陈亚平 刘活眉 徐小玲

【摘要】 目的：探讨护患沟通技巧在小儿行电子支气管镜肺泡灌洗术护理中的应用效果以及对小儿并发症发生的影响。方法：选取2018年1-12月于本院行电子支气管镜肺泡灌洗术的203例患儿作为研究对象，根据不同护理方式将其分为对照组（n=101，给予常规护理模式）和观察组（n=102，在对照组的基础上加强护患沟通技巧）。比较两组护理前后血氧飽和度（SpO2）、氧分压（PaO2）及二氧化碳分压（PaCO2）。比较两组遵医依从性、并发症发生情况及患儿家属满意情况。结果：护理后，观察组SpO2与PaO2均高于对照组，而PaCO2低于对照组（P<0.05）。观察组遵医总依从率为95.10%高于对照组的84.16%（P<0.05）。观察组并发症发生率为4.90%低于对照组的12.87%（P<0.05）。观察组家属总满意率为97.06%高于对照组的87.13%（P<0.05）。结论：在患儿行电子支气管镜肺泡灌洗术时采用护患沟通技巧干预，能有效改善患儿血气指标，并能显著提升患儿的治疗依从性，降低并发症发生率，提高患儿家属护理满意度，有利于改善护患关系，减少医疗纠纷。

【关键词】 护患沟通技巧 电子支气管镜 肺泡灌洗术

The Application of Nurse-patient Communication Skills in the Nursing of Children Undergoing Electronic Bronchoscope Bronchoalveolar Lavage and Its Influence on the Occurrence of Complications in Children/CHEN Yaping， LIU Huomei， XU Xiaoling. //Medical Innovation of China， 2021， 18（01）： 0-101

[Abstract] Objective： To explore the application effect of nurse-patient communication skills in the nursing of children undergoing electronic bronchoscope bronchoalveolar lavage and its influence on the occurrence of complications in children. Method： A total of 203 children underwent electronic bronchoscope bronchoalveolar lavage in our hospital from January 2018 to December 2018 were selected as study subjects. According to different nursing methods， they were divided into the control group （n=101， given routine nursing mode） and the observation group （n=102， given strengthening nurse-patient communication skills on the basis of the control group）. Blood oxygen saturation （SpO2）， oxygen partial pressure （PaO2） and partial pressure of carbon dioxide （PaCO2） before and after nursing were compared between the two groups. The medical compliance， complications and family members satisfaction of the two groups were compared. Result： After nursing， SpO2 and PaO2 in the observation group were higher than those in the control group， while PaCO2 was lower than that in the control group （P<0.05）. The total medical compliance rate in the observation group was 95.10% higher than 84.16% in the control group （P<0.05）. The complication rate in the observation group was 4.90% lower than 12.87% in the control group （P<0.05）. The total satisfaction rate of family members in the observation group was 97.06% higher than 87.13% in the control group （P<0.05）. Conclusion： The intervention of nurse-patient communication skills can effectively improve the blood gas index， significantly improve the treatment compliance of children， reduce the incidence of complications， improve the nursing satisfaction of childrens families， improve the relationship between nurses and patients， and reduce medical disputes.

[Key words] Nurse-patient communication skills Electronic bronchoscope Bronchoalveolar lavage

First-authors address： Xiaolan Peoples Hospital， South Medical University， Zhongshan 528415， China

doi：10.3969/j.issn.1674-4985.2021.01.025

目前，电子支气管镜是临床治疗小儿肺部疾病主要手段之一，但由于小儿中央气道病灶位置比较特殊，且周围组织环绕着较复杂的纵隔结构，再加上患儿年龄较小和身体素质各方面的原因，导致其在灌洗过程中容易出现不配合、哭闹等现象，不仅加大了治疗难度，还增加了治疗风险，甚至引起多起护患纠纷，影响医院整体护理质量[1-3]。因此，在治疗过程中采取积极有效的干预措施对提高患儿治疗效果和改善护患关系具有十分重要的作用。有研究指出，在儿科护理中融入护患沟通技巧，给予患儿更多的赞美和关心，并积极对患儿家属进行预见性交流，可大幅度提高患儿治疗依从性，减少护患矛盾[4-6]。鉴于此，为了进一步完善儿科的护理工作，本研究通过对2018年1-12月于本院行电子支气管镜肺泡灌洗術的203例患儿分别采取常规护理和护患沟通技巧干预，探讨不同护理方式在临床上的应用价值，现报道如下。……