李璇

[摘要]目的 探讨个性化延续性护理对变应性鼻炎（AR）儿童的影响情况。方法 选取2017年10月～2018年3月我院收治的220例AR患儿，依据护理措施不同分为常规护理组和个性化延续性护理组，每组各110例。常规护理组给予常规护理，个性化延续性护理组在常规护理的基础上给予个性化延续性护理，比较两组喷嚏减少时间、鼻分泌物减少时间、鼻黏膜消肿时间，观察两组临床效果，观察两组临床依从性。结果 个性化延续性护理组喷嚏减少时间[（4.0±1.0）d]、鼻分泌物减少时间[（5.0±1.8）d]、鼻黏膜消肿时间[（6.8±1.8）d]，短于常规护理组的（5.7±1.4）、（7.5±2.0）、（8.9±2.0）d，差异有统计学意义（P<0.05）。个性化延续性护理组临床总有效率为100.0%，高于常规护理組的71.8%，差异有统计学意义（P<0.05）。个性化延续性护理组临床依从性高于常规护理组，差异有统计学意义（P<0.05）。结论 个性化延续性护理可改善AR患儿临床症状，提高临床效果和患儿依从性，值得临床推广应用。

[关键词]个性化延续性护理;变应性鼻炎;儿童;影响

[中图分类号] R473.76          [文献标识码] A          [文章编号] 1674-4721（2020）3（a）-0250-03

Effect of individualized continuous nursing on children with allergic rhinitis

LI Xuan

Department of Pediatrics， Dandong Women′s and Children′s Hospital， Liaoning Province， Dandong   118000， China

[Abstract] Objective To approach the effect of individualized continuous nursing on children with allergic rhinitis （AR）. Methods A total of 220 cases of AR children treated in our hospital from October 2017 to March 2018 were selected and divided into usual nursing group and personalized continuity nursing group according to difference nursing method， 110 cases in each group. The usual nursing group was given usual nursing， the personalized continuing nursing group was given personalized continuity nursing based on usual nursing. Sneeze reduction time， nasal secretion reduction time， nasal mucosa swelling time were compared between two groups， and the clinical efficacy and treatment compliance of two groups were compared. Results The sneeze reduction time （[4.0±1.0] d）， nasal secretion reduction time （[5.0±1.8] d） and nasal mucosal edema reduction time （[6.8±1.8] d）， in personalized continuing nursing group were shorter than those in routine nursing group for （5.7±1.4）， （7.5±2.0） and （8.9±2.0） d， the differences were statistically significant （P<0.05）. The total clinical effective rate of children with allergic rhinitis in individualized continuing nursing group was 100.0%， higher than that in routine nursing group （71.8%）， the difference was statistically significant （P<0.05）. The clinical compliance of children with allergic rhinitis in individualized continuing nursing group was higher than that in routine nursing group， the difference was statistically significant （P<0.05）. Conclusion The clinical symptoms of AR children by personalized continuous nursing could improve， which could increase clinical effect and children′s adherence， which is worthy of promotion.

[Key words] Personalized continuous nursing; Allergic rhinitis; Children; Influence

变应性鼻炎（allergic rhinitis，AR）属于儿科常疾病，有患病率高、病情易反复，病程较长特点。其形成原因较复杂，主要由机体接触致敏原导致血清免疫球蛋白E（IgE）应激性释放大量免疫活性因子和细胞，介导鼻黏膜非感染性炎性疾病，出现鼻痒、阵发性喷嚏、大量水样性鼻涕、鼻塞和鼻黏膜肿胀等临床表现[1-2]。近年来，AR全球发病率已达20%～30%，可发病于任何年龄段，儿童因其身体机能尚不完全，尤其易感AR[3]。尽管临床上AR不属于严重疾病，但导致阻塞性睡眠呼吸障碍、存在诱发支气管哮喘、鼻息肉及鼻窦炎等风险，严重影响儿童生长发育，临床应予以重视。AR的治疗体系包括隔离变应原、药物治疗和免疫治疗3部分，疗程较长[4]。一般临床治疗仅对AR的临床症状进行短期控制，需出院后长期坚持用药和定期随访，但患儿及家属在急性诱发期症状缓解后，极易忽视对AR的治疗，导致依从性较低，疗效不显著[5]，本研究通过对我院AR儿童临床资料进行分析，探讨个性化延续性护理对AR儿童的影响，现报道如下。……