Abstract：Objective To explore the effect of early-warning combined with evidence-based nursing intervention on children with pneumonia. Methods A total of 280 children with pneumonia from January to June 2018 in Shenyang Children′s Hospital were selected and divided into control group (n = 140) and observation group (n = 140) according to different intervention measures. The control group was given routine nursing measures, and the observation group was given an early warning combined with evidence-based interventions. The disappearance time of fever, shortness of breath, cough and wheezing in two groups of children with pneumonia were observed; the scores of physical function, psychological mood, social function and material quality of life before and after intervention in two groups of children were recorded; the use time of antibiotics, aerosol treatment time and hospitalization time in two groups of children were recorded; the cooperation degree and satisfaction degree of family members of children were compared between two groups. Results The disappearance time of fever, shortness of breath, cough and wheezing in the observation group were shorter than those in the control group, and the differences were statistically significant (P < 0.05). There was no significant difference in the scores of physical function, psychological mood, social function and material quality of life between the two groups before intervention (P > 0.05). After intervention, the scores of physical function, psychological mood, social function and material quality of life of the children in two groups were higher than those before intervention, and after intervention, the scores of the observation group were higher than those of the control group, and the differences were statistically significant (P < 0.05). The use time of antibiotics, aerosol treatment time and hospitalization time in the observation group were shorter than those in the control group, the degree of cooperation and satisfaction of family members in the observation group were higher than those in the control group, with statistical significance (P < 0.05). Conclusion Early-warning combined with evidence-based nursing intervention can reduce the disappearance time of clinical symptoms and improve the quality of life and treatment efficiency of children with pneumonia, which is worthy of clinical application.
曹春菊. 预警结合循证护理干预对肺炎患儿的影响[J]. 中国医药导报, 2019, 16(6): 98-101.
CAO Chunju. Effect of early-warning combined with evidence-based nursing intervention on children with pneumonia. 中国医药导报, 2019, 16(6): 98-101.
[1] 刘淮涟.小儿难治性肺炎护理中应用循证护理的效果评估[J].现代中西医结合杂志，2015,24（8）：903-905.
[2] 龚玉华，宋文君.预警结合循证干预联合药物治疗对支原体肺炎患儿感染进程的影响[J].海南医学院学报，2018， 24（13）：1268-1271.
[3] Zhang Y，Zhou Y，Li S，et al. The clinical characteristics and predictors of refractory mycoplasma pneumoniae pneumonia in children [J]. PLoS One，2016,11（5）：e0 156 465.
[4] 陈玉华，魏燕，张爱梅，等.预警结合循证干预措施在治疗肺炎支原体感染儿童中的应用效果研究[J].中华医院感染学杂志，2018，28（5）：749-752.
[5] Hanedan B，Kirbas A，Kandemir FM，et al. Evaluation of arginase activity，nitric oxide andoxidative stress status in sheep with contagious agalactia [J]. Acta Vet Hung，2017， 65（3）：394-401.
[6] 姜福仙，王美，上官丽仙，等.循证护理在RICU病房中预防呼吸机相关性肺炎的效果研究[J].浙江医学教育，2018,17（1）：40-42.
[7] Parikh K，Biondi E，Nazif J，et al. A Multicenter collaborative to improve care of community acquired pneumonia in hospitalized children [J]. Pediatrics，2017，139（3）：171-175.
[8] 孙晓娟.循证护理在肺炎患儿病情康复中的应用[J].护理实践与研究，2017,14（20）：85-86.
[9] Simon LH，Parikh K，Williams DJ，et al． Management of community－acquired pneumonia in hospitalized children [J]. Current Treatment Options in Pediatrics，2015，1(1):59-75.
[10] 叶红平.循证护理在小儿支气管肺炎中的应用效果[J].实用心脑肺血管病杂志，2017,25（5）：112-114.
[11] Nucci LA，Santos SS，Brunialti MK，et al. Expression of genes belonging to genes belonging to the interacting TLR cascades，NADPH-oxidase and mitochondrial oxidative phosphorylation in septic patients [J]. PLoS One，2017,12（2）：e0 172 024.
[12] 张春花，贺军民，陈歆，等.循证护理在支气管肺炎雾化吸入辅助治疗患儿中的应用[J].黑龙江医学，2017,41（10）：1009-1011.
[13] WHOQOL Group. Development of the World Health Organization WHOQOL—BREF quality of life assessment [J]. Psyehol Med，1998，28(3)：551-558.
[14] Lee WJ，Huang EY，Tsai CM，et al. Role of serum mycoplasma pneumoniae Ig A，Ig M and Ig G in the diagnosis of mycoplasma pneumoniae-related pneumonia in school-age children and adolescents [J]. Clin Vaccine Immunol，2017,24（1）：e00 471-e00 416.
[15] Pritchard RE，Balish MF. Mycoplasma iowae：relationships among oxygen，virulence，and protection from oxidative stress [J]. Vet Res，2015,21（46）：36.
[16] Leelarungrayub J，Borisuthibandit T，Yankai A，et al. Changes in oxidative stress from tracheal aspirates sampled during chest physical therapy in hospitalized intubasted infant patients with pneumonia and secretion retention [J]. Ther Clin Risk Manag，2016,6（12）：1377-1386.
[17] Esposito S，Di Gangi M，Cardinale F，et al. Sensitivity and specificity of soluble triggering receptor expressed on myeloid cellsl，midregional proatrial natriuretic peptide and midregional proadrenomedullin for distinguishing etiology and to assess severity in community-acquired pneumonia [J]. PLoS One，2016,11（11）：e0 163 262.
[18] Chang PY，T sao SM，Chang JH，et al. Plasma levels of soluble intercellular adhesion molecule-l as a biomarker for disease severity of patients with community-acquired pneumonia [J]. Clin Clim Acta，2016,1（463）：174-180.
[19] Aliberti S，Morlacchi LC，Faverio P，et al. Serum and exhaled breath condensate inflammatory cytokines in community-acquired pneumonia：a prospective cohort study [J]. Pneumnia，2016,23（8）：8.
[20] Cheng Y，Du J，Han J，et al. Polymyxin B Attenuates LPS-induced death but aggravates radiation-induced death via TLR4-Myd88-IL-6 pathway [J]. Cell Physiol Biochem，2017，42（3）：1120-1126.
[21] 张道英，曾困知，唐慧琴.循征护理对老年脑梗死吞咽困难患者吸入性肺炎的影响研究[J].中国医药科学，2018， 8（3）：116-118.
[22] 曾金燕.循证护理对丙型肝炎患者抗病毒治疗依从性及效果的影响观察[J].中国医药科学，2017，7（20）：149-151.
[23] 胡明，韩永红.循证护理对冠心病心绞痛患者医嘱依从性、自我效能感及心绞痛发作的影响[J].中国医药导报，2018，15（7）：177-180.
2019, Vol. 16 
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