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| 强化健康教育在小儿肺炎中的临床效果及对家属知晓率的影响 |
| Clinical effect of intensive health education on pediatric pneumonia and awareness rate of family member |
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| DOI：10.3969/j.issn.1007-8134.2019.04.021 |
| 中文关键词: 强化健康教育 小儿肺炎 症状消失时间 肺功能水平 知晓率 |
| 英文关键词: intensive health education pediatric pneumonia time of symptom disappearance lung function awareness rate |
| 基金项目:国家自然科学基金青年科学基金（8140010389） |
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| 中文摘要: |
| 目的 探讨强化健康教育在小儿肺炎中的临床效果及对家属知晓率的影响。方法 选择2017年1月—2019年1月南京医科大学附属儿童医院血液肿瘤科治疗的小儿肺炎患者86例作为研究对象，将患儿分为对照组和观察组。对照组给予常规方法治疗，观察组在对照组基础上联合强化健康教育干预，干预后15 d对治疗效果进行评估，比较2组患者症状消失时间、肺功能水平及家属知晓率。结果 观察组干预后退热、肺啰音消失、咳嗽缓解、X线胸片病灶消失及住院时间均短于对照组（P均＜0.05）；观察组干预后15 d 呼吸频率低于对照组（P＜0.05），第1秒最大呼气量、最高呼气流量及第1秒最大呼气量/肺活量水平均高于对照组（P均＜0.05）；观察组干预后15 d对发病机制、按时用药、康复锻炼及定期复查的知晓率均高于对照组（P均＜0.05）。结论 强化健康教育用于小儿肺炎治疗中能缩短症状消失时间，提高患者肺功能水平，增强家属对疾病知晓率。 |
| 英文摘要: |
| Objective To explore the clinical effect of intensive health education on pediatric pneumonia and family awareness rate. Methods Eighty-six children with pediatric pneumonia treated in the Department of Hematology, Nanjing Children’s Hospital of Nanjing Medical University from January 2017 to January 2019 were selected as subjects. Children were divided into control group and observation group. The control group was given routine intervention, and the observation group was treated with intensive health education on the basis of the routine intervention in control group. The clinical effect of the patients was evaluated after 15 days of intervention, and the symptom disappearance time, lung function level and awareness rate of family member between the 2 groups were compared. Results After the intervention, the time of fever abatement, lung rale disappearance, cough relief, X-ray lesion disappearance and hospitalization stay in the observation group were shorter than those in the control group (P＜0.05). On 15 days after intervention, the observation group had a lower respiratory rate than the control group (P＜0.05). The first second maximal expiratory volume, peak expiratory flow and first second maximal expiratory volume/vital capacity in the observation group were higher than those in the control group (P＜0.05). The mechanism, on-time medication, rehabilitation exercise and regular review awareness rate were higher in the observation group than those in the control group (P＜0.05). Conclusions Intensive health education can shorten the time of symptom disappearance, improve the lung function of patients and enhance the awareness rate of family member in treatment of pediatric pneumonia. |
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