董芫

【摘要】 目的：探讨雾化治疗小儿支气管肺炎的护理价值。方法：选取笔者所在医院2018年2月-2019年2月收治的92例小儿支气管肺炎患儿，以简单随机法分为研究组和对照组，各46例，均采取雾化治疗。对照组予以常规护理，研究组在此基础上予以个性化护理，对两组体温恢复时间、临床症状消失时间、抗生素使用时间、住院时间和家长护理满意度进行观察比较。结果：研究组体温恢复时间、临床症状消失时间、抗生素使用时间及住院时间均明显早于对照组（P<0.05）;研究组家长护理满意度明显高于对照组（P<0.05）。结论：在雾化治疗小儿支气管肺炎患儿中实施个性化护理干预具有较高的临床价值，能够有效地促进患儿的康复，提升生活质量，值得临床推荐。

【关键词】 小儿支气管肺炎 雾化治疗 个性化护理 护理满意度

doi：10.14033/j.cnki.cfmr.2019.28.046 文献标识码 B 文章编号 1674-6805（2019）28-0-03

Effect and Satisfaction Evaluation of Personalized Nursing in Aerosol Therapy in Children with Pediatric Bronchial Pneumonia/DONG Yuan. //Chinese and Foreign Medical Research， 2019， 17（28）： -113

[Abstract] Objective： To investigate the nursing value of aerosol therapy in children with pediatric bronchial pneumonia. Method： A total of 92 children with pediatric bronchial pneumonia were enrolled in our hospital from February 2018 to February 2019. Children were randomly divided into the study group and the control group，and 46 cases in each group. All children were treated with aerosol therapy. And the control group received routine nursing， and the study group received personalized nursing on the basis of routine nursing. The temperature recovery time， the disappearance time of clinical symptoms， the time of antibiotic use， the length of hospital stay and the nursing satisfaction of parents were compared between the two groups. Result： The temperature recovery time， the disappearance time of clinical symptoms， the time of antibiotic use， and the length of hospital stay in the study group were significantly earlier than those of the control group （P<0.05）. The nursing satisfaction of the parents in the study group was significantly higher than that of the control group （P<0.05）. Conclusion： The implementation of personalized nursing intervention in aerosol therapy of children with pediatric bronchial pneumonia has high clinical value， and it can effectively promote the rehabilitation of children and improve their quality of life， which is worthy of clinical recommendation.

[Key words] Pediatric bronchial pneumonia Aerosol therapy Personalized nursing Nursing satisfaction

First-authors address：Fuzhou Changle District Maternal and Child Health Hospital， Fuzhou 350200， China

小兒支气管肺炎多发于三岁以下儿童，为较常见的呼吸系统疾病。主要病因包括病毒感染、细菌感染及变态反应等，导致支气管黏膜、气管及周围组织发生炎症。患儿主要临床表现为气促、咳嗽、发热、咳痰等，严重时会引起肺换气、通气功能障碍，甚至导致死亡。由于患儿的年龄小，认知能力差，治疗依从性不高，往往导致治疗效果差强人意[1-2]。本次研究对雾化治疗小儿支气管肺炎患儿实施个性化护理的效果及满意度进行探讨，报道如下。

1 资料与方法

1.1 一般资料

选取笔者所在医院2018年2月-2019年2月收治的92例小儿支气管肺炎患儿。纳入标准：经X线检查、实验室检查确诊。排除标准：支气管扩张、先天性疾病、过敏体质。以简单随机法分为研究组和对照组，各46例。研究组男24例，女22例;年龄1.4～6.0岁，平均（3.7±0.6）岁;病程1～8 d，平均（4.52±0.67）d。对照组男23例，女23例;年龄1.8～6.0岁，平均（3.9±0.5）岁;病程1～7 d，平均（4.41±0.82）d。……