| Objective:1.Through literature analysis and children's characteristics to establish cluster nursing measures to build an effective intervention program.2.To explore the treatment effect of the cluster nursing intervention in child patients with bronchopneumonia and provide basis for clinical nursing staff to carry out cluster nursing.Methods:From December 2017 to December 2018,120 children with bronchial pneumonia at the hospital in Zhangqiu District,selected 60 patients with bronchial pneumonia from a district of pediatrics randomly selected as the observation group and 60 children with pediatrics in the second district.The control group performed pediatric general nursing routines.The observation group was given bundled nursing interventions on this basis,including various aspects of psychological care,environmental interventions,health education,and other aspects of nursing interventions.Parents were accompanied by children to participate in treatment,such as parents to participate in sand table games,Use friendly language to communicate with children and eliminate fears.The control group and the observation group conducted comparative analysis on the five aspects of the children's recovery,treatment efficiency,incidence of adverse reactions,children's compliance,and children's parent satisfaction.Self-made hospital assessment and nursing records,including cough Nature,duration,medication,nursing measures,adverse reactions,etc.shall be filled out when the parents of the children are admitted to the hospital;after the implementation of the cluster nursing,the children's parents were investigated by open question and answer method to investigate the adverse reactions and the compliance of the children during the inhalation process;and the parents fill out the satisfaction questionnaire when they leave the hospital.A follow-up telephone call was conducted one week after discharge from the hospital to answer the parents' guidance and questions.The average number of observation days was 15.5 days.Two-person data entry was used and statistical methods were used for statistical analysis using SPSS 19.0 software package.Measurement data were examined using statistical tests,Hierarchical data are analyzed by descriptive statistics,frequency,percentage,(x±s),and t-tests were used for comparison between groups.The difference was statistically significant at P<0.05.Results:1.There was no statistical difference in basic information between the two groups(P>0.05).2.The recovery of the two groups was compared with the observation period(6.5±4.2)days in the observation group,(3.7±1.1)days of disappearance of asthma,and(3.8±1.4)days of disappearance of cough;the days of hospitalization in the control group(10.2±3.3)The days of asthma disappeared(6.8±1.9)days,and the time of disappearance of cough(5.7±1.6)days.The observation group had better results than the control group,and the difference was statistically significant(P<0.05).3.The treatment efficiency of the two groups of children was compared with that of the observation group,markedly effective 39,accounting for 65%,effective 18,accounting for 30%,invalid 3,accounting for 5%,total effective number 57,accounting for 95%;control group,markedly effective 26,accounting for 43.3%,effective 24,accounting for 40%,invalid 10,accounting for 16.7%,total effective number of 50,accounting for 83.3%,the difference was statistically significant(P<0.05).4.The incidence of adverse reactions in the two groups was compared.In the control group,there were 7 patients with shortness of breath(11.7%),5 with airway obstruction(8.3%),10 with cough(16.7%),and 8 with cyanosis(13.3%).In the group,one patient had shortness of breath,which accounted for 1.7%of the total;airway blockage was 0;cough increased by 3,accounting for 5%;and cyanosis was found in 1 person,accounting for 1.7%.The observation group was significantly better than the control group.The difference was statistically significant(P<0.05).5.Comparing the compliance of the two groups of children,the observation group,totally complying with 33 people,accounting for 55%,basically complying with 24 people,accounting for 40%,non-compliance with 3 people,accounting for 5%,compliance rate 95%;control group,complete 28 persons adhered to,accounting for 46.7%,22 were basically compliant,accounting for 36.7%,10 were non-compliant,accounting for 16.7%,and compliance rate was 83.3%.Using children's language communication skills and non-verbal communication skills can make The compliance of children was significantly improved and the difference was statistically significant(P<0.05).6.The degree of satisfaction between parents of the two groups was compared with that of the observation group.44 people were very satisfied,accounting for 73.3%,15 were satisfied,accounting for 25%,and 1 was dissatisfied,accounting for 1.7%.Overall satisfaction was 59,accounting for 98.3%.In the control group,33 were very satisfied,accounting for 55%,18 were satisfied,accounting for 30%,9 were unsatisfied,accounting for 15%,51 were overall satisfaction,accounting for 85%,the observation group was significantly better than the control group;In groups,the difference was statistically significant(P<0.05).Conclusion:1.Bundling care can effectively promote the recovery of children with bronchial pneumonia and shorten the hospitalization time of children.2.Bundling care can significantly improve the efficiency of nebulization in children with bronchial pneumonia.3.Bundling care can significantly reduce the adverse reactions of nebulizer inhalation in children with bronchial pneumonia.4.Clustering care can significantly improve the compliance of nebulized inhalation therapy in children with bronchial pneumonia.5.Clustered care can greatly improve the satisfaction of parents of hospitalized children. |
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