CAJ | 학술논문

目的：探讨护理干预在提高小儿呼吸道阻塞性疾病抢救成功率中的作用。方法选取浙江省临海市第一人民医院收治的呼吸道阻塞性疾病患儿92例，随机分为常规护理组和护理干预组。常规护理组患儿由医务人员给予常规护理和观察，而护理干预组患儿则在常规护理观察的基础上，给予护理干预。对两组抢救成功率、重症并发症发生率、护理满意度等指标进行统计分析，探讨护理干预的应用价值。结果常规护理组和护理干预组患儿的抢救成功率分别为80.43%和95.65%(P<0.05)；病死率分别为15.22%和2.17%(P<0.05)；而重症并发症的发生率分别为39.13%和19.57%(P<0.05)。两组患儿的护理满意度分别为78.26%和93.48%，差异有统计学意义(P<0.05)。两组患儿康复情况以及住院时间比较，护理干预组患儿康复情况明显好于常规护理组，且住院时间明显缩短(P<0.05)。结论护理干预的施行可明显提高小儿呼吸道阻塞性疾病抢救成功率，降低患儿的病死率，并可有效缩短患儿的住院时间，是值得临床推广的护理方案。
목적：탐토호리간예재제고소인호흡도조새성질병창구성공솔중적작용。방법선취절강성림해시제일인민의원수치적호흡도조새성질병환인92례，수궤분위상규호리조화호리간예조。상규호리조환인유의무인원급여상규호리화관찰，이호리간예조환인칙재상규호리관찰적기출상，급여호리간예。대량조창구성공솔、중증병발증발생솔、호리만의도등지표진행통계분석，탐토호리간예적응용개치。결과상규호리조화호리간예조환인적창구성공솔분별위80.43%화95.65%(P<0.05)；병사솔분별위15.22%화2.17%(P<0.05)；이중증병발증적발생솔분별위39.13%화19.57%(P<0.05)。량조환인적호리만의도분별위78.26%화93.48%，차이유통계학의의(P<0.05)。량조환인강복정황이급주원시간비교，호리간예조환인강복정황명현호우상규호리조，차주원시간명현축단(P<0.05)。결론호리간예적시행가명현제고소인호흡도조새성질병창구성공솔，강저환인적병사솔，병가유효축단환인적주원시간，시치득림상추엄적호리방안。
Objective To discuss the role of nursing interventions in improvement of rescue success rate of pediatric obstructive airway diseases. Methods 92 cases of patients with pediatric airway obstructive diseases were selected in the First People's Hospital of Linhai City. All patients were randomly assigned to routine nursing group and nursing in-tervention group. Patients in the routine nursing group were given routine nursing and observation. Patients in the nurs-ing intervention group were given nursing intervention on the basis of routine nursing. The indexes of rescue success rate, incidence of severe complications, nursing satisfaction were analyzed, and the application value of nursing inter-vention was discussed. Results In the routine nursing group and nursing intervention group, the survival rate were 80.43%and 95.65%retrospectively (P<0.05);the mortality rates were 15.22% and 2.17%(P<0.05);the incidence of severe complications were 39.13% and 19.57% respectively (P< 0.05), all the differences were statistically significant. The nursing satisfaction of the two groups were 78.26%and 93.48%respectively, the difference was statistically signifi-cant (P < 0.05). The recovery and hospital stays were compared between the two groups, in the nursing intervention group, the recovery was better and hospital stays was shorter than the routine nursing group (P < 0.05). Conclusion Nursing intervention can significantly improve the rescue success rate of pediatric obstructive airway disease, reduce child mortality rate, and effectively shorten the hospital stay, which is a care program worthy of clinical promotion.