文章摘要

基于诺丁斯关怀理论的护理模式对小儿支原体肺炎雾化吸入治疗舒适度、依从性和生活质量的影响

作者: 1王艳
1 阜阳市妇女儿童医院儿二科,安徽 阜阳 236000
通讯: 王艳 Email: 79231435@qq.com
DOI: 10.3978/j.issn.2095-6959.2022.12.030

摘要

目的:探讨基于诺丁斯关怀理论的护理模式对小儿支原体肺炎雾化吸入治疗舒适度、依从性和生活质量的影响。方法:选取2019年12月至2021年11月于阜阳市妇女儿童医院儿科接受雾化吸入治疗的120例支原体肺炎患儿为研究对象,根据随机数字表法将患者随机分为对照组(n=60)与观察组(n=60)。对照组实施常规护理模式,观察组在对照组基础上实施基于诺丁斯关怀理论的护理模式。比较两组患儿雾化吸入治疗舒适度[面部表情评分(Face, Legs, Activity, Cry, Consolability,FLACC)量表]、依从性、症状持续时间、住院时间、生活质量[儿童生存质量测定量表系列(Pediatric Quality of Life Inventory Measurement Models,PedsQL) 4.0]及家长满意度。结果:观察组FLACC中面部表情、腿部活动、体位、哭闹、可安抚及总分均低于对照组(均P<0.05)。观察组雾化吸入依从性优良率为94.83%,高于对照组的82.60%(P<0.05)。观察组症状持续时间和住院时间均短于对照组(均P<0.05)。出院时,观察组PedsQL 4.0中各分量表及总分均高于对照组(均P<0.05)。观察组家长的护理总满意度高于对照组(P<0.05)。结论:基于诺丁斯关怀理论的护理模式能提高支原体肺炎患儿雾化吸入舒适度,从而提高其治疗依从性,缩短症状持续时间,进而提高其治疗效果和生活质量。
关键词: 诺丁斯关怀理论;雾化吸入;小儿支原体肺炎;依从性;生活质量

Effect of nursing mode based on Noddings’ caring theory on comfort, compliance, and quality of life of children with mycoplasma pneumonia treated by aerosol inhalation

Authors: 1WANG Yan
1 Second Department of Pediatrics, Fuyang Women and Children Hospital, Fuyang Anhui 236000, China

CorrespondingAuthor: WANG Yan Email: 79231435@qq.com

DOI: 10.3978/j.issn.2095-6959.2022.12.030

Abstract

Objective: To explore the effect of nursing mode based on Noddings’ care theory on comfort, compliance, and quality of life of children with mycoplasma pneumonia treated by aerosol inhalation. Methods: From December 2019 to November 2021, 120 children with mycoplasma pneumonia who were treated by aerosol inhalation in the Department of Pediatrics, Fuyang Women and Children Hospital were selected as subjects. According to the random number table method, patients were randomly divided into a control group (n=60) and an observation group (n=60). The control group was given routine nursing mode, and the observation group was given nursing mode based on Nodding’ caring theory on the basis of the control group. The comfort degree of aerosol inhalation therapy [Face, Legs, Activity, Cry, Consolability (FLACC) scale], compliance of aerosol inhalation therapy, symptom relief time, quality of life [the Pediatric Quality of Life Inventory Measurement Models (PedsQL) 4.0], and parental satisfaction were compared between the 2 groups. Results: Scores of facial expression, leg activity, posture, crying, soothing, and total score of FLACC in the observation group were lower than those in the control group (all P<0.05). The rate of atomization inhalation compliance in the observation group was 94.83%, which was higher than that of the control group of 82.60% (P<0.05). The duration of symptoms and hospitalization time in the observation group were shorter than those in the control group (both P<0.05). At discharge, the scores of subscales and total score of PedsQL 4.0 in the observation group were higher than those in the control group (all P<0.05). The total satisfaction rate of parents in the observation group was higher than that in the control group (P<0.05). Conclusion: The nursing mode based on the Noddings’ care theory can promote the atomization inhalation comfort of children with mycoplasma pneumonia, thereby improving their treatment compliance, shortening the duration of symptoms, and improving their therapeutic effect and quality of life.

Keywords: Noddings’ caring theory; atomizing inhalation; mycoplasma pneumonia in children; compliance; quality of life

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