护理干预在小儿糖尿病合并支气管肺炎中的应用

耿卓莉

[摘要] 目的 探讨护理干预在小儿糖尿病合并支气管肺炎中的应用与效果。方法 选取2016年2月—2017年12月该院收治的糖尿病合并支气管肺炎患儿16例，随机分为2组各8例，对照组给予常规护理，观察组在对照组的基础上给予护理干预。结果 观察组空腹血糖（5.4±0.8）mmol/L明显低于对照组，体温正常时间（24.5±2.1）h、咳嗽消失时间（3.7±1.1）d、憋喘消失时间（3.6±0.4）d、住院时间（8.5±1.2）d均明显短于对照组（P<0.05）；观察组护理满意度为100.0%，明显优于对照组62.5%（P<0.05）。 结论 对糖尿病合并支气管肺炎患儿进行护理干预，可有效降低血糖，缩短患儿症状消失时间，提高护理满意度。

[关键词] 护理干预；小儿糖尿病；支气管肺炎

[中图分类号] R587.1 [文献标识码] A [文章编号] 1672-4062（2018）03（b）-0147-02

Application of Nursing Intervention in Children with Diabetes Combined with Bronchopneumonitis

GENG Zhuo-li

Integrated TCM & Western Medicine Department， Changchun Childrens Hospital， Changchun， Jilin Province， 130000 China

[Abstract] Objective To study the application and effect of nursing intervention in children with diabetes combined with bronchopneumonitis. Methods 16 cases of children with diabetes combined with bronchopneumonitis admitted and treated in our department from February 2016 to December 2017 were selected and randomly divided into two groups with 8 cases in each， the control group used the routine nursing， while the observation group used the nursing intervention on the basis of the control group. Results The fasting blood glucose in the observation group was （5.4±0.8） mmol/L， which was obviously lower than that in the control group， and the body temperature normal time， cough disappearance time， suffocating disappearance time and length of stay in the observation group were respectively （24.5±2.1）h，（3.7±1.1）d，（3.6±0.4）d，（8.5±1.2）d， which were obviously shorter than those in the control group（P<0.05）， and the nursing satisfactory degree in the observation group was obviously better than that in the control group （100.0% vs 62.5%）（P<0.05）. Conclusion The nursing intervention in children with diabetes combined with bronchopneumonitis can effectively reduce the blood glucose， shorten the disappearance time of symptoms and improve the nursing satisfactory degree.

[Key words] Nursing intervention； Children with diabetes； Bronchopneumonitis

近年來，我国糖尿病人群不断呈增高且年轻化趋势，并逐渐向儿童发展。据统计[1]，我国儿童糖尿病占糖尿病总数的10%，其中0～14岁儿童糖尿病发病率较过去20年增加近4倍。支气管肺炎是小儿时期最常见的呼吸道感染性疾病[2]，无论是发病率还是病死率均居首位。尤其糖尿病患儿受高血糖的影响，机体免疫功能降低，很容易并发支气管肺炎，对患儿的身体健康造成极大影响。因此，在对患儿进行积极治疗的同时，给予行之有效的护理措施，对稳定患儿病情，减少并发症，促进患儿康复有重要意义。该文对该院2016年2月—2017年12月收治的8例糖尿病合并支气管肺炎患儿进行护理干预并观察，现报道如下。

1 资料与方法

1.1 一般资料

选取该院收治的糖尿病合并支气管肺炎患儿16例为观察对象，随机分为2组各8例，观察组男5例，女3例，年龄1.5～11岁，平均（5.3±0.7）岁，糖尿病病程6～18个月，平均（10.3±1.2）个月；对照组男4例，女4例，年龄2～12岁，平均（5.7±0.9）岁，糖尿病病程6～17个月，平均（9.9±1.3）个月。患儿入院时均有发热、咳嗽、憋喘等症状，经X线检查证实。……