Effect of parent-child individual management in children with mycoplasma pneumonia / 中国基层医药

ABSTRACT

Objective To assess the effect of parent-child individual management in children with mycoplasma pneumonia and to provide guidance for improve the quality.Methods 482 children with mycoplasma pneumonia were divided into parent-child individual management group and conventional intervention group according to the time including the study.The parent-child individual management group used specially formulated for the mother and child management intervention + conventional measures.The conventional intervention group used conventional nursing neasures.The duration of hospitalization,hospitalization expense,depression,family members of patients satisfaction,curative effect,clinical index were compared between the two groups.Results Mter intervention,compared with the conventional intervention group,the duration of hospitalization,hospitalization expense decreased lower [length of stay(12.08 ± 1.26) d vs.(15.82 ± 3.07) d,t =16.398,P =0.000;hospitalization expense(641.57 ± 124.28) RM B vs.(896.72 ± 179.15) RM B,t =17.012,P =0.000],the maternal anxiety of the parent child individual management group reduced obviously [anxiety scores (34.21 ± 4.51) points vs.(43.29 ± 6.17) points,t =17.245,P =0.000] and the satisfaction of children of the parent-child individual management group improved obviously(most satisfaction rate65.71％ vs.49.52％,x2 =10.663,P =0.001;satisfaction rate27.14％ vs.29.25％,x2 =0.928,P =0.710;general satisfaction rate5.71％ vs.16.04％,x2 =10.538,P =0.000;dissatisfaction1.43％ vs.5.19％,x2 =3.552,P =0.060;total rate92.86％ vs.78.77％,x2 =16.021,P =0.000).The efficacy of the parent-child individual management group improved obviously (inefficiency7.14％ vs.21.22％,x2 =16.021,P =0.000;efficiency17.19％ vs.21.21％,x2 =1.812,P =0.178;cure rate73.33％ vs.53.30％,x2 =17.364,P =0.000;total effective rate92.85％ vs.78.77％,x2 =16.021,P =0.000).The clinical indicators of the parent-child individual management group were improved obviously[pyretolysis days(3.42 ± 1.46) d vs.(4.56 ±1.67) d,t =7.463,P =0.000;cough disappeared days(8.72 ± 2.04) d vs.(10.29 ± 1.95) d,t =8.030,P =0.000;rales disappeared days(3.96 ± 1.45) d vs.(5.87 ± 1.7 1) d,t =12.370,P =0.000].Conclusion The parent-child individual management in children with mycoplasma pneumonia has good effect on the hospitalization days,hospitalization expense,the satisfaction of children,the curative effect and the clinical indicators,it is worthy of clinical promotion.