危重症专职护理小组在新生儿呼吸窘迫综合征护理干预中的效果分析

Analysis of effect of severe full-time nursing group on nursing intervention of neonatal respiratory distress syndrome

目的 探讨危重症专职护理小组在新生儿呼吸窘迫综合征患儿护理干预中的应用效果.方法 选取呼吸窘迫综合征患儿110例,采用数字表法随机分为观察组55例和对照组55例.对照组采用常规护理模式,观察组成立危重症专职护理小组对患儿进行护理,比较两组患儿护理后并发症发生率、机械通气治疗时间、住院费用、住院时间.结果 观察组感染、腹胀以及脑室出血发生率（3.64%、1.82%、0.00%）明显低于对照组（20.00%、16.36%、5.45%）,两组感染、腹胀发生率差异均有统计学意义（χ^2=4.852,P=0.027;χ^2=7.040,P=0.008）;观察组机械通气时间、住院时间[（11.23±2.17）d、（23.45±5.45）d]明显短于对照组[（16.78±4.52）d、（26.78±6.47）d],两组差异均有统计学意义（t=8.209,P=0.000;t=2.919,P=0.004）;观察组住院费用[（20 462.78±214.45元）]明显低于对照组[（24 975.45±312.45）元],两组差异有统计学意义（t=88.311,P=0.000）;观察组总有效率为98.18%,高于对照组的87.27%,两组差异有统计学意义（χ^2=4.852,P=0.027）.结论 对呼吸窘迫综合征患儿实行危重症专职护理小组干预,可以有效地提高临床疗效,减少患儿并发症发生率,缩短住院时间,降低住院费用.

Objective To investigate the intervention value of intensive care team in neonatal respiratory distress syndrome.Methods 110 cases of neonatal respiratory distress syndrome were selected,by using a random number table method they were randomly divided into the observation group and the control group,55 cases in each group.The control group was treated with routine care model,the observation group dedicated care team for critically ill children.The incidence of complications,mechanical ventilation time,cost of hospitalization,duration of hospitalization were compared after the care of children.Results The incidence rates of infection,abdominal bloating and intraventricular hemorrhage in the observation group （3.64%,1.82%,0.00%） were significantly lower than those in the control group（20.00%,16.36%,5.45%）,the incidence of infection,abdominal distension between the two groups had statistically significant differences （χ^2=4.852,P=0.027;χ^2=7.040,P=0.008）.The mechanical ventilation time,hospitalization time in the observation group [（11.23±2.17）d,（23.45±5.45）d]were significantly shorter than those in the control group[（16.78±4.52）d,（26.78±6.47）d],there were statistically significant differences between the two groups（t=8.209,P=0.000;t=2.919,P=0.004）.The hospitalization costs of the observation group[（20 462.78±214.45） yuan] was significantly lower than the control group [（24 975.45±312.45）yuan],there was significant difference between the two groups（t=88.311,P=0.000）.The total effective rate of the observation group was 98.18%,which was higher than 87.27% of the control group,there was statistically significant difference between the two groups（χ^2=4.852,P=0.027）.Conclusion Full implementation of critical care nursing team intervention on neonatal respiratory distress syndrome,can effectively reduce the incidence of children with complications,mortality,shorter hospital stays,reduce hospitalization costs,the effect is significant and should be introduced.