方海燕

[摘要]目的 探讨针对性护理在小儿肺炎中的应用效果。方法 选取2014年12月～2015年10月我院儿科收治的45例肺炎患儿，按照随机综合序贯法分为对照（n=22例）和观察组（n=23例）。对照组采取肺炎常规护理，观察组采取针对性护理。比较两组的护理效果。结果 观察组的退烧时间为（2.1±0.3）、住院天数（4.5±1.0）d，明显短于对照组的（4.9±0.4）、（8.7±2.3）d，差异有统计学意义（P<0.05）。观察组治疗总有效率为95.65%，明显高于对照组的72.73%，，差异有统计学意义（P<0.05）。观察组患儿及患儿家属的护理总满意度为100%，明显高于对照组的77.27%，差异有统计学意义（P<0.05）。结论 对肺炎患儿采取针对性护理，退烧时间快，症状缓解明显，疗效显著，有利于提高护理满意度，值得在临床上推广。

[关键词]针对性护理；常规护理；小儿肺炎

[中图分类号] R473.72 [文献标识码] A [文章编号] 1674-4721（2018）9（c）-0207-03

Application effect of targeted nursing in 45 children with pneumonia

FANG Hai-yan

Department of Pediatrics， Maternal and Child Health Care Hospital of Jingdezhen City， Jiangxi Province， Jingdezhen 333000， China

[Abstract] Objective To investigate the application effect of targeted nursing in children with pneumonia. Methods A total of 45 children with pneumonia admitted to our hospital from December 2014 to October 2015 were selected. They were divided into control group （n=22） and observation group （n=23） by a random comprehensive sequential method. In the control group， routine care for pneumonia was used， while in the observation group， targeted nursing was adopted. The nursing effect was compared in the two groups. Results The duration of fever bringing down in the observation group was （2.1±0.3） d and hospital stay was （4.5±1.0） d， significantly shorter than that in the control group （[4.9±0.4] d and [8.7±2.3] d respectively）， which was displayed statistical significance （P<0.05）. The totla effectiveness rate in the observation group was 95.65%， significantly higher than that in the control group accounting for 72.73%， with a significant difference （P<0.05）. The total satisfaction of nursing from patients and families in the observation group was 100%， significantly higher than that of the control group accounting for 77.27% with a statistical difference （P<0.05）. Conclusion For pediatric pneumonia， application of targeted nursing has the advantages of rapid fever reduction， obvious symptom relief， and remarkable effect， which is beneficial to increasing nursing satisfaction. It is worthy of further exploration and promotion in clinical practice.

[Key words] Targeted care； Routine care； Pediatric pneumonia

小兒肺炎是由细菌或病毒引起的小儿肺部感染性炎症[1]，多发生于秋冬季节或是气候骤变之时，是小儿的常见病。患儿主要表现为发热、咳嗽、呼吸不畅、寒战、肺部细湿啰音等。小儿肺炎病程进展迅速，若治疗不及时，可导致心力衰竭、呼吸衰竭、休克等并发症，严重威胁患儿的生命健康。由于患儿年龄小、存在抗拒心理、不配合治疗、依从性较差，往往影响治疗效果。针对性护理是根据患儿的特点和需求进行的个性化、有针对性的护理。该护理模式并不是传统的、程序化的模式，注重个体化护理，故容易被患儿及家属接受。本研究在我院选取45例肺炎患儿，探讨针对性护理对小儿肺炎治疗效果，现报道如下。

1资料与方法

1.1一般资料

选取2014年12月～2015年10月我院儿科收治的45例肺炎患儿，按照随机综合序贯法分为对照（n=22例）和观察组（n=23例）。观察组男13例，女10例；年龄2～10岁，平均（7.13± 0.57）岁；病程2～10 d，平均（3.2±0.5）d。对照组男13例，女9例；年龄2～11岁，平均（7.24±0.41）岁；病程2～12 d，平均（3.2±0.4）d。两组的病程、性别、年龄等一般资料比较，差异无统计学意义（P>0.05），具有可比性。……