Observation on the effect of high quality nursing in children bronchitis nursing

Observation on the effect of high quality nursing in children bronchitis nursing

Cai,Tingna

Ruici Hospital affiliated to Nantong University,Nantong Jiangsu 226000,China

Abstract:Objective:In order to improve the nursing quality of children bronchopneumonia,explore the clinical effect of applying high-quality nursing in its clinical nursing work.Methods:Included 76 cases have been diagnosed with infantile bronchitis were as the research object,on the basic situation of the study confirmed after into the set standard,after confirmation can into the group to be randomly assigned to two groups,namely the control group and observation group,and routine nursing mode in the control group,observed in the group should implement high quality nursing mode,The specific application effect is compared and analyzed.Results:In the specific implementation of this study,statistics and analysis of the two groups of children with bronchitis symptom relief time and parental satisfaction.First of all,after nursing,the observation group with high quality nursing was better than the control group in terms of relief time of asthma,disappearance time of lung rales,length of hospital stay and other indicators(P<0.05).Secondly,in the statistics of parents'satisfaction,20 cases,16 cases and 2 cases were confirmed to be very satisfied,generally satisfied and dissatisfied,while 17 cases,13 cases and 8 cases were confirmed in the control group,respectively.In comparison,the observation group had higher parents'satisfaction(P<0.05).Conclusion:The application of high-quality nursing in the clinical nursing of children with bronchopneumonia has a high application value,can effectively improve the lung function index of children and improve the recognition of parents.

Key words:Bronchitis in children;Quality care;Symptoms;Satisfaction

Children's diseases are complex and perse. Children's bronchitis is a common disease in children. It is usually caused by common cold or influenza, which can make children suffer from shortness of breath, cough, fever and other clinical symptoms to varying degrees. It is difficult to treat, and it will do great harm to children's bodies. In the clinical nursing of children with bronchitis, we should not only pay attention to the reality and strengthen the physical nursing, but also pay attention to the psychological intervention from the psychological point of view to help relieve their psychological pressure and improve the treatment compliance. However, according to the actual analysis, the nursing model for pediatric bronchitis in pediatrics is relatively simple and limited, and cannot reach a higher level of nursing quality. Therefore, a more scientific and reasonable nursing model should be applied in the actual nursing work to improve the deficiencies in the conventional nursing model to help improve the nursing quality. Based on this, this article explores the application effect of high-quality nursing in the care of children with bronchitis.

1. Data and methods

1.1 General information

76 subjects were included in this study, and their basic data had been analyzed briefly before the formal start of the study. It was confirmed that they met the criteria for inclusion in the study and were all children with confirmed bronchitis in children. They were treated in our hospital from January 2020 to December 2021, accompanied by varying degrees of suffocation and lung moist rale. The family members were informed and had signed the informed consent, At the same time, all children were assigned to the control group and the observation group after enrollment, with 38 patients in each group, including 41 males and 35 females, aged 2 to 9 years, with an average age of (5.2 ± 1.4) years. In addition, there were no congenital diseases or infectious diseases in both groups.

1.2 Methods

Continue to apply the routine nursing mode in the control group. The nursing staff should pay close attention to the change of the condition of the children, and do a good job in temperature measurement, medication and infusion nursing while taking cough and asthma relief treatment [1].

In the observation group, high-quality nursing should be applied on the basis of routine nursing. ① Cooling nursing: under the influence of pediatric bronchitis, most children will have obvious fever symptoms. The nursing staff should pay close attention to the temperature status of the children and do a good job in temperature monitoring. For children with temperature>38.5 ℃, physical cooling measures can be taken, such as wiping the groin and armpit with alcohol, and increasing the amount of drinking water, For relatively serious cases, drug cooling should be implemented [2]. ② Environmental intervention: In the high-quality nursing mode, some detailed nursing contents should be included, and environmental intervention is one of the main links. For this reason, the nursing staff should strictly clean the ward every day, control the indoor humidity and temperature at 50%~60% and 22~25 ℃, respectively, and open windows for ventilation and pay attention to lighting every day to create a relatively high-quality ward environment for children. ③ Health education: After the diagnosis of bronchitis in children, their parents are very worried. They may be angry and anxious because of their lack of awareness of the disease, and even prone to nurse-patient disputes. Based on this, under the implementation of high-quality nursing mode, we should pay attention to health education for parents of children, such as informing parents about the specific causes, clinical symptoms, and treatment of children bronchitis, so that parents can gradually deepen their cognitive depth. Not only that, in the nursing process, some parents will inevitably have more serious negative emotions, such as anxiety, fear, etc. When communicating with parents, nursing staff should pay attention to implementing the concept of humanistic care, use simple and understandable sentences to communicate with them, so that families can understand more quickly

[3]. ④ Psychological counseling for children: The children are in poor physical condition, accompanied by fever, cough and other symptoms under the influence of the disease, and often cry, which is not conducive to the effective implementation of nursing work. Therefore, nursing staff should communicate with the children more often. If they should pay more attention to praise, they should also prepare some small toys for them, and parents can also participate in the process, and jointly conduct psychological counseling for the children, So that they can maintain a relatively stable emotional state. ⑤ Airway and expectorant care: In children with bronchitis, sputum will increase, and children's expectorant skills are relatively poor. It is inevitable that there will be more irritation of sputum accumulation. Therefore, attention should be paid to expectorant treatment in practical treatment. For example, for children aged 5 to 9 years old, we can demonstrate correct expectorant treatment and cooperate with them to pat their backs, It can be treated by artificial sputum aspiration. ⑥ Atomization inhalation nursing: Atomization inhalation is a common treatment method for children with bronchitis, which can help improve breathing and reduce sputum irritation. During atomization inhalation treatment, children should be assisted to maintain appropriate posture, such as lateral lying position and sitting position. Generally, atomization inhalation treatment can be carried out before sleep. Family members should also be informed to fast, drink and keep their mouth clean about 30 minutes before and after atomization inhalation treatment. ⑦ Diet intervention: A good diet is of positive significance in promoting the recovery of diseases. In the diet nursing, the nursing staff should inform the parents of the food precautions, such as fasting stimulating food, especially the content and spicy food, should mainly be high nutrition and digestible food, and should drink more water in daily life, and should not be too full every meal.

1.3 Observation indicators

This study will compare and analyze the time of symptom relief and parents' satisfaction with the nursing model of the two groups of children.

In the evaluation and statistics of satisfaction, parents need to be given a satisfaction questionnaire with a maximum score of 100 points, and their satisfaction will be evaluated according to the different scores. For example, if the score is less than 60 points, they will be dissatisfied, if the score is 60 to 80 points, they will be generally satisfied, and if the score is more than 80 points, they will be very satisfied. Satisfaction=general satisfaction rate+very satisfied rate [4].

1.4 Statistical treatment

The data generated will be statistically processed during the implementation of this control study. Based on this, SPSS21.0 will be used as a statistical processing tool, and whether the difference between the data between the groups is statistically significant will be calculated. The data of this study include counting data and measuring data. According to the different types of data, "±" and "%" can be used respectively. After obtaining the data, it is also necessary to compare and analyze the data between different groups, and then confirm whether there is statistical significance through "t" or "X2" test. For the case where the data difference is obvious and there is statistical significance, it can be expressed as (P<0.05).

2 Results

2.1 Symptom relief time analysis

Through the analysis of this study, it can be seen that the symptom relief time of children in the observation group is better than that in the control group (P<0.05).

Table 1 Comparison of symptom relief time （x±s）

2.2 Analysis of parents' satisfaction

In this study, the satisfaction of parents of children in the two groups was statistically analyzed. The results showed that the satisfaction of parents of children in the observation group was higher than that in the control group (P<0.05).

Table 2 Comparison of parental satisfaction (%)

3 Discussion

The occurrence of bronchitis in children has seasonal characteristics. The incidence of bronchitis in spring and winter is higher than that in summer and autumn, which will lead to cough, sputum increase, shortness of breath and other clinical symptoms in children. Children are young and have poor physical quality. Under the long-term influence of bronchitis, they will not only cause damage to the respiratory system, but also may endanger the digestive system or the whole body. We must pay attention to strengthening treatment and nursing intervention. At present, the clinical nursing of pediatric bronchitis is mainly based on the conventional nursing mode, but the conventional nursing mode can no longer achieve higher nursing quality, and even has limitations [5].

In this study, high-quality nursing mode was implemented in the observation group, which is more scientific and reasonable. Under the conventional nursing mode, it mainly focuses on symptomatic treatment and nursing, while under the high-quality nursing mode, it advocates to further improve the quality and refinement of nursing intervention, so that children can get more targeted and comprehensive nursing intervention [6]. For example, in the high-quality nursing model, the first step is to help improve the fever symptoms of children through a series of physical cooling measures, starting from cooling care and environmental care. At the same time, the implementation of environmental nursing measures can improve the emotional state of children to a certain extent, so that the follow-up airway and expectoration care, aerosol inhalation care and diet care can be smoothly implemented, which has a positive effect on the rehabilitation of the disease. As shown in Table 1 of the results, the observation group was better than the control group in terms of asthma relief events, lung rale disappearance time and hospital stay under the intervention of high-quality nursing mode (P<0.05)

[7-8]. Not only that, under the high-quality nursing mode, the focus of nursing is not only on the children, but also on the parents of the children. It can be seen from the actual investigation and analysis that many parents of pediatric bronchitis are very worried about their children's disease, and it is inevitable that they will have problems such as excessive speech and complex emotions, which are not conducive to the effective implementation of nursing work. Based on this, in the high-quality nursing mode, the nursing staff will keep an approachable attitude, talk with the parents kindly, and tell the parents about the clinical symptoms, treatment methods Health knowledge, such as daily life precautions, also attaches great importance to treating parents equally in the process, so that their psychological state can be alleviated, and deepen their understanding of children's bronchus, which has a positive effect on follow-up targeted treatment [9]. As shown in Table 2 of the results of this study, the nursing satisfaction of parents in the observation group was as high as 94.73%, significantly higher than 78.94% in the control group (P<0.05).

High-quality nursing is a new nursing model that is being gradually promoted and applied. It really implements the people-oriented and patient-centered nursing concept, which plays an important role in promoting the improvement of nursing quality. Through the analysis of the results of this study, it can be seen that applying high-quality nursing to the clinical care of children with bronchitis can promote the improvement of children's clinical symptoms and help improve parents' satisfaction [10].

Reference:

[1] Zhu Pingping. The effect of family-centered nursing model on lung function of children with asthmatic bronchitis [J]. International Journal of Nursing, 2021,40 (09): 1718-1721

[2] Li Dongmei. Analysis of potential safety hazards and sleep nursing strategies in pediatric nursing [J]. World Journal of Sleep Medicine, 2021,8 (04): 657-659.

[3] Jiang Meiqing. Effect of comprehensive nursing intervention in the care of children with pneumonia [J]. Chinese Medical Science, 2021,11 (08): 124-127.

[4] He Fangfang. Study on the influence of PDCA circulation method on the quality of nursing management of children with bronchopneumonia [J]. Contemporary Nurses (last ten-day), 2021,28 (03): 102-105.

[5] Wang Wei. Evaluation of the effect of comprehensive nursing intervention in the care of pediatric bronchitis [J]. Intelligent Health, 2020,6 (33): 129-130.

[6] Cai Jundi, Mao Xiaoyuan. Clinical effect of detail nursing in the care of children with bronchitis [J]. Systems Medicine, 2020,5 (16): 172-174.

[7] Fei Huiying. Observation on the effect of holistic nursing for children with bronchitis [J]. Journal of Contemporary Medicine. 2014, 12 (01): 218.

[8] Chen Yurong. Observe the effect of different nursing methods on children with bronchitis [J]. Journal of Clinical Medical Literature, 2015,2 (13): 2608-2609.

[9] Feng Ping. Study on the effect of high-quality nursing intervention on children bronchitis [J]. Medical Aesthetic Beauty, 2014 (10): 72.

[10] Zhong Qi. Evaluation and analysis of the application value of quality care in pediatric bronchitis [J]. Medical Information, 2015 (37): 336-337.