The effect of risk preventive nursing on clinical curative effect and rehabilitation in children with pneumonia / 中国中西医结合急救杂志

ABSTRACT

Objective To study the clinical application effect of risk preventive nursing on children with pneumonia and their rehabilitation. Methods One hundred children with pneumonia admitted to Xiaoyi People's Hospital from March 2016 to March 2017 for treatment were enrolled. Among them, 45 cases from March the 1st to August the 1st in 2016 were treated with conventional nursing (conventional nursing group), while 55 cases from August the 2nd, 2016 to March the 1st, 2017 were taken cared by the risk prevention nursing (risk prevention group). The levels of tumor necrosis factor-α (TNF-α), interleukins (IL-6, IL-8) were examined on admission and discharge in the two groups by enzyme-linked immunosorbent assay (ELISA); the time length for clinical symptoms to disappear, rehabilitation effect, hospitalization time, family members' satisfaction and incidence of complications were observed in the two groups. Results No statistically significant differences were detected in serum TNF-α, IL-6 and IL-8 levels between the two groups before nursing (all P > 0.05).The levels of inflammatory factors at discharge in both groups were lower than those at admission, the levels of TNF-α, IL-6 and IL-8 in the children of risk prevention group were significantly lower than those in the conventional nursing group discharge [TNF-α (μg/L) 16.54±7.13 vs. 22.78±9.12, IL-6 (ng/L) 9.25±5.48 vs. 15.11±7.01, IL-8 (μg/L) 4.08±2.16 vs. 7.69±3.56, all P < 0.05]. The duration for clinical symptoms to disappear and duration of hospital stay in the risk prevention group were significantly shorter than those in the conventional nursing group [cough stopping time (days) 6.87±2.54 vs. 10.35±3.08, duration of rale disappearance (days) 7.01±2.13 vs. 10.87±3.25, fever recovery time (days) 6.25±2.64 vs. 8.76±3.58, duration of asthma relief (days) 7.59±3.17 vs. 10.26±3.26, duration of hospital stay (days) 8.16±1.86 vs. 13.25±3.64, all P < 0.05]. The total effective rate and family members' satisfaction in the risk prevention group were significantly higher than those in the conventional nursing group [total effective rate 94.54% (52/55) vs. 77.78% (35/45), family members' satisfaction 96.36% (53/55) vs. 84.44% (38/45), both P < 0.05]. The incidence of complications in the risk prevention group was obviously lower than that in the conventional nursing group [5.45% (3/55) vs. 46.67% (21/45), P < 0.05]. Conclusion Risk prevention nursing can reduce the incidence of inflammatory reaction, improve the family members' satisfaction with nursing, and promote the children recovery process.