儿童纤维支气管镜术不良事件危险因素及护理对策

Risk factors and nursing methods of adverse event during the fiberoptic bronchoscopy in children

目的了解儿童纤维支气管镜术不良事件相关危险因素,并提出相关护理对策。方法选取2012年7月~2015年7月杭州市第一人民医院儿科病房行纤维支气管镜术的患儿80例,按是否出现不良事件分为观察组和对照组各40例,采用单因素和多因素Logistic回归分析。结果单因素Logistic回归分析结果表明：年龄、手术时间、基础疾病3个因素为儿童纤维支气管镜不良事件危险因素;多因素Logistic回归分析显示,年龄（OR：16.628,95%CI：1.688~163.764）、基础疾病（OR：9.369,95%CI：1.429~61.412）、手术时间（OR：15.252,95%CI：1.767~131.676）是儿童纤维支气管镜不良事件的独立危险因素。结论儿童纤维支气管镜术应重视有基础疾病和手术时间长的小年龄患者,并采取相应的护理措施,以减少不良事件的发生。

Objective To investigate risk factors of the adverse event during the fiberoptic bronchoscopy in children and to give some related nursing strategies. Methods Eighty cases were enrolled from pediatric department of the first people＇s hospital of hangzhou, who were performed by bronchoscope from July 2012 to July 2015, and were divided into the observation group and the control group according to whether appeared the adverse event, with 40 patients each,then univariate and multivariate Logistic regression analysis were adopted. Results Univariate logistic regression analysis showed that age, basic disease and operation time were the risk factors of the adverse event during the fiberoptic bronchoscopy in children. Multivariate logistic regression analysis showed that age（OR：16.628,95%CI：1.688-163.764）,basic disease（OR：9.369,95%CI：1.429-61.412）, operation time（OR：15.252,95%CI：1.767-131.676）, were independent risk factors of the adverse event during the fiberoptic bronchoscopy in children. Conclusion More attention should be paid to the younger patients with underlying diseases and long operation time, and corresponding nursing measures should be applied to reduce the adverse event when performed by bronchoscope.