小儿重症肺炎临床护理要点探访

【作者】 陈华明； 张鸿；

【机构】 四川省南充市中心医院儿科；

【摘要】 目的:分析小儿重症肺炎的临床护理要点。方法:收集我院2013年2月-2014年5月期间诊治的小儿重症肺炎患者85例作为研究对象,以随机数字表分组的方式分为试验组(43例)与对照组(42例),对照组患者采用常规生命体征监测、口头健康教育、遵医用药等护理管理,试验组患儿在对照组的基础上加强环境护理、心理护理、皮肤护理、体位护理、饮食干预、氧疗护理、呼吸道护理等护理干预,对两组患儿的不良反应发生率、喘憋时间、退热时间、肺部啰音消失时间和住院时间进行分析对比。结果:研究结果显示试验组患儿的喘憋时间、退热时间、肺部啰音消失时间和住院时间明显短于对照组(P<0.05)。同时,试验组患儿的心力衰竭等不良反应发生率明显低于对照组(P<0.05)。结论:在小儿重症肺炎中加强环境护理、心理护理、皮肤护理、体位护理、饮食干预、氧疗护理、呼吸道护理等护理干预具有良好的应用效果,能有效缩短患儿的喘憋时间、退热时间、肺部啰音消失时间和住院时间,降低不良反应发生率,值得在临床应用上推广。更多还原

【Abstract】 Objective:to analyze clinical nursing points of the children with severe pneumonia.Methods:to collect the hospital in February 2013-2014,may make a diagnosis and give treatment of 85 cases of children with severe pneumonia patients as the research object,in the form of random number table group(43cases)were divided into test group and control group(42cases)and control group were treated by routine monitoring vital signs,nursing management of oral health education,according to medical medicine,experimental group patients in the control group on the basis of strengthening environmental care,psychological care,skin care,body position nursing,diet intervention,oxygen therapy,respiratory tract nursing and other nursing intervention,the two groups of children with the incidence of adverse reactions,breath holding time,antifebrile time,my lungs then disappear through the comparative analysis time and hospital stay.Results:the results showed that the experimental group with out any time,antifebrile time,lung then disappear time and hospitalization time significantly shorter than the control group(P<0.05).At the same time,the incidence of adverse reactions such as heart failure patients with significantly lower than the control group(P<0.05).Conclusion:in children with severe pneumonia to strengthen environmental care,psychological care,skin care,body position nursing,diet intervention,oxygen therapy,such as respiratory tract nursing care intervention has good application effect,can effectively shorten the patient’s breath holding time,antifebrile time,lung then disappear time and hospital stay,reduce the incidence of adverse reactions,is worth popularization in clinical application.更多还原