CAJ | 학술논문

目的探讨护理干预对学龄期哮喘儿童氧驱动雾化吸入治疗的效果.方法将167例学龄期哮喘儿童随机分为干预组84例和对照组83例.两组患儿遵医嘱给予常规治疗护理的基础上,观察组患儿实施氧驱动雾化吸入治疗过程中给予视听训练、行为训练及氧合疗法护理干预；对照组按传统的氧驱动雾化吸入治疗常规知识宣教,由患儿自行完成氧驱动雾化吸入治疗,分别观察比较两组治疗效果.结果干预组患儿氧驱动雾化吸入后呼吸(18.31±2.32)次/min、心率(91.23±2.65)次/min及血氧饱和度(97.25±2.03)％与对照组(21.27±3.08)次/min、(95.87±3.42)次/min、(95.02±3.17)％,两组比较差异有统计学意义(t分别为7.020,9.807,5.420；P＜0.01),干预组哮喘日间症状评分(1.05±0.23)分、夜间症状评分(1.03±0.21)分低于对照组(1.77±0.35)分、(1.75±0.32)分,两组比较差异有统计学意义(t分别为15.728,17.209；P＜0.01)；干预组氧驱动雾化吸入治疗依从性和治疗效果显著优于对照组,两组比较差异有统计学意义(x2分别为34.53,10.92;P＜0.01).结论全程护理干预提高了患儿治疗的依从性,尽快缓解病情,从而提高氧驱动雾化吸入治疗效果.
목적 탐토호리간예대학령기효천인동양구동무화흡입치료적효과.방법 장167례학령기효천인동수궤분위간예조84례화대조조83례.량조환인준의촉급여상규치료호리적기출상,관찰조환인실시양구동무화흡입치료과정중급여시은훈련、행위훈련급양합요법호리간예；대조조안전통적양구동무화흡입치료상규지식선교,유환인자행완성양구동무화흡입치료,분별관찰비교량조치료효과.결과 간예조환인양구동무화흡입후호흡(18.31±2.32)차/min、심솔(91.23±2.65)차/min급혈양포화도(97.25±2.03)％여대조조(21.27±3.08)차/min、(95.87±3.42)차/min、(95.02±3.17)％,량조비교차이유통계학의의(t분별위7.020,9.807,5.420；P＜0.01),간예조효천일간증상평분(1.05±0.23)분、야간증상평분(1.03±0.21)분저우대조조(1.77±0.35)분、(1.75±0.32)분,량조비교차이유통계학의의(t분별위15.728,17.209；P＜0.01)；간예조양구동무화흡입치료의종성화치료효과현저우우대조조,량조비교차이유통계학의의(x2분별위34.53,10.92;P＜0.01).결론 전정호리간예제고료환인치료적의종성,진쾌완해병정,종이제고양구동무화흡입치료효과.
Objective To explore the effects of nursing intervention on school-age children with asthma received the treatment of oxygen-driven inhalation.Methods Totals of 167 cases were randomly divided into intervention group (84 cases) and control group (83 cases).All children received conventional treatment and care,on this basis,observation group received audio-visual training,behavioral training and oxygenation therapy nursing intervention during oxygen inhalation therapy,while control group received health education according to the traditional oxygen inhalation therapy,and inhalation therapy were completed by patients.Then,treatment effects of two groups were observed and compared.Results In intervention group,after inhalation,respiration was( 18.31 ± 2.32)cpm,heart rate was (91.23 ± 2.65 )cpm and blood oxygen saturation index was (97.25 ±2.03) percent,and that in control group was ( 21.27 ± 3.08 ) cpm,(95.87 ± 3.42) cpm and ( 95.02 ± 3.17 )percent,difference between two groups was statistically significant( t =7.020,9.807,5.420,respectively ; P ＜ 0.01 ).Intervention group asthma symptom score of day and night was (1.05 ± 0.23 )and (1.03 ± 0.21 )lower than control group that was ( 1.77 ± 0.35 ) and ( 1.75 ± 0.32 ),the difference between two groups was statistically significant (P ＜ 0.01 ).Intervention group inhalation therapy and treatment compliance were significantly better than control group,and the difference was statistically significant (x2 =34.53,10.92,respectively; P ＜0.01 ).Conclusions Whole process nursing intervention can improve therapy compliance of children,quickly alleviate disease condition,thereby improve the effects of inhalation treatment.