沟通技巧联合多元化护理在儿童鼻窦炎鼻负压置换治疗过程中的应用效果
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摘要
目的:观察沟通技巧联合多元化护理在儿童鼻窦炎鼻负压置换治疗过程中的应用效果。方法:选取本院2017年1月-2018年5月行鼻负压置换治疗的鼻窦炎患儿200例作为研究对象,按照随机数字表法将其分为对照组和试验组,各100例。对照组采取常规护理,试验组实施沟通技巧联合多元化护理干预,比较两组治疗依从、舒适度、并发症发生情况。结果:试验组的治疗依从率为94.0%明显高于对照组的76.0%,差异有统计学意义(x~2=12.706,P=0.000)。试验组的舒适度为89.0%明显高于对照组的51.0%,差异有统计学意义(x~2=34.381,P=0.000)。试验组并发症发生率5.0%明显低于对照组的14.0%,差异有统计学意义(x~2=4.711,P=0.030)。结论:对行鼻负压置换治疗的鼻窦炎患儿实施沟通技巧联合多元化护理,可明显提高患儿治疗依从性及舒适度,有效减少并发症的发生。
Objective:To observe the application effect of communication skills combined with diversified nursing in the treatment of children with nasosinusitis nasal negative pressure replacement therapy.Method:A total of 200 children with nasosinusitis who undergone nasal negative pressure replacement therapy in our hospital from January 2017 to May 2018 were selected as the research objects.According to the random number table method,they were divided into control group and experimental group,100 cases in each group.The control group was given routine nursing,the experimental group was given communication skills combined with diversified nursing intervention.The treatment compliance,comfort and complications between the two groups were compared. Result:The treatment compliance rate of the experimental group was 94.0%,which was significantly higher than 76.0% of the control group,the difference was statistically significant( x~2=12.706,P=0.000).The comfort degree of the experimental group was 89.0%,which was significantly higher than 51.0% of the control group,thedifference was statistically significant( x~2=34.381,P=0.000).The incidence of complications in the experimental group was 5.0%,which was significantly lower than 14.0% in the control group,the difference was statistically significant( x~2=4.711,P=0.030).Conclusion:The implementation of communication skills combined with diversified nursing for children with nasosinusitis nasal negative pressure replacement therapy can obviously improve the treatment compliance and comfort of children and effectively reduce the occurrence of complications.
Objective:To observe the application effect of communication skills combined with diversified nursing in the treatment of children with nasosinusitis nasal negative pressure replacement therapy.Method:A total of 200 children with nasosinusitis who undergone nasal negative pressure replacement therapy in our hospital from January 2017 to May 2018 were selected as the research objects.According to the random number table method,they were divided into control group and experimental group,100 cases in each group.The control group was given routine nursing,the experimental group was given communication skills combined with diversified nursing intervention.The treatment compliance,comfort and complications between the two groups were compared. Result:The treatment compliance rate of the experimental group was 94.0%,which was significantly higher than 76.0% of the control group,the difference was statistically significant( x~2=12.706,P=0.000).The comfort degree of the experimental group was 89.0%,which was significantly higher than 51.0% of the control group,thedifference was statistically significant( x~2=34.381,P=0.000).The incidence of complications in the experimental group was 5.0%,which was significantly lower than 14.0% in the control group,the difference was statistically significant( x~2=4.711,P=0.030).Conclusion:The implementation of communication skills combined with diversified nursing for children with nasosinusitis nasal negative pressure replacement therapy can obviously improve the treatment compliance and comfort of children and effectively reduce the occurrence of complications.
引文
[1]张砚,孙刚,王成,等.鼻负压置换治疗儿童鼻窦炎[J].中国现代医学杂志,2014,24(6):95-97.
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[6]中华医学会耳鼻咽喉科学分会,中华耳鼻咽喉科杂志编辑委员会.慢性鼻窦炎鼻息肉临床分型分期及内窥镜鼻窦手术疗效评定标准[J].中华耳鼻咽喉科杂志,2009,33(3):134-135.
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[9]范永,张永强.药物、超声雾化及鼻窦负压置换联合治疗小儿慢性鼻窦炎疗效观察[J].现代中西医结合杂志,2016,25(24):2686-2688.
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[11]贾立敏,肖波,韩莉,等.护理干预对鼻窦负压置换治疗儿童鼻窦炎的疗效影响[J].医学理论与实践,2015,28(12):1655-1656.
[12]王香梅.小儿慢性鼻窦炎鼻窦负压置换疗法的护理体会[J].河南医学研究,2015,24(4):149.
[13]项蒙,贾曼.健康教育卡片在小儿骨科病房中的应用[J].中医药管理杂志,2017,25(1):163-164.
[14]张红丽,吴爱珍,刘伟玲.儿科护理操作中沟通技巧的应用效果观察[J].中华肿瘤防治杂志,2016,23(S2):404-405.
[15]孙继红.CICARE护患沟通模式在儿科护理中的应用[J].护理实践与研究,2017,14(15):76-77.
[16]陈莲芳.护理风险管理对儿童鼻窦负压置换治疗发生不适症状的影响[J].中国临床新医学,2015,8(3):266-268.
[17]丁美松,于向英,王丹丹.多元化护理干预措施在学龄前患儿术前的应用效果[J].中华护理教育,2015,12(8):619-622.
[18]吉莉,孔旭.儿童输液室开展多元化细节护理的实践与效果[J].护理实践与研究,2017,14(13):144-145.
[19]郭明珠.护患沟通的技巧[J].中华现代护理学杂志,2015,2(17):166-167.
[20]Feraco A M,Brand S R,Mack J W,et al.Communication skills training in pediatric oncology:moving beyond role modeling[J].Pediatric Blood Cancer,2016,63(6):966-972.
[2]李琳,景鹏.左氧氟沙星滴眼液与负压置换法治疗小儿鼻窦炎34例疗效及护理[J].中国药业,2015,24(Z1):10-11.
[3]Davies B W,Gonzalez M O,Vaughn R C,et al.Dacryocystitis as the initial presentation of invasive fungal sinusitis in immunocompromised children[J].Ophthalmic Plastic&Reconstructive Surgery,2016,32(4):e79-81.
[4]陈亚军,吴莉,张健,等.香菊胶囊配合负压置换治疗小儿鼻窦炎500例[J].西部中医药,2016,29(6):80-81.
[5]庹秀敏,谢晓芳,王宇,等.置换疗法治疗儿童慢性鼻窦炎操作体会[J].中国中西医结合儿科学,2014,6(5):468-469.
[6]中华医学会耳鼻咽喉科学分会,中华耳鼻咽喉科杂志编辑委员会.慢性鼻窦炎鼻息肉临床分型分期及内窥镜鼻窦手术疗效评定标准[J].中华耳鼻咽喉科杂志,2009,33(3):134-135.
[7]王艳楠.鼻部超声波治疗小儿慢性鼻窦炎临床护理研究[J].重庆医学,2017,46(A01):430-431.
[8]沈翎,林宗通,林兴,等.伴上呼吸道疾病的儿童慢性鼻-鼻窦炎治疗探讨[J].临床耳鼻咽喉头颈外科杂志,2017,31(6):446-450.
[9]范永,张永强.药物、超声雾化及鼻窦负压置换联合治疗小儿慢性鼻窦炎疗效观察[J].现代中西医结合杂志,2016,25(24):2686-2688.
[10]倪霞,张星.鼻窦负压置换治疗儿童慢性鼻窦炎临床体会[J].中国药物与临床,2016,16(12):1834-1835.
[11]贾立敏,肖波,韩莉,等.护理干预对鼻窦负压置换治疗儿童鼻窦炎的疗效影响[J].医学理论与实践,2015,28(12):1655-1656.
[12]王香梅.小儿慢性鼻窦炎鼻窦负压置换疗法的护理体会[J].河南医学研究,2015,24(4):149.
[13]项蒙,贾曼.健康教育卡片在小儿骨科病房中的应用[J].中医药管理杂志,2017,25(1):163-164.
[14]张红丽,吴爱珍,刘伟玲.儿科护理操作中沟通技巧的应用效果观察[J].中华肿瘤防治杂志,2016,23(S2):404-405.
[15]孙继红.CICARE护患沟通模式在儿科护理中的应用[J].护理实践与研究,2017,14(15):76-77.
[16]陈莲芳.护理风险管理对儿童鼻窦负压置换治疗发生不适症状的影响[J].中国临床新医学,2015,8(3):266-268.
[17]丁美松,于向英,王丹丹.多元化护理干预措施在学龄前患儿术前的应用效果[J].中华护理教育,2015,12(8):619-622.
[18]吉莉,孔旭.儿童输液室开展多元化细节护理的实践与效果[J].护理实践与研究,2017,14(13):144-145.
[19]郭明珠.护患沟通的技巧[J].中华现代护理学杂志,2015,2(17):166-167.
[20]Feraco A M,Brand S R,Mack J W,et al.Communication skills training in pediatric oncology:moving beyond role modeling[J].Pediatric Blood Cancer,2016,63(6):966-972.