個性化護(hù)理對支氣管肺炎患兒護(hù)理依從性及睡眠質(zhì)量的影響

胡鶯鶯

摘要?目的：分析個體化護(hù)理干預(yù)對支氣管肺炎患兒護(hù)理依從性和睡眠質(zhì)量的影響。方法：選取2018年5月至2019年5月安徽省蚌埠市第一人民醫(yī)院接受支氣管肺炎治療的患兒60例作為研究對象，隨機(jī)分為對照組和觀察組，每組30例。對照組患兒接受常規(guī)護(hù)理，觀察組患兒接受個性化護(hù)理，比較2組患兒護(hù)理依從性和護(hù)理前后睡眠質(zhì)量、肺部通氣功能。結(jié)果：觀察組患兒護(hù)理依從率為96.67%，對照組為80.00%，差異有統(tǒng)計學(xué)意義（P<0.05）;護(hù)理后觀察組患兒PSQI評分和PEL、FEV1水平均明顯優(yōu)于對照組（P<0.05）。結(jié)論：個性化護(hù)理干預(yù)可有效提高支氣管肺炎患兒護(hù)理依從性，對于提高患兒睡眠質(zhì)量和肺部通氣功能效果顯著，值得推廣應(yīng)用。

關(guān)鍵詞?睡眠質(zhì)量;依從性;個體化護(hù)理;支氣管肺炎

Effect of Individualized Nursing on Nursing Compliance and Sleep Quality of Children with Bronchopneumonia

HU Yingying

（The First People′s Hospital of Bengbu City，Bengbu 233000，China）

Abstract?Objective：To analyze the effect of individualized nursing intervention on nursing compliance and sleep quality of children with bronchopneumonia.Methods：From May 2018 to may 2019，60 children with bronchopneumonia in the first people′s Hospital of Bengbu City，Anhui Province were selected as the research objects，30 cases in each group.The control group received routine nursing，while the observation group received personalized nursing.Nursing compliance，sleep quality and pulmonary ventilation function before and after care in the two groups were compared.Results：The nursing compliance rate was 96.67 % in the observation group and 80.00 % in the control group，The difference was statistically significant（P<0.05）.After nursing，PSQI score，PEL and FEV1 level in the observation group were significantly better than that in the control group（P<0.05）.Conclusion：Individualized nursing intervention can effectively improve the nursing compliance of children with bronchopneumonia，and has significant effect on improving sleep quality and pulmonary ventilation function of children，which is worthy of popularization and application.

Keywords?Sleep quality; Compliance; Individualized care; Bronchopneumonia

中圖分類號：R473.5;R338.63??文獻(xiàn)標(biāo)識碼：A??doi：10.3969/j.issn.2095-7130.2020.09.040

支氣管肺炎是兒科常見的呼吸系統(tǒng)疾病，該病會造成患兒出現(xiàn)不同程度的咳嗽，嚴(yán)重影響患兒的睡眠。支氣管肺炎接受系統(tǒng)性治療后，患兒的癥狀往往可以得到有效的改善[1]，但是部分患兒由于疾病影響，造成患兒治療過程中易出現(xiàn)恐懼心理，嚴(yán)重影響臨床治療和護(hù)理工作的順利實施，科學(xué)、合理的護(hù)理干預(yù)措施對于提高患兒護(hù)理依從率效果顯著.基于此，我院采用個性化護(hù)理干預(yù)措施進(jìn)行支氣管肺炎臨床護(hù)理，取得滿意效果，現(xiàn)報道如下。

1?資料與方法

1.1?一般資料?選取2018年5月至2019年5月安徽省蚌埠市第一人民醫(yī)院接受支氣管肺炎治療的患兒60例作為研究對象，隨機(jī)分為觀察組和對照組，每組30例。觀察組中男17例，女13例，年齡2～9歲，平均年齡（5.29±1.54）歲，病程1～10 d，平均病程（4.85±2.08）d，對照組中男18例，女12例，年齡2～10歲，平均年齡（5.62±1.13）歲，病程1～9 d，平均病程（4.72±1.94）d，一般資料經(jīng)統(tǒng)計學(xué)分析，差異無統(tǒng)計學(xué)意義（P>0.05），具有可比性。

1.2?納入標(biāo)準(zhǔn)?1）患兒經(jīng)癥狀檢查、體征檢查和影像學(xué)檢查均確診為支氣管肺炎;2）患兒意識清晰，無智能障礙;3）患兒無其他呼吸系統(tǒng)疾病;4）患兒無其他先天性疾病;5）患兒臨床資料完整且其家屬均知情同意。