关键词:

喘息性支气管肺炎, 雾化吸入, 精细化护理, 中医康复护理

Abstract:

Objective　To analyze the intervention value of fine nursing combined with traditional Chinese medicine (TCM) rehabilitation nursing for children with asthmatic bronchopneumonia undergoing aerosol inhalation. Methods　Eighty children with asthmatic bronchopneumonia undergoing aerosol inhalation in Pingdingshan Hospital of Traditional Chinese Medicine from April to October 2023 were selected as the study objects, and were divided into a control group (40 cases) and an observation group (40 cases) by the random number table method. There were 22 boys and 18 girls in the control group, aged 3-10 (5.93±1.34) years, the course of disease was 1-6 (3.68±1.15) d, and there were 13 cases of bacterial infection and 27 cases of viral infection. There were 24 boys and 16 girls in the observation group, aged 3-10 (6.14±1.29) years, the course of disease was 1-6 (3.72±1.13) d, and there were 11 cases of bacterial infection and 29 cases of viral infection. The control group received fine nursing, and the observation group received TCM rehabilitation nursing on the basis of the control group for a week. The symptom improvement time (cough disappearance time, asthma disappearance time, and temperature recovery time), lung function [forced vital capacity (FVC), peak expiratory flow (PEF), and forced expiratory volume in the first second (FEV1)], treatment compliance (self-made pediatric treatment compliance scale), and quality of life [Universal Core Scale for Children's Quality of Life (PedsQLTM4.0)] before and after intervention, and adverse reactions during intervention were compared between the two groups. Independent sample t test and χ² test were used. Results　The time of cough disappearance [(3.35±1.06) d], the time of asthma disappearance [(3.39±0.94) d], and the time of body temperature recovery [(2.57±0.31) d] in the observation group were shorter than those in the control group [(5.92±1.27) d, (6.85±1.23) d, and (3.69±0.58) d] (all P<0.05). After intervention, the levels of FVC [(3.08±0.16) L], PEF [(3.57±0.24) L/s], and FEV1 [(2.53±0.21) L] in the observation group were higher than those in the control group [(2.71±0.14) L, (3.25±0.21) L/s, and (2.32±0.18) L] (all P<0.05). The scores of medication [(9.13±0.89) points], exercise [(8.84±0.81) points], and diet [(8.97±0.84) points] of the self-made pediatric treatment compliance scale in the observation group were higher than those in the control group [(7.51±0.75) points, (7.49±0.72) points, and (7.13±0.67) points] (all P<0.05); the scores of physiological function [(78.92±5.03) points], emotional function [(74.67±4.78) points], social function [(76.85±4.92) points], and school performance [(70.19±4.08) points] of the PedsQLTM4.0 in the observation group were higher than those in the control group [(69.35±4.42) points, (66.29±4.29) points, (67.09±4.51) points, and (64.93±3.79) points] (all P<0.05). During the intervention period, the total incidence of adverse reactions in the observation group [10.00% (4/40)] was lower than that in the control group [37.50% (15/40)] (P<0.05). Conclusion　Fine nursing combined with TCM rehabilitation nursing can improve the symptoms in children with asthmatic bronchopneumonia undergoing aerosol inhalation, improve the lung function, enhance the treatment compliance, reduce the incidence of adverse reactions, and improve the quality of life.

Key words:

Asthmatic bronchopneumonia, Aerosol inhalation, Fine nursing, Traditional Chinese medicine rehabilitation nursing