集束化护理预防新生儿呼吸机相关性肺炎的效果

The value of clustering care in the prevention of neonatal ventilator-associated pneumonia

目的探讨集束化护理预防新生儿呼吸机相关性肺炎的效果。方法选择2017年1~12月我院收治的使用呼吸机治疗的新生儿80例,按照实施的护理方式不同分为两组,每组各40例。观察组实施集束化护理干预,对照组实施常规护理,包括一般护理、饮食干预、入院及出院时健康教育,定时探视等。比较两组行有创呼吸机治疗及总住院时间,两组新生儿黄疸治疗后恢复时间及使用蓝光治疗时间和两组的临床症状改善时间。结果观察组使用有创呼吸机治疗时间、总住院时间均短于对照组(P<0.05)。观察组新生儿黄疸治疗后恢复时间短于对照组、照射蓝光治疗时间短于对照组(P<0.05)。观察组发热消退时间、肺部干湿啰音消退时间及气促改善时间等均明显早于对照组,差异均有统计学意义(P<0.05)。结论对使用呼吸机治疗的新生儿实施集束化护理,能缩短患儿使用呼吸机时间及住院时间,减轻病理性黄疸发生情况,缓解患儿临床症状。

Objective To investigate the clinical value of clustering care for neonatal ventilator-associated pneumonia.Methods 80 neonates treated with ventilators treated in our hospital from January to December 2017 were selected and divided into two groups according with different nursing methods, 40 cases in each group. The observation group was implemented clustered nursing interventions, and the control group was implemented routine care, including general nursing, dietary intervention, health education upon admission and discharge, and regular visits. Then the invasive ventilator treatment and total length of stay between the two groups with newborn infants, the treatment of neonatal jaundice and the use of blue light, and the improvement of clinical symptoms in both groups were compared. Results The using of invasive ventilator, the total length of stay time in the observation group was shorter than that in the control group（P〈0.05）. The recovery time of the neonatal jaundice, the time of blue light irradiation in the observation group was shorter than that in the control group（P〈0.05）. The time of fever subsidence, time with dry and wet lung sound and the time of shortness breath in the observation group were significantly earlier than that in the control group, the differences were statistically significant（P〈0.05）. Conclusion The implementation of bundled care for neonatal pneumonia can short the number of children, and the ventilator time and length stay time, so it can reduce the occurrence of pathological jaundice and relieve the clinical symptoms.