作者：冯东灵，段素娴，苏梅艳，张英谦

单位：

050031河北省石家庄市，河北省儿童医院心内科

Units：

Department of Cardiology, Hebei Children's Hospital, Shijiazhuang 050031, China

关键词：

肺炎；心力衰竭；儿童；规范化护理干预；治疗结果

Keywords：

Pneumonia; Heart failure; Child; Standardized nursing intervention; Treatment outcome

CLC：

R 563.1 R 541.62

DOI：

10.12114/j.issn.1008-5971.2023.00.303

Funds：

2023年度河北省医学科学研究课题计划项目（20231120）

摘要：

目的　分析规范化护理干预在肺炎并慢性心力衰竭（CHF）患儿中的应用效果。方法　选取2021年 2月至2022年2月河北省儿童医院收治的100例肺炎并CHF患儿，采用随机数字表法将其分为对照组和观察组，每组 50例。对照组患儿接受传统护理干预，观察组患儿接受规范化护理干预。比较两组临床症状改善时间和住院时间， 干预前和干预1个月后呼吸频率、心率、肝肋下增大程度及匹兹堡睡眠质量指数量表（PSQI）评分，患儿家属满意 度。结果　观察组憋闷消失时间、哮鸣音消失时间、湿啰音消失时间、心力衰竭纠正时间及住院时间短于对照组 （P＜0.05）。干预1个月后，对照组与观察组呼吸频率、心率分别慢于本组干预前，肝肋下增大程度分别小于本组 治疗前，且观察组呼吸频率、心率慢于对照组，肝肋下增大程度小于对照组（P＜0.05）。干预1个月后，两组PSQI 评分分别低于本组治疗前，且观察组低于对照组（P＜0.05）。观察组患儿家属满意率为98.0%，高于对照组的82.0% （P＜0.05）。结论　规范化护理干预能有效缩短肺炎并CHF患儿临床症状改善时间，减轻其病情严重程度，提高患儿 睡眠质量及家属满意度。

Abstract：

Objective To analyze the application effect of standardized nursing intervention in pneumonia children complicated with chronic heart failure (CHF) . Methods A total of 100 pneumonia children complicated with CHF admitted to Hebei Children's Hospital from February 2021 to February 2022 were selected and divided into control group and observation group by random number table method, with 50 cases in each group. The control group received traditional nursing intervention, and the observation group received standardized nursing intervention. The improvement time of clinical symptoms and hospitalization time, the respiratory rate, heart rate, degree of subcostal enlargement of liver and Pittsburgh Sleep Quality Index Scale (PSQI) score before treatment and one month after intervention, and family satisfaction were compared between the two groups. Results The disappearance time of suffocation, disappearance time of wheezing sound, disappearance time of wet rale, correction time of heart failure and hospitalization time in the observation group were shorter than those in the control group (P < 0.05) . One month after intervention, the respiratory rate and heart rate of the control group and the observation group were slower than those before intervention, respectively, and the degree of subcostal enlargement of liver was smaller than that before treatment, respectively, the respiratory rate and heart rate of the observation group were slower than those of the control group, and the degree of subcostal enlargement of liver was less than that of the control group (P < 0.05) . One month after intervention, the PSQI scores of the two groups were lower than those before treatment respectively, and PSQI scores of observation group was lower than of control group (P < 0.05) . The satisfaction rate of family members in the observation group was 98.0 %, which was higher than 82.0% in the control group (P < 0.05) . Conclusion Standardized nursing intervention can effectively shorten the improvement time of clinical symptoms in pneumonia children complicated with CHF, reduce the severity of the disease, and improve the sleep quality of children and family satisfaction.

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