多维度评估与预防性护理对新生儿NCPAP治疗期间鼻中隔黏膜损伤的影响

Effect of multi-dimension assessment and preventive nursing on nasal septal mucosal injury during neonatal NCPAP therapy

目的探讨多维度评估与预防性护理对新生儿经鼻持续呼吸道正压通气(NCPAP)发生鼻中隔黏膜损伤的影响效果,为今后减少该类患儿NCPAP治疗期间鼻中隔黏膜损伤提供参考。方法选取本院行NCPAP治疗的新生儿171例,随机分为观察组83例和对照组88例,对照组行常规护理,观察组采用多维度评估与预防性护理;比较两组患儿鼻中隔损伤程度、护理后血气分析指标及护理满意度。结果两组患儿鼻中隔损伤程度比较,观察组损伤程度轻于对照组(P <0. 05)。观察组患儿血气分析指标优于对照组(P <0. 05);观察组护理满意率高于对照组(P <0. 05)。结论多维度评估与预防性护理能有效预防新生儿NCPAP治疗期间鼻中隔黏膜损伤,缓解损伤程度,有利于治疗结果,能减少护患纠纷,提高护理满意度。

Objective To explore the effect of multi - dimension assessment and preventive nursing on nasal septal mucosal injury during neonatal nasal continuous positive airway pressure（NCPAP） treatment, and provide reference for reducing nasal septal mucosal injury during NCPAP treatment for this kind of patients. Methods A total of 171 neonates treated with NCPAP in our hospital were selected, ans they were divided into observation group with 83 cases and control group with 88 case randomly. The control group was given routine nursing, while the observation group was given multi - dimension evaluation and preventive nursing. The degree of nasal septum injury, blood gas analysis indicators and nursing satisfaction of neonates in the two groups were compared. Results After comparison of nasal septum injury degree between the two groups, the degree of injury in the observation group was lighter than that in the control group（P 〈 0. 05）. The blood gas analysis index of the observation group was better than that of the control group（P 〈 0. 05）. Meanwhile, the nursing satisfaction rate of the observation group was higher than that of the control group（P 〈 0. 05）. Conclusion Multi - dimensionassessment and preventive nursing can prevent nasal septal mucosal injury during neonatal NCPAP treatment effectively and relieve the degree of injury. It can facilitate treatment results and reduce nurse - patient disputes, thus improving nursing satisfaction.