摘要
目的 观察小儿重症肺炎应用双因素理论管理的效果。方法 将本院儿科重症监护室（PICU）医治共86例小儿重症肺炎分成两组，各组纳入43例，时段2022年10月至2023年10月。对照组开展常规护理，观察组开展双因素理论的护理管理。评价症状消退情况、护理质量。结果 对比咳嗽、气促、哮鸣音改善时间及机械通气时间、住院时长，观察组与对照组比较减少幅度更明显（P＜0.05）。对比护理质量评分，观察组与对照组比较提高幅度更明显（P＜0.05）。结论 小儿重症肺炎护理管理中应用双因素理论能够加快患儿症状改善，提高护理质量。
关键词： 小儿重症肺炎；护理管理；双因素理论
Abstract
Objective To observe the effect of two-factor theory management on severe pneumonia in children. Methods A total of 86 children with severe pneumonia treated in the Pediatric Intensive care Unit (PICU) of our hospital were divided into two groups, including 43 cases in each group, from October 2022 to October 2023. The control group carried out routine nursing, the observation group carried out two-factor theory nursing management. The regression of symptoms and the quality of nursing were evaluated. Results Compared with the improvement time of cough, shortness of breath, wheezing sound, mechanical ventilation time and hospital stay, the reduction rate of the observation group and control group was more obvious (P < 0.05). Comparing nursing quality score, the improvement of observation group and control group was more obvious (P < 0.05). Conclusion The application of two-factor theory in nursing management of children with severe pneumonia can accelerate the improvement of symptoms and improve the quality of nursing.
Key words： Severe pneumonia in children; Nursing management; Two factor theory
参考文献 References
[1] 李惠平,黄宇霞,陈桂莲. 量化评估模式在小儿重症肺炎气道管理中应用的探讨[J]. 智慧健康,2019,5(5):16-18.
[2] 周晶晶,崔蕾,刘婷婷. 综合胸部物理护理管理在小儿重症肺炎中的应用效果分析[J]. 川北医学院学报,2021, 36(4): 538-540,544.
[3] 张衡. 小儿早期预警评分在小儿重症肺炎病情评估中的价值及护理管理对策[J]. 医学理论与实践,2019,32(6): 910-911.
[4] 周琴芳,魏宁平,魏南兴. 小儿重症肺炎患儿的病情评估中PEWS的价值以及护理管理[J]. 首都食品与医药, 2021, 28(4):128-130.
[5] 张华,赵冬丽,李晓娥. 探讨个性化护理管理在小儿肺炎高热惊厥患者中的干预效果[J]. 医学食疗与健康,2020, 18(18): 147,149.
[6] 杨莉,彭璐,康路花,等. 基于气道内雾化吸入的护理模式在呼吸机辅助治疗小儿重症肺炎合并呼吸衰竭中的应用效果[J]. 中国当代医药,2023,30(28):184-188.
[7] 邓菁,段莉,薛珍. 基于小儿危重症评分的个体化护理在PICU重症肺炎患儿中的应用研究[J]. 当代护士,2023, 30(10): 124-126.
[8] 李淑娟,韩虹. 基于护理程序的整体护理在小儿重症肺炎护理中的应用效果及对血小板参数的影响[J]. 临床研究, 2023, 31(5):158-161.
[9] 阮萍,吴艳妮. 多学科护理干预模式在小儿重症肺炎中的应用效果及对社会支持水平的影响研究[J]. 中外医学研究,2023,21(18):105-108.
[10] 叶秋莲. 集束化护理对小儿重症肺炎电子支气管镜肺泡灌洗治疗依从性及有效率的影响[J]. 岭南急诊医学杂志, 2021,26(4):428-429.