邵丽

[摘要] 目的 分析支气管肺炎临床路径在儿科优质护理中的应用价值。 方法 将我院儿科2014年1月～2016年12月收治的110例支气管肺炎患儿随机分为对照组与观察组，对照组55例患儿行常规优质护理，观察组55例患儿在优质护理中应用临床护理路径，对比两组患儿的护理效果。 结果 观察组护理后的健康教育、评估干预、沟通合作及人际交流得分均显著高于对照组（P<0.05），观察组治疗总有效率为94.55%，明显高于对照组的81.82%（P<0.05），除护理技术水平外，观察组患儿家属的护理满意度明显高于对照组（P<0.05）。 结论 在儿科支气管肺炎优质护理中应用临床路径能够有效提高治疗效果，密切护患关系，改善患儿预后，值得临床推广应用。

[关键词] 支气管肺炎；儿科；优质护理；护理满意度

[中图分类号] R473.72 [文獻标识码] B [文章编号] 1673-9701（2017）16-0131-03

[Abstract] Objective To analyze the application value of clinical pathway of bronchial pneumonia in high-quality pediatric nursing. Methods A total of 110 children with bronchial pneumonia in the Department of Pediatrics from January 2014 to December 2016 were randomly divided into control group and observation group. 55 children in the control group were treated with routine high-quality care， 55 children in the observation group were treated with clinical nursing pathway in the high-quality care. The nursing effect between the two groups was compared. Results The health education， assessment intervention， communication cooperation and interpersonal scores of the observation group were significantly higher than those of the control group（P<0.05）. The effective rate of the treatment group was 94.55%， which was significantly higher than 81.82% of the control group（P<0.05）. In addition to the level of care technology， the nursing satisfaction of family members of children in the observation group was significantly higher than that in the control group（P<0.05）. Conclusion The application of clinical pathway in pediatric bronchial pneumonia high-quality care can effectively improve the therapeutic effect， close nurse-patient relationship， and improve the prognosis of children， which is worthy of clinical application.

[Key words] Bronchial pneumonia； Pediatrics； High-quality nursing； Nursing satisfaction

小儿支气管肺炎为儿科常见疾病，临床表现主要有气促、咳嗽、发热及呼吸困难等[1-3]。为了进一步对小儿支气管肺炎的护理方法进行分析，本研究对我院儿科2014年1月～2016年12月收治的110例支气管肺炎患儿进行随机对照研究，现报道如下。

1 资料与方法

1.1 一般资料

将我院儿科2014年1月～2016年12月收治的110例支气管肺炎患儿随机分为对照组与观察组，对照组55例，其中男31例，女24例；年龄1.5～7岁，平均（4.1±1.2）岁；病程1～3 d，平均（1.3±0.5）d。观察组55例，其中男30例，女25例；年龄1～8岁，平均（4.4±1.3）岁；病程1～4 d，平均（1.5±0.3）d。两组患儿的性别、年龄及病情等基本资料均无明显差异（P>0.05）。

1.2方法

对照组行常规优质护理干预，具体如下：①环境护理：注意保持病房清洁、安静、舒适，温度保持22℃～24℃，湿度为50%～60%[4]。将病房布置的富有童趣，消除患儿对陌生环境的恐惧感。②密切病情监测：对患儿生命体征进行密切监测，一旦患儿出现焦躁不安、呼吸急促、面色苍白等症状，应立刻报告医生[4]。要对患儿衣物及时进行更换，保持衣物及床上用品清洁，嘱家属让患儿多饮水。……