期刊论文

Chen, Y.

中文

中国实用护理杂志

1672-7088

2023

39

19

1448-1455

10.3760/cma.j.cn211501-20220706-02138

symptoms of the children within 24 hours of being diagnosed as BO, the day of discharge, and 1 and 3 months after discharge for re-examination, and the hospitalization time of the children and the incidence of adverse events related to respiratory training were counted by using medical records and questionnaires. Results The clinical symptom severity scores of the experimental group within 24 hours of admission diagnosis and the day of discharge were (20.00 ± 2.51) and (11.30 ± 2.46)points respectively, while those of the control group were (20.57 ± 2.21) and (11.70 ± 2.42) points respectively, with no statistically significant difference (t=0.81, 0.54, both P＞0.05). The clinical symptom severity scores of the experimental group were(10.52 ± 2.31) and (8.55 ± 1.06) points, lower than (12.32 ± 1.39) and (12.45 ± 2.19) points of the control group when they returned to the hospital for re-examination 1 and 3 months after discharge, with a statistically significant difference (t=3.14, 7.25, both P＜0.05). The experimental group was hospitalized for (11.78 ± 1.17) days, which was showter than (13.74 ± 1.63) days in the control group, with a statistically significant difference (t=4.68, P＜0.05). No respiratory training-related adverse events occurred in both groups of children during hospitalization. During home respiratory training after discharge, 1 and 2 respiratory training-related adverse events occurred in the experimental group 1 and 3 months after discharge, respectively, compared with 6 and 9 in the control group. The difference was statistically significant (χ2=4.64, 5.94, both P＜0.05). Conclusions Early respiratory training solutions based on the 4E mode can improve the clinical symptoms of BO children, shorten the hospitalization time, reduce the number of adverse events related to respiratory training, and promote the recovery of children. [Key words] Breathing exercises; Nursing care; Bronchiolitis obliterans; Children; 4E mode Fund program: National Natural Science Foundation of Hunan Province (2023JJ60008) DOI：10.3760/cma.j.cn211501-20220706-02138

本校为第一机构

目的:探讨基于4E模式的早期呼吸训练方案在闭塞性细支气管炎（BO）患儿中的应用效果，以期为BO患儿早期呼吸康复的临床实施提供依据。方法:本研究为类实验性研究。选取2021年1月1日至12月31日湖南省儿童医院呼吸内科2个病区收治的BO患儿为研究对象，按随机数字表法分为对照组和试验组各23例；对照组接受常规治疗、护理和康复指导，试验组在对照组的基础上组建多学科团队，采用基于4E模式的早期呼吸训练方案实施干预；分别在入院诊断为BO的24 h内、出院当日及出院后1、3个月回院复查时采用临床症状严重程度评分表评估患儿临床症状改善情况，采用调取病历和问卷调查的方式统计患儿住院时间和呼吸训...

Objective To explore application effect of early respiratory training schemes based on 4E mode (Engage, Educate, Execute, Evaluate) in children with bronchiolitis obliterans (BO) and provide evidence for the clinical implementation of early respiratory rehabilitation in children with BO. Methods This was a quasi- experimental study. The children with BO who were admitted to 2 wards of the Department of Respiratory Medicine of Hunan Children's Hospital from January 1 to December 31, 2021 were selected as the research objects. They were randomly ...