医护人员与家庭成员协同护理联合童趣化干预对肺炎患儿症状缓解及配合度的影响

doi:10.3969/j.issn.1671-7171.2024.11.021

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摘要【目的】探讨医护人员与家庭成员协同护理联合童趣化干预对肺炎患儿症状缓解及配合度的影响。【方法】选择2022年1月至2023年12月本院收治的102例肺炎患儿,按照随机数字表法分为对照组(给予常规护理)和观察组(在常规护理基础上加用医护人员与家庭成员协同护理联合童趣化干预),每组51例。比较两组症状缓解情况、肺功能指标、医疗恐惧感评分、配合度、并发症发生情况。【结果】观察组退热时间、咳嗽消失时间、肺啰音消失时间短于对照组(P<0.05),配合度高于对照组(P<0.05),并发症总发生率低于对照组(P<0.05)。干预后,两组用力肺活量(FVC)、呼气流量峰值(PEF)、一秒率(FEV₁/FVC)均高于干预前(P<0.05),儿童医疗恐惧调查量表(CMFS)各维度评分低于干预前(P<0.05),且观察组的上述指标变化优于对照组(P<0.05)。【结论】医护人员与家庭成员协同护理联合童趣化干预可促进肺炎患儿症状缓解,改善肺功能指标,提高配合度,降低医疗恐惧感和并发症总发生率。

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	闫玉萍
	雷吴丽
	屈邵坤

关键词 ：肺炎/护理, 症状和体征, 治疗依从性

Abstract：【Objective】To explore the effects of coordinated nursing of medical staff and family members combined with child-friendly intervention on the recovery of symptoms and cooperation of children with pneumonia.【Methods】From January 2022 to December 2023, 102 children with pneumonia admitted to our hospital were assigned into the control group (51 cases, with conventional nursing) and the observation group (51 cases, using collaborative nursing between medical staff and family members combined with child-friendly intervention based on conventional nursing) using a random number table method. The recovery of symptoms, lung function, medical fear, cooperation, and complications were compared between the two groups.【Results】The fever reduction time, cough disappearance time, and lung rales disappearance time of the observation group were shorter than those of the control group (P<0.05), the cooperation degree was higher than that of the control group (P<0.05), and the total incidence of complications was lower than that of the control group (P<0.05). After intervention, the forced vital capacity (FVC), peak expiratory flow (PEF), and one second rate (FEV₁/FVC) of both groups were higher than those before intervention (P<0.05), the scores of various dimensions of the Children's Medical Fear Scale (CMFS) were lower than that before intervention (P<0.05), and the changes in the above indicators in the observation group were greater than those in the control group (P<0.05).【Conclusion】Collaborative nursing between medical staff and family members combined with child-friendly intervention can promote symptom recovery in children with pneumonia, improve lung function and cooperation, reduce medical fear and incidence of complications.

Key words： Pneumonia/NU Symptoms and Signs Treatment Adherence and Compliance

收稿日期: 2024-09-23

中图分类号:

R563.1

引用本文:

闫玉萍, 雷吴丽, 屈邵坤. 医护人员与家庭成员协同护理联合童趣化干预对肺炎患儿症状缓解及配合度的影响[J]. 医学临床研究, 2024, 41(11): 1703-1706.
YAN Yuping, LEI Wuli, QU Shaokun. Effects of Collaborative Nursing between Medical Staff and Family Members Combined with Child-Friendly Intervention on Symptom Recovery and Cooperation in Children with Pneumonia. JOURNAL OF CLINICAL RESEARCH, 2024, 41(11): 1703-1706.

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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2024.11.021 或 http://journal07.magtech.org.cn/yxlcyj/CN/Y2024/V41/I11/1703