基于预见性理论的综合护理对新生儿机械通气的效果分析

Analysis of the Effect of Comprehensive Nursing Based on Foresight Theory on Neonatal Mechanical Ventilation

目的探讨基于预见性理论的综合护理在新生儿机械通气中的应用效果。方法选择2021年1月—2023年6月本院收治的80例行机械通气治疗的新生儿为研究对象,按随机数字表法将其分为参照组和观察组,每组40例。参照组采用常规护理,观察组在参照组基础上采用基于预见性理论的综合护理,两组均连续干预7 d。比较两组的康复状况、新生儿舒适度评分、不良事件发生情况。结果干预后,观察组机械通气时间为(4.21±0.38)d,短于参照组的(4.52±0.59)d,一次性撤机成功率为52.50%,家属护理满意度为65.00%,护理质量评分为(94.26±3.14)分,均高于参照组的30.00%、42.50%、(92.42±2.97)分,组间差异有统计学意义(P<0.05);干预3、7 d后,观察组新生儿舒适度评分分别为(13.26±2.28)分、(7.95±1.02)分,均低于参照组的(15.52±2.77)分、(9.01±1.79)分,组间差异有统计学意义(P<0.05)。观察组不良事件总发生率为7.50%,低于参照组的27.50%,差异有统计学意义(P<0.05)。结论基于预见性理论的综合护理在新生儿机械通气中的应用效果显著,能缩短机械通气时间,提高护理质量和护理满意度,改善护理舒适度,降低不良事件发生率,值得推广应用。

Objective Exploring the application effect of comprehensive nursing based on foresight theory in neonatal mechanical ventilation.Methods Selecting 80 newborns treated with mechanical ventilation in our hospital from January 2021 to June 2023 as the research subjects,divide them into a reference group and an observation group using a random number table method,with 40 cases in each group.The reference group was given routine nursing,both groups received continuous intervention for 7 days.The rehabilitation status,neonatal comfort score and occurrence of adverse events were compared between the two groups.Results After intervention,the mechanical ventilation time in the observation group was(4.21±0.38)d,which was shorter than the reference group's(4.52±0.59)d,the success rate of one-time weaning from mechanical ventilation was 52.50%,the satisfaction rate of family nursing was 65.00%,and the nursing quality score was(94.26±3.14)points,all higher than the reference group's 30.00%,42.50%,and(92.42±2.97)points,the differences between groups were statistically significant(P<0.05);after 3 and 7 days of intervention,the comfort scores of newborns in the observation group were(13.26±2.28)points and(7.95±1.02)points,respectively,which were lower than the reference group's(15.52±2.77)points and(9.01±1.79)points,the differences between groups were statistically significant(P<0.05).The total incidence of adverse events in the observation group was 7.50%,lower than the 27.50%in the reference group,the differences was statistically significant(P<0.05).Conclusion The application effect of comprehensive nursing based on foresight theory in neonatal mechanical ventilation is significant,which can shorten mechanical ventilation time,improve nursing quality and satisfaction,improve nursing comfort,and reduce adverse events rates.It is worth promoting and applying.