综合干预对小儿肺炎治疗效果的影响
The Impact of Comprehensive Intervention on the Treatment Effect of Pediatric Pneumonia
DOI: 10.12677/acm.2024.1461775, PDF,   
作者: 王晓翠：青州市人民医院儿科，山东 青州
关键词: 小儿肺炎；综合；疗效观察；Pediatric Pneumonia； Comprehensive； Therapeutic Observation
摘要: 目的：分析综合干预对于小儿肺炎治疗效果的影响。方法：采用回顾性研究方法。纳入2022年12月至2023年12月在我院儿科收治的80例肺炎患儿，并随机分为两组。对照组患儿采用常规治疗措施，实验组患儿在常规治疗的基础上进行综合干预。比较和分析两组患者在临床效果、症状改善时间、质量评分和满意度评分等方面的差异。结果：实验组的疗效明显高于对照组(p = 0.02)。经综合干预后，实验组咳嗽消失时间、体温恢复时间、肺杂音消失时间、住院时间均明显短于对照组，差异有统计学意义(p < 0.05)。实验组的健康指导、操作、用药管理等质量得分均高于对照组，两组间数据比较差异有统计学意义(p < 0.05)。实验组的满意度为100%，高于对照组的90%，差异有统计学意义(p = 0.04)。结论：综合干预措施在小儿肺炎治疗中具有快速改善病情、提高疗效、提高质量和满意度等多种显著效果。
Abstract: Objective: To analyze the impact of comprehensive intervention on the treatment effect of pediatric pneumonia. Method: A retrospective study was conducted. 80 children with pneumonia admitted to our pediatric department from December 2022 to December 2023 were included and randomly divided into two groups. The control group received routine treatment, while the experimental group received comprehensive intervention on the basis of routine treatment. Compare and analyze the differences between two groups of patients in terms of clinical efficacy, symptom improvement time, quality score, and satisfaction score. Result: The therapeutic effect of the experimental group was significantly higher than that of the control group (p = 0.02). After comprehensive intervention, the experimental group showed significantly shorter cough disappearance time, temperature recovery time, lung murmur disappearance time, and hospital stay compared to the control group, with statistically significant differences (p < 0.05). The quality scores of health guidance, operation, and medication management in the experimental group were higher than those in the control group, and there was a statistically significant difference in data comparison between the two groups (p < 0.05). The satisfaction rate of the experimental group was 100%, which was higher than 90% of the control group, and the difference was statistically significant (p = 0.04). Conclusion: Comprehensive intervention measures have multiple significant effects in the treatment of pediatric pneumonia, including rapid improvement of the condition, increased efficacy, improved quality, and satisfaction.
文章引用：王晓翠. 综合干预对小儿肺炎治疗效果的影响[J]. 临床医学进展, 2024, 14(6): 292-297. https://doi.org/10.12677/acm.2024.1461775

参考文献

[1] 赵晓庆. 小儿肺炎护理模式研究进展[J]. 中国城乡企业卫生, 2023, 38(8): 49-51. [Google Scholar] [CrossRef] 
[2] Leung, A.K.C., Wong, A.H.C. and Hon, K.L. (2018) Community-Acquired Pneumonia in Children. Recent Patents on Inflammation & Allergy Drug Discovery, 12, 136-144. [Google Scholar] [CrossRef] 
[3] Zar, H.J., Andronikou, S. and Nicol, M.P. (2017) Advances in the Diagnosis of Pneumonia in Children. BMJ, 358, j2739. [Google Scholar] [CrossRef] [PubMed]
[4] Eastwood, J. and Maitland-Scott, I. (2020) Patient Privacy and Integrated Care: The Multidisciplinary Health Care Team. International Journal of Integrated Care, 20, 13. [Google Scholar] [CrossRef] [PubMed]
[5] Satherley, R.M., Lingam, R., Green, J. and Wolfe, I. (2021) Integrated Health Services for Children: A Qualitative Study of Family Perspectives. BMC Health Services Research, 21, Article No. 167. [Google Scholar] [CrossRef] [PubMed]
[6] Smith, D.K., Kuckel, D.P. and Recidoro, A.M. (2021) Community-Acquired Pneumonia in Children: Rapid Evidence Review. American Family Physician, 104, 618-625.
[7] Korang, S.K., Nava, C., Mohana, S.P., Nygaard, U. and Jakobsen, J.C. (2021) Antibiotics for Hospital-Acquired Pneumonia in Neonates and Children. Cochrane Database of Systematic Reviews, 11, CD013864. [Google Scholar] [CrossRef] 
[8] Thayaparan, A.J. and Mahdi, E. (2013) The Patient Satisfaction Questionnaire Short Form (PSQ-18) as an Adaptable, Reliable, and Validated Tool for Use in Various Settings. Medical Education Online, 18, Article No. 21747. [Google Scholar] [CrossRef] [PubMed]
[9] Burkhart, K., Asogwa, K., Muzaffar, N. and Gabriel, M. (2020) Pediatric Integrated Care Models: A Systematic Review. Clinical Pediatrics (Phila), 59, 148-153. [Google Scholar] [CrossRef] [PubMed]
[10] Roesler, T.A., Nassau, J.H., Rickerby, M.L., Laptook, R.S., DerMarderosian, D. and High, P.C. (2019) Integrated, Family-Based, Partial Hospital Treatment for Complex Pediatric Illness. Family Process, 58, 68-78. [Google Scholar] [CrossRef] [PubMed]
[11] Samsel, C., Ribeiro, M., Ibeziako, P. and DeMaso, D.R. (2017) Integrated Behavioral Health Care in Pediatric Subspecialty Clinics. Child and Adolescent Psychiatric Clinics of North America, 26, 785-794. [Google Scholar] [CrossRef] [PubMed]
[12] Le Roux, D.M. and Zar, H.J. (2017) Community-Acquired Pneumonia in Children—A Changing Spectrum of Disease. Pediatric Radiology, 47, 1392-1398. [Google Scholar] [CrossRef] [PubMed]
[13] Marangu, D. and Zar, H.J. (2019) Childhood Pneumonia in Low-and-Middle Income Countries: An Update. Paediatric Respiratory Reviews, 32, 3-9. [Google Scholar] [CrossRef] [PubMed]
[14] Ma, X., Gao, W. and An, J. (2022) Clinical Effect of Reduning Combined with Gamma Globulin Treatment on Symptom Improvement Serum Levels of IL-6, 25-(OH)D and LDH in Children with Severe Mycoplasma Pneumonia. Pakistan Journal of Medical Sciences, 38, 826-832. [Google Scholar] [CrossRef] [PubMed]
[15] Han, R., Yu, Q., Zhang, G., Li, B., Han, S. and Li, G. (2020) Comparison of Azithromycin and Erythromycin in the Treatment of Mycoplasma Pneumonia in Children. Pakistan Journal of Medical Sciences, 36, 156-159. [Google Scholar] [CrossRef] [PubMed]
[16] Same, R.G., Amoah, J., Hsu, A.J., Hersh, A.L., Sklansky, D.J., Cosgrove, S.E., et al. (2021) The Association of Antibiotic Duration with Successful Treatment of Community-Acquired Pneumonia in Children. Journal of the Pediatric Infectious Diseases Society, 10, 267-273. [Google Scholar] [CrossRef] [PubMed]
[17] Yu, Y. and Chen, C. (2021) Clinical Observation of Aerosol Inhalation of Azithromycin Combined with Budesonide Suspension in the Treatment of Mycoplasma Pneumoniae Pneumonia in Children. Panminerva Medica. [Google Scholar] [CrossRef] 
[18] Parikh, M.R., O’Dell, S.M., Cook, L.A., Corlis, M., Sun, H. and Gass, M. (2021) Integrated Care Is Associated with Increased Behavioral Health Access and Utilization for Youth in Crisis. Families, Systems, & Health, 39, 426-433. [Google Scholar] [CrossRef] [PubMed]
[19] Wissow, L.S., Brown, J.D., Hilt, R.J. and Sarvet, B.D. (2017) Evaluating Integrated Mental Health Care Programs for Children and Youth. Child and Adolescent Psychiatric Clinics of North America, 26, 795-814. [Google Scholar] [CrossRef] [PubMed]
[20] Cooper, V.B. and Haut, C. (2013) Preventing Ventilator-Associated Pneumonia in Children: An Evidence-Based Protocol. Critical Care Nurse, 33, 21-30. [Google Scholar] [CrossRef] [PubMed]

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