxygen-driven atomized inhalation of Budesonide.In the group A，conventional nursing measure was used，while in the group B，humanized nursing was adopted.The treatment compliance of aerosol inhalation，degree of mastering knowledge about aerosol inhalation by patient′s parents and degree of proficiency of performing aerosol inhalation，clinical symptoms score and score of quality of life before and after intervention，persisting time of fever，cough，and expectoration，and hospital stay were compared in the two groups.Results The treatment compliance of aerosol inhalation for pneumonia in the group B was higher than that in the group A （P<0.01）.Degree of mastering knowledge about aerosol inhalation by patient′s parents and degree of proficiency of performing aerosol inhalation in the group B was better than those in the group A （P<0.01）.Before intervention，the clinical symptoms score and quality of life score in the two groups were similar（P>0.05）.After intervention，they were improvement in the group B than group A（P<0.05）.The persisting time of fever，cough，expectoration as well as hospital stay in the group B were all shorter than those in the group A （P<0.01）.Conclusion Oxygen-driven aerosol inhalation of budesonide in the treatment of pneumonia in children is effective.Assisted by humanized nursing as intervention measure，it can strengthen the understanding of aerosol inhalation in children′s parents in right performance as well as increase the treatment compliance by pediatric patients，which obtain definite effects on promoting clinical symptoms resolving and improving the quality of life，and it is worthy of promotion.

[Key words]Oxygen-driven aerosol inhalation；Budesonide；Pneumonia；Quality of life；Hospital stay

小兒肺炎以发热、咳嗽、肺部啰音等为主要表现，随着临床症状加重，可进一步侵袭其他器官和组织，导致相关并发症的发生。氧气驱动雾化吸入布地奈德治疗小儿肺炎效果确切[1]，但多数患儿治疗依从性低下，为了提高患儿雾化吸入依从性，需加强护理干预。人性化护理是一种新型护理措施，将其应用于小儿氧气驱动雾化吸入布地奈德治疗中可提升患儿的治疗依从性。本研究对人性化护理在氧气驱动雾化吸入布地奈德治疗小儿肺炎中的应用效果进行分析，现报道如下。……