ICU护理风险管理对低体重先天性心脏病婴幼儿术后监护质量影响的研究

The study of the effect on postoperative nursing quality by ICU nursing risk management for low body weight infants with congenital heart disease

目的探讨ICU护理风险管理对低体重先天性心脏病婴幼儿术后监护质量的影响。方法将2009年1月～2010年5月在ICU监护的10kg以下的62例先天性心脏病手术后婴幼儿作为实验组,在常规监护基础上实施护理风险管理。回顾2007年8月～2008年12月在ICU监护的10kg以下的58例先天性心脏病手术后婴幼儿作为对照组,按先天性心脏病手术后常规监护。比较两组机械通气时间,撤机时间、撤机次数、并发症、死亡率以及不良护理事件发生率。结果两组机械通气时间、撤机时间、撤机次数、并发症、死亡率、不良护理事件发生率等差异均有显著意义(P<0.01或P<0.05)。结论低体重先天性心脏病婴幼儿术后监护实施护理风险管理,能缩短机械通气时间,提高一次撤机成功率,降低死亡率,减少并发症及不良护理事件的发生。

Objective To study the effect on postoperative nursing quality by ICU nursing risk management for low body weight infants with congenital heart disease,and to find out better monitoring method.Method 62 cases body weight below 10 kg infant with congenital heart disease after surgery from January 2009 to May 2010 was selected as experimental group,based on the routine monitoring,the nursing risk management was implemented.58 cases which have the same standard from August 2007 to December 2008 was selected as the control group and given the routine monitoring.The mechanical ventilation,ventilator weaning time,ventilator weaning numbers,complications,mortality and the incidence of nursing adverse events was measured and compared between the two groups.Result There was significant difference in mechanical ventilation,ventilator weaning time,ventilator weaning numbers,complications,mortality and the incidence of nursing adverse between the two groups（P0.01 or P0.05）.Conclusion Postoperative nursing risk management for low body weight infants with congenital heart disease can shorten the mechanical ventilation time,raise the rate of ventilator weaning in the first time,reduce the complication,mortality and nursing adverse events,and improve the nursing quality and safety.It is a good nursing method to the low body weight infants with congenital heart disease.