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针对性护理在行雾化吸入治疗哮喘患儿中的应用效果分析

作者:李 锐

所属单位:河南省商丘市第一人民医院儿科 (河南 商丘 476000)

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摘要

目的 探析护理干预对雾化吸入治疗小儿哮喘疗效及依从性的影响。方法 选取2016年5月-2017年7月收治的哮喘患 儿80例,采用硬币投掷法分为对照组(常规护理)和观察组(护理干预),每组各40例,并观察两组患者临床疗效及依 从性情况。结果 观察组总有效率、依从率分别为92.50%、95.00%明显高于对照组的70.00%、80.00%(P<0.05)。结 论 雾化吸入配合针对性护理干预治疗小儿哮喘疗效显著,用药依从性良好,应用价值较高。

Objective To explore the effect of nursing intervention on the efficacy and compliance of aerosol inhalation in children with asthma. Methods 80 cases of children with asthma were enrolled from May 20 to July 2017, which were divided into control group (routine nursing) and observation group (nursing intervention) by coin throwing method. Forty patients in each group. The clinical efficacy and compliance of the two groups were observed. Results The total effective rate and follow rate of the observation group were 92.50% and 95.00%, respectively, which were significantly higher than those of the control group of 70.00% and 80.00%(P<0.05). Conclusion Inhalation combined with nursing care is effective in the treatment of children with asthma, medication compliance is good, the application value is higher.

【关键词】护理干预;雾化吸入;小儿哮喘;依从性

【中图分类号】R256.12

【文献标识码】A

【DOI】10.3969/j.issn.1009-3257.2018.06.031

前言

近年来随着社会经济的快速发展、人们生活的提 高和环境的恶化,致使哮喘患儿发病率逐年增高,哮 喘人数逐年增多。小儿哮喘是临床儿科最常见的一种 气道慢性炎症和气道高反应的呼吸系统疾病,临床表 现为呼吸困难、反复性咳嗽、胸闷、喘鸣等症状,特 别是夜间表现更为明显,严重影响患儿若未得到及时 有效的治疗,还会发展成不愈,肺功能遭到损害,严 重者会对危及患儿生命安全。目前临床上多采用雾化 吸入药物方式治疗小儿哮喘,药物直接作用于呼吸 道,吸收快、毒副作用小、用药少、疗效佳等优势, 已被广泛应用于临床。但因患儿年龄过小,体质过 弱,缺乏持续性和忍耐力,导致患儿依从性差,效果 不理想,若雾化吸入操作不当会造成患儿出现不良反 应,故需给予有针对性的护理干预,以预防并控制哮 喘的反复发作。本文旨在探析护理干预对雾化吸入治 疗小儿哮喘疗效及依从性的影响,结果报道如下。