发展性护理模式在新生儿外科重症监护中的应用

Application developmental model of care in the neonatal surgical intensive care

目的研究现阶段新生儿外科重症监护室新生儿的临床护理操作。方法选取我院近年收治的重症监护新生儿共84例,随机分为对照组及观察组。对照组采用功能制护理模式,观察组采用发展性护理模式。对比两组新生儿在体重变化、睡眠时间、留置针留置时间、胃管留置时间、平均住院天数等方面的差异性。结果观察组新生儿在体重恢复方面明显优于对照组,睡眠时间、留置针及胃管留置时间这三方面均大于对照组。且观察组住院天数在33天左右,对照组则达到40天左右,证明观察组患儿恢复情况更优。本次研究中各项对比均呈显著性差异(P<0.05)。结论对重症监护的新生儿外科患儿应注意监护中的各项操作控制,例如环境、消毒、观察等各项外界干预,实施发展性护理模式,提升监护效果。

Objective： Study the clinic nursing of new-born infants in ECU of neonatal surgery department. Methods：84 new-born infants accepted to the ECU of our hospital were selected and randomly arranged into control and observation groups. Functional nursing model was applied to the control group,with development nursing model to the observation group. Differences of body weight,sleeping time,detaining time of indwelling needles,detaining time of gastric tubes,and average in-patient period between the two groups were compared. Results： New-born infants of the observation group showed significant advantages in body weight recovery than control group,with sleeping time,detaining time of indwelling needles,as well as detaining time of gastric tubes all higher than that of the control group. In-patient periods of the observation group were about 33 days,and that of the control group were about 40 days,which indicated that the recovery of the observation group was better. Significant differences were observed in all the aspects studied（ P〈0. 05）. Conclusion Attention should be paid to all the nursing operations of new-born infants in ECU of neonatal surgery department. Environment,disinfection,observation,and other interventions should be given and development nursing model should be carried out so as to promote nursing effects.