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Effect of 3H high-quality nursing concept intervention on the improvement of symptoms, adverse reactions and disease knowledge in children with severe pneumonia |
ZHU Xiaoyu ZHOU Min QIAO Hongyu YANG Ni▲ |
Department of Pediatrics, the First Affiliated Hospital of Air Force Military Medical University, Chinese People’s Liberation Army, Shaanxi Province, Xi’an 710032, China |
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Abstract Objective To explore the impact of 3H high-quality nursing concept intervention on the improvement of symptoms, adverse reactions and disease knowledge in children with severe pneumonia. Methods A total of 108 children with severe pneumonia admitted to the First Affiliated Hospital of the Air Force Military Medical University of the Chinese People’s Liberation Army from January 2018 to December 2020 were selected as the research objects. They were divided into control group and observation group by a random number table method, with 54 cases in each group. The control group was adopted routine nursing intervention, and the observation group was adopted 3H high-quality nursing intervention on the basis of the control group. The improvement of symptoms, adverse reactions, knowledge of family members’ diseases, and levels of C-reactive protein (CRP), interleukin 6 (IL-6), and tumor necrosis factor-α (TNF-α) were compared between the two groups. Results The antipyretic time, shortness of breath improvement time, cough relieving time, and hospital stay of observation group were shorter than those of the control group, and the differences were statistically significant (P < 0.05). The total incidence of adverse reactions in the observation group was lower than that in the control group, and the difference was statistically significant (P < 0.05). The awareness rate of family members in the observation group was higher than that in the control group, and the difference was statistically significant (P < 0.05). After the intervention, the levels of CRP, IL-6, and TNF-α in the two groups were higher than before the intervention, and the observation group was lower than the control group, the differences were statistically significant (P < 0.05). Conclusion The application of 3H high-quality nursing concept intervention can promote the improvement of the symptoms of children with severe pneumonia, reduce the occurrence of adverse reactions, improve the knowledge of family members, and inhibit the overreaction of inflammatory factors.
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[1] 刘西妮,王丹,温晓梅.小儿重症肺炎病原学分布及预后危险因素分析[J].中国临床医生杂志,2020,48(6):743-746.
[2] Shahrin L,Chisti MJ,Brintz B,et al. Clinical and laboratory predictors of 30-day mortality in severe acute malnourished children with severe pneumonia [J]. Trop Med Int Health,2020,25(11):1422-1430.
[3] 张文靖.个性化护理在重症肺炎高热惊厥小儿护理中的临床意义研究——评《新型冠状病毒肺炎重症护理手册》[J].中国医学装备,2020,196(12):218-219.
[4] 李倩男,陈颖.3H护理模式在重症肺炎患儿中的应用[J].山西职工医学院学报,2019,29(1):101-102.
[5] 中国医师协会急诊医师分会.中国急诊重症肺炎临床实践专家共识[J].中国急救医学,2016,36(2):97-107.
[6] Pulsan F,Sobi K,Duke T. Continuous positive airway pressure in children with severe pneumonia and hypoxaemia in Papua New Guinea:an evaluation of implementation [J]. Acta Paediatrica,2019,108(10):1028-1033.
[7] Wahl B,MD Knoll,Shet A,et al. National,regional,and state-level pneumonia and severe pneumonia morbidity in children in India:modelled estimates for 2000 and 2015 [J]. Lancet Child Adolesc Health,2020,4(9):678-687.
[8] 侯倩,王俊霞,牛杜娟,等.“3S2E”护理管理模式在ICU重症肺炎患者中的应用[J].中华现代护理杂志,2020,26(3):377-382.
[9] 樊元利,孙国红.临床护理路径在重症肺炎合并心衰患者中的应用效果[J].西部医学,2019,31(2):315-317.
[10] 朱大敏.优化个体护理对ICU重症肺炎患者APACHEⅡ评分及相关生理指标的影响[J].贵州医药,2019,43(4):645-647.
[11] 刘晓莉,马跃,张艳请,等.综合气道护理干预在重症肺炎患儿治疗中的应用价值[J].海南医学,2019,30(12):137-139.
[12] 陈小燕.3H护理在急性阑尾炎术后患者中的应用[J].实用中西医结合临床,2020,20(10):140-141.
[13] 徐利霞,马芳艳.个性化护理对重症肺炎患儿凝血功能及生理指标的影响[J].血栓与止血学,2019,25(3):183-185.
[14] 陈稳华,陈锦秀,吴红玲.“3H”护理模式在Steven Johnson综合征患儿中的应用[J].齐鲁护理杂志,2020,26(3):23-25.
[15] 张雅静,孙云.优质护理对胃肠道手术患者胃肠蠕动功能恢复和切口愈合的影响[J].现代中西医结合杂志,2020, 29(15):1694-1697.
[16] 黄琴.“3H”优质护理理念引入小儿重症肺炎护理的效果[J].糖尿病天地,2019,16(7):287-288.
[17] 汤志蓉,陆伟明,王侃清.“3H”理念在优质护理服务示范工程中的应用[J].中国医师杂志,2019,2(z2):184-185.
[18] 刁海燕,赵雪琴,傅蔷薇.将“3H”优质护理理念引入小儿重症肺炎护理中的效果分析[J].国际护理学杂志,2018, 12(1):1771-1773.
[19] 王庆华,马建群,魏揖春,等.应用人性照护理论开展“3H”护理服务[J].齐鲁护理杂志,2019,12(1A):60.
[20] 王会娟.基于“3H”理论的个性化护理干预在小儿重症肺炎高热惊厥患儿中的应用[J].河南医学研究,2019, 28(7):1320-1321.
[21] 陈瑶,徐燕娜,李立伟,等.成人重症肺炎的临床特征及不良临床结局的风险因素分析[J].广东药学院学报,2019, 35(6):823-828.
[22] 张敏.儿童重症肺炎支原体肺炎的临床特点及影像学表现分析[J].中国CT和MRI杂志,2020,124(2):41-44.
[23] 涂红梅.基于“3H”理论的全程优质护理模式对初产妇妊娠结局,泌乳功能及自我效能的影响[J].中外医学研究,2020,15(1):72-74.
[24] 翟晓婷,杨晓翠.妇产科病区新型3H护理服务模式应用效果分析[J].社区医学杂志,2019,19(7):422-424.
[25] 叶丹,王雁.新型冠状病毒肺炎疫情期间口腔科患儿基于信息化的优质护理管理策略[J].中华护理杂志,2020,55(S1):283-284. |
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