小儿支气管肺炎适时干预联合全程精细化心理干预方法及其临床应用

Application of timely nursing round combined with whole-course refined psychological interventions in children with bronchopneumonia

  • 摘要:
    目的 分析适时干预联合全程精细化心理干预在小儿支气管肺炎中的应用价值。
    方法 选取2022年5月-2023年5月新乡市中心医院收治的小儿支气管肺炎患儿120例,随机分为对照组、研究组各60例;对照组给予患儿全程精细化心理干预,研究组行适时干预联合全程精细化心理干预;比较两组患儿临床症状、住院时间、炎性因子水平、负性情绪评分、生活质量评分、依从性以及护理满意度。
    结果 对照组肺部啰音消失、体温恢复正常、气喘消失、咳嗽消失以及住院时间长于研究组(P<0.05);研究组白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)以及C-反应蛋白(CRP)指标水平低于对照组(P<0.05);研究组患者负性情绪评分低于对照组(P<0.05);研究组患者生活质量评分高于对照组(P<0.05);对照组总依从率86.67%低于研究组总依从率98.33%(χ2=5.885,P=0.015);对照组总满意率85.00%低于研究组总满意率96.67%(χ2=4.904,P=0.026)。
    结论 适时干预联合全程精细化心理干预在小儿支气管肺炎感染中应用能够有效缩短患儿肺部啰音消失、体温恢复、气喘消失、咳嗽消失以及住院时间,改善患儿负性情绪以及生活质量,具有较好的临床干预价值。

     

    Abstract:
    OBJECTIVE To analyze the application value of timely nursing round combined with whole-course refined psychological intervention in children with bronchopneumonia.
    METHODS A total of 120 children with bronchopneumonia admitted to Xinxiang Central Hospital from May 2022 to May 2023 were selected and randomly divided into the control and study group with 60 cases in each group. The control group was given whole-course refined psychological intervention, while the study group was given additional timely nursing round. The clinical symptoms, length of hospital stay (LOS), levels of inflammatory factors, negative emotion score, quality of life score, compliance and nursing satisfaction were compared between the two groups.
    RESULTS Compared with the study group, the control group had longer duration of disappearance of pulmonary rales, abnormal body temperature, shortness of breath, cough as well as long LOS (P < 0.05). The levels of interleukin-6 (IL-6), tumor necrosis factor-α (TNF-α) and C-reactive protein (CRP) in the study group were lower than those in the control group (P < 0.05). The negative emotion score of the study group was lower than that of the control group (P < 0.05). The quality of life score of the study group was higher than that of the control group (P < 0.05); the total compliance rate of the control group was 86.67%, which was lower than 98.33% of the study group (χ2=5.885, P=0.015). The total satisfaction rate of the control group was 85.00%, which was lower than 96.67% of the study group (χ2=4.904, P=0.026).
    CONCLUSION Timely nursing round combined with whole-course refined psychological intervention in children with bronchopneumonia can effectively shorten the disappearance of lung rales, the recovery of body temperature, the disappearance of asthma and cough and the length of hospital stay and improve the negative emotions and quality of life of children, which has good clinical value.

     

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