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重症肺炎患儿应用音乐护理

时间:2021-08-16 来源:未知 编辑:梦想论文 阅读:
Pneumonia is a common pediatric multiple disease. Children with severe pneumonia due to serious illness and treatment need to accept a variety of invasive operation, younger children, poor tolerance of all sorts of puncture, coupled with the understanding ability and communication ability is poor, increasing the difficulty of nursing, easily lead to nurse patient disputes [1]. In recent years, with the biological psychological social medical model of development, making the nursing work become more and more diversified. Music as one of the diversified nursing care, nursing work in [2]. has been widely used in a variety of diseases in
 
 
At present, many studies show that music nursing can effectively smoothes the mood of patients, improve patient respiratory rate and blood pressure and improve the nursing quality. The hospital in January 2013 to January 2014 to children with severe pneumonia in the application of music care, and to explore its effect on the prognosis of the patients were.
 
 
1 data and methods.
 
 
1.1 average data in January 2013 - 2014 years 1 month selected the hospital pediatric intensive care unit (PICU) treated 124 cases of children with severe as the research object. Inclusion criteria: (1) are in line with Zhu Futang "Practical Pediatrics" (7th Edition) in infantile pneumonia of diagnostic criteria; II children with their families have signed the informed consent. Exclusion criteria: liver and kidney dysfunction, cardiac shock, systemic infection and blood disease in children. According to random number table. The children were divided into observation group and control group, each group of 62 cases of observed group of 34 male cases, 28 cases of female; age 2d~28d, average 12D; course 1d~5d (2.85d + 0.48d). In the control group, male 36 cases, female 26 cases; age 1d~28d, average 11d; course of disease 1d~4d (2.96d + 0.82d). Comparison of two groups of children with gender, age, course of disease, there was no statistically significant difference (P>0.05), comparable.
 
 
1.2 methods two groups of children were given cardiac, diuretic, vasodilator, oxygen, anti infection and correct water and electrolyte disorders treatment. Control groups of children during the puncture according to the psychology, age and personality characteristics by playing with toys, to look elsewhere and other methods to distract children. Also used to encourage language to get cooperation from the patient and do not fit for children to their families help fixed and forcibly vein puncture, puncture after pay close attention to children with physical and emotional changes and give corresponding nursing. To observe the groups of children in addition to the above measures given music nursing: (1) image and background music with: the visual music let children side view while listening to music, music and animation combined. Can play some by the children's favorite stories, songs and animated episode, the strength of the music set to 45dB~60dB, music through puncture children from the very beginning to the. The personalized music: children can be provided by family children's favorite music fetal education.
 
 
1.3 observation index respectively before puncture, puncture after 1min, 5min, 10min using disposable probe for blood oxygen monitor percutaneous determination of two groups of children with blood oxygen saturation (SpO2) level. Sense of pain by specially trained nurses using a visual analog scale (VAS) of the two groups of children were scored, with a total score of 0 (no pain), to 10 minutes (pain). Recording two groups of children with one-time success rate of puncture, limb swelling occurred rate, the children crying rate, family satisfaction rate, which disposable puncture rate is refers to "hit the nail on the head" and fixed good, smooth drop. The satisfaction rate was evaluated by the design institute to patient satisfaction score, the total score is 100 points, >90 is satisfied.
 
 
1.4 statistical method using SPSS17.0 statistical software package for analysis and measurement data with mean + standard deviation (x + s) said that between group measurement data using t-test, count data using chi square test and to P < 0.05, the difference was statistically significant.
 
 
2 results.
 
 
3 discussion.
 
 
Children with severe pneumonia because of serious illness, patients need the invasive operation, in which the puncture is operation is more frequent invasion operation. Invasive operation can lead to children with all kinds of discomfort and pain, increase patient anxiety and tension, and have a certain impact on patients with acid-base balance system and body temperature system, increase psychological reactions, affect children coordination and compliance, thus affecting the children with therapeutic effect. Therefore intrusion in the process of operation of children emotional adjust effectively, can effectively alleviate the stimulus response, improve the adaptability of children children psychological.
 
 
Biological and neurological research pointed out that [6], brainstem reticular structure and brain edge of somatic and visceral function to an important role in the regulation of, and music can have important effects on these neural structures. Music through auditory afferents in the human body, and resonates with the body structure, thereby inhibiting activity of the sympathetic nervous system and parasympathetic nervous activity enhanced, the infant blood pressure and heart rate remained stable, and effectively inhibit the body of harmful substances of enkephalin release, resulting in the body produce pleasant and peaceful feeling. Lin Yan Wei, [8] pointed out that on outpatient intravenous puncture in children with music nursing can effectively improve children negative emotions and improve children's one-time puncture success rate. Huang Chunying [9] pointed out that through peripheral vein inserted central venous set tube neonatal music nursing can effectively improve the children's pain, improve children's one-time puncture success rate. The research results show that the control group stimulated 1min, 5min, 10min SpO2 significantly lower than those in the observation group, and pain score significantly higher than those in the observation group, the difference is statistically significant, thus indicating that music nursing can effectively stabilize children blood oxygen saturation and improve children with pain. The observation group with disposable puncture success rate, limb swelling incidence, the children crying rate was significantly lower than that in the control group (P < 0.05), and family's satisfaction rate higher than that of the control group (P < 0.05). This may endorphins in the brain pituitary with musical rhythm, thereby reducing the children 's sensitivity to pain, improve children's tolerance, enhanced the children's pain threshold, relieve patients pain feeling, reducing light is suffering from children cry trouble and pain etc. relevant.
 
 
To sum up, the operation with application of music care for severe pneumonia intrusions can effectively raise children the one-time success rate of puncture, so that the children can successfully completed the infusion, save the operation time, reduce the children with pain, improve the satisfaction of the members.
 
 
Reference
 
[1] Hu Rui. Music therapy on the relief of January to 3 year old children venipuncture pain to explore the effect [J]. Journal of clinical nursing, 2013,12 (1): 75-76.
 
[2] in Cong Shuling, Li Hui, Jiang Ruping, etc.. Music nursing of outpatient respiratory tract infection in children with intravenous infusion of [J]. The Chinese Modern Journal of nursing, 2012,18 (11): 1298-1300.
 
[3] Xie Fangfang, Zhao Lei, garden, etc.. Study on the application of music care to the pain of PICC in preterm infants in the [J]. medicine front, 2013 (19): 311
 
[4] Wang Shengna. The application of [J]. diagnosis and treatment of high quality nursing service in outpatient transfusion nursing care of children with the 2013,24 (1): 230-231.
 
[5] Zhao Huanli. Relaxation music magazine [J]. practical clinical medicine intervention effect on patients with bone marrow puncture, 2012,16 (10): 25-26.
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