层级链式模式在小儿肺炎中的应用价值

摘要
图/表
参考文献(23)
相关文章 (15)

全文: PDF (543 KB) HTML (1 KB)
输出: BibTeX | EndNote (RIS)

摘要目的探讨层级链式模式在小儿肺炎中的应用价值。方法回顾性分析陕西省宝鸡市妇幼保健院2013年1月～2018年12月肺炎患儿120例临床资料，根据干预措施不同分为对照组（常规护理干预，60例）和观察组（层级链式模式，60例）。观察两组患儿发热、气促、咳嗽、肺啰音消失时间及抗生素使用时间、雾化治疗时间、住院时间，观察两组患儿家属配合度和满意度，观察两组患儿临床疗效。结果观察组患儿发热、气促、咳嗽、肺啰音消失时间及抗生素使用时间、雾化治疗时间、住院时间均短于对照组，观察组患儿家属配合度和满意度均高于对照组，观察组患儿临床总有效率高于对照组，差异均有统计学意义（P < 0.05）。结论层级链式模式在小儿肺炎中应用，患儿临床症状消失时间明显缩短，患儿家属临床治疗配合度、满意度提高，疗效显著，值得临床推广应用。

	服务

	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章
	王桂梅1 甘军侠2▲

关键词 ：层级链式模式, 小儿肺炎, 配合度, 满意度

Abstract：Objective To explore application value of hierarchical chain model in pediatric pneumonia. Methods Clinical data of 120 children with pneumonia in Baoji Maternal and Child Health Hospital of Shaanxi Province from January 2013 to December 2018 was retrospectively analyzed. According to the different intervention measures, they were divided into two groups: control group (routine nursing intervention, 60 cases) and observation group (hierarchical chain model, 60 cases). The disappearance time of fever, shortness of breath, cough, lung rale, antibiotic use time, atomization treatment time and hospitalization time of two groups were observed. The degree of cooperation and satisfaction of the families of two groups were observed, and clinical efficacy of two groups was observed. Results The disappearance times of fever, shortness of breath, cough, lung rale, antibiotic use time, atomization treatment time and hospitalization time in observation group were shorter than those in control group. The degree of cooperation and satisfaction of family members in observation group were higher than those in control group. Total clinical effective rate in observation group was higher than that in control group, and the differences were statistically significant (P < 0.05). Conclusion Application of hierarchical chain model in pediatric pneumonia shows that the disappearance time of clinical symptoms of children is obviously shortened, and the degree of cooperation and satisfaction of family members of children with pneumonia are improved. The effect is remarkable, which is worthy of clinical popularization and application.

Key words： Hierarchical chain model Pediatric pneumonia Compatibility Satisfaction

通讯作者: ▲通讯作者

引用本文:

王桂梅1 甘军侠2▲. 层级链式模式在小儿肺炎中的应用价值[J]. 中国医药导报, 2019, 16(25): 185-188.
WANG Guimei1 GAN Junxia2▲. Application value of hierarchical chain model in pediatric pneumonia. 中国医药导报, 2019, 16(25): 185-188.

链接本文:

http://www.yiyaodaobao.com.cn/CN/ 或 http://www.yiyaodaobao.com.cn/CN/Y2019/V16/I25/185

[1] 王云，鱼丽荣，张敏，等.心理护理措施对肺炎患儿疗效及其家长心理状态的应用效果研究[J].国际精神病学杂志，2016，43（4）：716-717.
[2] Rutman L，Wright DR，O′Callaghan J，et al. A comprehensive approach to pediatric pneumonia：relation-ship between standardization，antimicrobial steward-ship，clinical testing，and cost [J]. J Healthc Qual，2017，39（4）：e59-e69.
[3] 余婷玉.延伸护理在小儿肺炎护理中的应用价值分析及效果评价[J].中国医学创新，2016，13（4）：93-95.
[4] Mohanan M，Verahernández M，Das V，et al. The know do gap in quality of health care for childhood diarrhea and pneumonia in rural india [J]. JAMA Pediatrics，2015，169（4）：349.
[5] 孙燕.针对性护理在小儿肺炎护理中的效果观察[J].深圳中西医结合杂志，2017，27（7）：157-159.
[6] 廖羽.早期综合护理模式应用于脑瘫并发吸入性肺炎患儿对其体格及智力发育的影响[J].护士进修杂志，2015， 20（3）：1864-1866.
[7] 王莉，马荣伟.个性化护理干预在小儿肺炎支原体感染患儿中的应用效果[J].护理研究，2017，31（9）：1143-1145.
[8] 张晓和.优质护理在小儿肺炎护理中的应用体会[J].包头医学，2017，41（2）：106-108.
[9] 朱彩勤，刘莉娜.层级链式模式在小儿肺炎护理中的应用[J].昆明医科大学学报，2018，39（3）：145-148.
[10] Simbalista R，Andrade DC，Borges IC，et al. Differences upon admission and in hospital course of children hospitalized with community acquired pneumonia with or without radiologically-confirmed pneumonia：a retrospective cohort study [J]. BMC Pediatr，2015，15（1）：166.
[11] 胡亚美，江载芳.褚福堂实用儿科学[M].7版.北京：人民卫生出版社，2002：1204-1205.
[12] 郭舒文，谢丽琴，陈开珠，等.双氧水联合碳酸氢钠口腔护理对预防新生儿呼吸机相关性肺炎的效果研究[J].中华护理杂志，2017，52（6）：645-648.
[13] Gentile L，Bakir J，Bialorus L，et al. Impact of the 13-valent pneumococcal conjugate vaccine on the incidence of consolidated pneumonia in children younger than 5 years old in Pilar，Buenos Aires：a population-based study [J]. Arch Argent Pediatr，2015，113（6）：502-509.
[14] 卓效芳.医护一体化方式治疗护理重症肺炎合并呼吸衰竭患儿的效果观察[J].天津护理，2016，24（6）：512-514.
[15] 陈桂琼，麦润婵，李倩倩，等.雾化吸入盐酸氨溴索治疗小儿肺炎的个体化护理[J].中国临床护理，2016，8（6）：507-509.
[16] 黎艳欢，罗少芳，叶文华，等.应用查检表对ICU医护合作预防呼吸机相关性肺炎的效果观察[J].中国实用护理杂志，2017，33（10）：721-724.
[17] 马晓平，马莉，马燕燕.亲情式护理对难治性肺炎患儿治疗依从性生命质量及家属心理状态的影响[J].山西医药杂志，2017，46（8）：980-982.
[18] 金芳，李思涛，温博贤，等.基于PDCA循环的护理干预对小儿支气管肺炎并发症及治疗依从性的影响[J].中国实用护理杂志，2016，32（24）：1876-1878.
[19] 郭冬梅，张桂玉，刘小平，等.小儿肺炎护理质量评价指标体系的构建[J].中华现代护理杂志，2017，23（9）：1215-1219.
[20] Duska L，Shahrokni A，Powell M. Treatment of older women with endometrial cancer：improving outcomes with personalized care [J]. ASCO，2016，36（1）：164-174.
[21] Fisher AJ. Toward a dynamic model of psychological assessment：implications for personalized care [J]. J Consult Clin Psychol，2015，83（4）：825-836.
[22] Murray L，Dunne MP，Vo TV，et al. Postnatal depressive symptoms amongst women in Central Vietnam：a cross-sectional study investigating prevalence and associations with social，cultural and infant factors [J]. BMC Pregnancy Childbirth，2015，15（1）：1-12.
[23] Alomari A，Mohammed M，Alhazzani W，et al. Treatment of ventilator associated pneumonia and ventilator-associated tracheobronchitis in the intensive care unit. A national survey of clinicians and pharmacists in Saudi Arabia [J]. Saudi Med J，2015，36（12）：1453-1462.