200例新生儿肺炎的临床护理分析

Clinical Nursing Analysis of 200 Cases of Neonatal Pneumonia

目的分析新生儿肺炎的临床护理措施和护理效果。方法收集我院2012年5月至2014年12月期间诊治的200例新生儿肺炎作为研究对象,随机分为观察组(100例)与对照组(100例),对照组患儿实施生命体征监测、环境护理、口头健康指导、用药观察等常规护理管理,观察组患儿在对照组的基础上进行病情观察、心理护理、吸痰护理、感染护理、雾化吸入、合理喂养等综合护理干预,对两组患儿的并发症发生率、发热消失时间、喘息消失时间、住院时间进行分析对比。结果观察组并发症发生率明显低于对照组(P<0.05);观察组患儿的发热消失时间、喘息消失时间、住院时间均明显短于对照组(P<0.05)。结论对肺炎新生儿采用病情观察、心理护理、吸痰护理、感染护理、雾化吸入、合理喂养等综合护理干预可有效避免或减少并发症发生,缩短患儿的发热消失时间、喘息消失时间以及住院时间。

Objective To analyze the clinical nursing measures and nursing effects of pneumonia of newborns. Methods 200 cases of neonatal pneumonia in our hospital from May 2012 to December 2014 were selected and randomly divided into two groups, with 100 cases in each group. The control group received routine nursing management including monitoring of vital signs, environment nursing, oral health guidance, and drug use observation. On the basis of routine nursing, the observation group received comprehensive nursing intervention including disease observation, psychological nursing, sputum suction care, infection nursing, aerosol inhalation, and reasonable feeding. The incidence rate of complications, the disappearing time of fever, the disappearing time of gasp, and the length of hospital stay were compared between two groups. Results The incidence rate of complications of the observation group was significantly lower than that of the control group （P〈0.05）. The disappearing time of fever, the disappearing time of gasp, and the length of hospital stay of the observation group were significantly shorter than those of the control group （P〈0.05）. Conclusions The conduction of comprehensive nursing intervention such as disease observation, psychological nursing, sputum suction care, infection nursing, aerosol inhalation, and reasonable feeding can effectively avoid or decrease the occurrence of complications, shorten the disappearing time of fever and gasp, and shorten the length of hospital stay.