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Influence of targeted nursing based on target management theory on pulmonary function, medical compliance, and prognosis of children with bronchial pneumonia |
ZHU Xiaoyu XU Dan ZHOU Min▲#br# |
Department of Pediatrics, the First Affiliated Hospital of Air Force Military Medical University of Chinese People’s Liberation Army, Shaanxi Province, Xi’an 710032, China |
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Abstract Objective To explore the effect of targeted nursing based on target management theory on the pulmonary function, compliance behavior, and prognosis of children with bronchial pneumonia. Methods A total of 118 children with bronchial pneumonia who were admitted to the Department of Pediatrics of the First Affiliated Hospital of the Air Force Military Medical University of Chinese People’s Liberation Army from July 2019 to June 2020 were selected and divided into control group and observation group by random number table method, with 59 cases in each group. The control group received routine targeted nursing, while the observation group received targeted nursing based on target management theory. The improvement of clinical symptoms, lung function, and prognosis were compared between the two groups. Results The time required for the disappearance of lung rales, fever, cough, and breathlessness in the observation group were shorter than those in the control group, and the differences were statistically significant (P < 0.05). After nursing, the levels of vital capacity (VC), forced vital capcacity (FVC), and forced expiratory volume in the first second (FEV1) in the two groups were higher than those before nursing, and the differences were statistically significant (P < 0.05). After nursing, the levels of VC, FVC, FEV1, and peak expiratory flow in the observation group were higher than those in the control group, and the differences were statistically significant (P < 0.05). The recurrence rate in the observation group was lower than that in the control group, and the difference was statistically significant (P < 0.05). Conclusion Targeted nursing based on target management theory can improve the symptoms and lung function of children with bronchial pneumonia, and the recurrence rate is low, which is worthy of clinical application.
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[1] 徐玉,李钧,王亚楠,等.家属协同护理联合适时护理对支气管肺炎患儿症状改善,遵医行为的影响[J].武警后勤学院学报(医学版),2021,30(9):130-132.
[2] 李进,方代华.T淋巴细胞亚群与NK细胞在小儿支气管肺炎中的变化及意义[J].广西医科大学学报,2019,36(5):785-788.
[3] 王莉莉,赵燕,朱晶.认知行为护理干预对COPD患者的作用及效果研究[J].河北医药,2019,41(1):147-149.
[4] 李红芬,李芳涛.针对性护理改善支气管肺炎患儿雾化吸入疗效的临床价值分析[J].中西医结合心血管病电子杂志,2019,7(7):136.
[5] 余杜生.雾化吸入佐治小儿喘息型支气管肺炎的临床分析[J].中国医药科学,2018,8(4):61-63.
[6] 高颖,范晓洁,沈静,等.基于目标管理理论的公立医院党建工作考核体系探讨[J].中华医院管理杂志,2020,36(11):961-965.
[7] 中华医学会,中华医学会杂志社,中华医学会全科医学分会,等.急性气管-支气管炎基层诊疗指南(实践版·2018)[J].中华全科医师杂志,2019,18(4):318-320.
[8] 贾俊海,杨敬致,刘爱萍,等.支气管炎临床实践指南方法学质量评价[J].中国医药导刊,2018,173(3):9-12.
[9] 傅金秀,夏玲伟.PDCA循环管理模式对小儿支气管肺炎的临床应用效果[J].中国医刊,2018,53(6):662-664.
[10] 赵丽,杨卫红,姚金华.PDCA循环法在小儿支气管肺炎护理管理中的实用价值研究[J].护士进修杂志,2017, 32(17):1594-1596.
[11] 杨立群,杜美娜.针对性护理干预在氧气驱动雾化吸入治疗中、重度哮喘患儿中的应用[J].中国医药导报,2018, 15(5):160-163.
[12] 李雪梅.综合性护理干预对小儿支气管肺炎康复效果的影响[J].护理研究,2018,32(16):2645-2647.
[13] 房丽丽,都伟,孙秀春.PDCA循环管理在小儿支气管炎护理中的应用探讨[J].中国医药科学,2018,8(20):174-176,244.
[14] 洪静,苏少蔚,叶盛.基于目标管理理论的护理干预对脑卒中长期卧床肺部感染患者的效果研究[J].中华全科医学,2021,19(1):157-160.
[15] 黄坤玲,刘建华,刘向飞,等.喘息性疾病婴幼儿肺功能状况及其诊断价值分析[J].中国医师杂志,2018,15(4):560-563.
[16] 鲍海花,王亚楠,王瑞.儿童早期预警评分护理记录模板在小儿支气管肺炎中的应用效果[J].武警后勤学院学报(医学版),2021,30(10):29-31.
[17] 邓欢.3H护理在支气管肺炎患儿治疗中的应用效果[J].中外医学研究,2021,19(11):124-127.
[18] 邱在军,林婷,邱荣军,等.支气管镜术在儿童肺炎支原体肺炎伴气道内黏液栓治疗中应用[J].中国医学创新,2021,18(16):74-77.
[19] 王翠珍,廖茂蕾,李远珍,等.临床路径结合目标管理在血液净化护理临床教学中的应用[J].皖南医学院学报,2019,38(6):596-599.
[20] 严晓宇,张南山,李芬田.呼出气一氧化氮检测在毛细支气管炎患儿中的临床应用价值研究[J].中国医药科学,2020,10(12):78-81.
[21] 李永梅,张丽君,吕秋平,等.信任建立在支气管肺炎患儿雾化吸入治疗中的应用效果[J].中华现代护理杂志,2020,26(19):2612-2615.
[22] 张岚,王晶晶,李静,等.目标管理方案降低导尿管相关性尿路感染发生率的临床实践[J].中华护理杂志,2021, 56(11):1655-1660.
[23] 岳丽青,卢敬梅,柴小桠,等.基于目标管理理论的干预策略在预防患者中心血管导管相关血流感染中的应用[J].中国护理管理,2021,21(4):488-492.
[24] 王颖,郭晓贝,鲁志卉,等.基于目标管理理念的护理不良事件规范化管理[J].护理学杂志,2020,35(2):1-4.
[25] 金莹,王金柱,杨向红,等.护理目标管理策略预防体外膜肺氧合并发症的效果分析[J].护理学报,2019,26(4):14-16.
[26] 陈涓.个性化护理措施对小儿支气管肺炎疗效及预后的影响分析[J].实用临床医药杂志,2017,21(4):149-151.
[27] 李俊霞,王玉华,王兰平,等.目标管理对手术患者术中及术后压疮感染的影响[J].中华医院感染学杂志,2018, 28(12):1904-1907.
[28] 李慧凤,莫兰,徐夏英.针对性护理在中药穴位贴敷联合排痰机治疗小儿支气管肺炎中的应用效果[J].中国当代医药,2021,28(15):243-245.
[29] 张凤琴,张永红.延续性护理干预对支气管肺炎患儿家庭雾化吸入治疗依从性的影响[J].安徽医学,2020,41(3):339-342. |
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