气质维度量化评估施护对毛细支气管炎患儿高流量吸氧治疗的影响

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摘要目的探讨基于气质维度量化评估施护对毛细支气管炎患儿高流量吸氧的治疗效果。方法选取2018年1月~2019年2月上海交通大学附属儿童医院诊治的98例毛细支气管炎患儿作为研究对象，按照随机数字表法将其分为对照组和研究组，每组49例。两组均给予高流量吸氧治疗，对照组实施常规护理，研究组采用基于气质维度量化评估进行施护。观察两组患儿治疗过程中配合度、临床症状及体征改善时间和住院时间及比较两组患儿护理前后气质维度的变化。结果研究组雾化过程中配合度评价等级好于对照组（P ＜ 0.05）。研究组咳嗽、憋喘、哮鸣音消失时间和住院时间短于对照组（均P ＜ 0.05）。护理前两组气质维度各指标比较，差异无统计学意义（P ＞ 0.05）；护理后，研究组活动水平、适应性、注意广度与持久性、反应阈限和心境评分均高于护理前，注意分散度、趋避性、反应强度低于护理前；对照组注意广度与持久性、心境评分高于护理前，注意分散度、反应强度低于护理前，且研究组适应性、注意广度与持久性、反应阈限、心境评分高于对照组，注意分散度、趋避性、反应强度评分低于对照组（均P ＜ 0.05）。结论气质维度量化评估施护可明显提高患儿高通量吸氧过程中的适应性，降低患儿注意分散度、趋避性和反应强度，促进患儿治疗中的配合，提高临床治疗效果。

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	胡禕静1 肖艳赏2▲ 舒林华1 邵晨1 陶珏1 章洁如1

关键词 ：小儿毛细支气管炎, 婴幼儿, 气质维度, 量化评估护理, 高流量吸氧, 疗效

Abstract：Objective To investigate the effect of quantitative assessment nursing of temperament dimension on high-flow oxygen inhalation in children with bronchiolitis Methods From January 2018 to February 2019, 98 children with bronchiolitis who admitted to the Children′s Hospital of Shanghai Jiaotong University were selected as subjects. They were devided into the control group and the study group according to the random number table method, with 49 children in each group. Both groups were given high-flow oxygen inhalation, and the control group was given routine care, the study group was treated with evaluation nursing based on temperament dimension. The degree of coordination, the time of improvement of clinical symptoms and signs and the length of hospital stay of the two groups were observed and the changes of temperament dimension before and after nursing were compared. Results The degree of cooperation in the study group was better than that of the control group (P ＜ 0.05). The duration of cough, wheezing, duration of wheezing and the length of hospital stay in the study group were shorter than those in the control group (P < 0.05). There was no statistically significant difference in temperament dimension between the two groups before nursing (P > 0.05). After nursing, the activity level, adaptability, attention span and persistence, response threshold and mood scores of the study group were all higher than before nursing, and the attention dispersion, avoidance and response intensity scores were lower than those before nursing. Attention span and persistence, mood scores of the control group were higher than those before nursing, attention dispersion and response intensity scores were lower than those before nursing. Moreover, the scores of adaptability, attention span and persistence, response threshold and mood sceres in the study group were higher than those in the control group, and the scores of attention dispersion, avoidance and response intensity were lower than those in the control group (all P < 0.05). Conclusion The quantitative evaluation nursing of temperament dimension can significantly improve the adaptability of children in the process of high-throughput oxygen inhalation, reduce the children′s attention dispersion, avoidance and response intensity, promote the cooperation in the treatment of children, so as to improve the clinical treatment effect.

Key words： Bronchiolitis in infant Infants Temperament dimension Quantitative evaluation nursing High flow oxygen inhalation Curative effect

基金资助:上海市综合医院中西医结合专项（ZHYY-ZXYJHZX-2-10）；
上海交通大学护理学院护理高原学科建设首批科研型临床护士国际交流基金项目（Hlgy1847qnhb）。

通讯作者: ▲通讯作者

作者简介: 胡禕静（1981-），女，同济大学护理学院2018级护理专业在读硕士研究生；研究方向：喘息性疾病护理。

引用本文:

胡禕静1 肖艳赏2▲ 舒林华1 邵晨1 陶珏1 章洁如1. 气质维度量化评估施护对毛细支气管炎患儿高流量吸氧治疗的影响[J]. 中国医药导报, 2020, 17(9): 95-98.
HU Yujing1 XIAO Yanshang2▲ SHU Linhua1 SHAO Chen1 TAO Wei1 ZHANG Jieru1. Effect of quantitative assessment nursing of temperament dimension on high-flow oxygen inhalation in children with bronchiolitis. 中国医药导报, 2020, 17(9): 95-98.

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http://www.yiyaodaobao.com.cn/CN/ 或 http://www.yiyaodaobao.com.cn/CN/Y2020/V17/I9/95

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