Analysis of the application effect and prognosis of the individualized nursing model for children with severe pneumonia
重症肺炎患儿的个体化护理模式应用效果和预后分析

摘要

目的 分析重症肺炎患儿的个体化护理模式应用效果和预后。方法 本次研究选择了110例2017年4月至2020年4月我院重症医学科接受治疗的重症肺炎患儿，采用随机分配的方式将在此期间收治的重症肺炎患儿分为对照组（n=55）与研究组（n=55）。对照组治疗时予以常规护理，研究组治疗时予以个体化护理模式，对比研究组与对照组患者并发症发生率、肺炎症状改善时间、生活质量改善情况。结果 对研究组与对照组患者实施相应治疗后，研究组患者中，4例（7.3%）出现不良反应，对照组患者中，19例（34.5%）出现不良反应。研究组比对照组患者不良反应发生率低，P<0.05，存在统计学价值；护理前后，观察组与对照组患者各项功能（生理、情感、角色、社会）没有显著差异性，P>0.05，存在统计学价值。但护理后的观察组患者各项功能（生理、情感、角色、社会）显著优于对照组，两组对比差异性较为显著，P<0.05，存在统计学价值；护理前，研究组与对照组患者各项功能（生理、情感、角色、社会）没有显著差异性，P>0.05，存在统计学价值。但护理后的研究组患者各项功能（生理、情感、角色、社会）显著优于对照组，两组对比差异性较为显著，P<0.05，存在统计学价值。结论 重症肺炎患儿应用个体化护理模式能够降低患儿并发症发生率、加快肺炎症状改善时间，提高患儿生活质量，具有显著的预后效果，值得大力推广和应用。

Abstract

Objective: To analyze the application effect and prognosis of the individualized nursing model for children with severe pneumonia.
Methods: This study selected 110 children with severe pneumonia who were treated in the Department of Intensive Medicine of our hospital from April 2017 to April 2020. The children with severe pneumonia admitted during this period were divided into the control group by random allocation. (N=55) and the study group (n=55). The control group received routine care during treatment, and the study group received individualized care during treatment. The complication rate, pneumonia symptom improvement time, and quality of life improvement were compared between the study group and the control group.
Results: After the corresponding treatments were performed on patients in the study group and the control group, 4 patients (7.3%) in the study group had adverse reactions, and 19 patients (34.5%) in the control group had adverse reactions. The incidence of adverse reactions in the study group was lower than that in the control group, P<0.05, with statistical value; before and after nursing, there was no significant difference in functions (physiology, emotion, role, society) between the observation group and the control group, P>0.05 , There is statistical value. However, after nursing, the observation group patients' functions (physiology, emotion, role, society) were significantly better than those of the control group, and the difference between the two groups was significant, P<0.05, with statistical value; before nursing, the study group and the control group There is no significant difference in patients' various functions (physiology, emotion, role, society), P>0.05, there is statistical value. However, the functions (physiology, emotion, role, society) of the patients in the study group after nursing were significantly better than those in the control group. The difference between the two groups was significant, P<0.05, which has statistical value.
Conclusion  : The application of individualized nursing mode in children with severe pneumonia can reduce the incidence of complications, speed up the improvement of pneumonia symptoms, and improve the quality of life of children. It has a significant prognostic effect and is worthy of vigorous promotion and application.