细节护理管理预防新生儿呼吸衰竭持续气道正压通气并发症的效果

Observation on the effect of detail nursing management on prevention of continuous positive airway pressure ventilation in neonatal respiratory failure

目的探讨细节护理管理预防持续气道正压通气新生儿呼吸衰竭并发症的效果。方法选取2014年12月至2016年12月无锡市妇幼保健院收治的呼吸衰竭新生儿84例,按随机数字表法分为观察组和对照组,每组42例。所有病儿均进行持续气道正压通气治疗,对照组实施常规护理,观察组实施细节护理管理。观察并记录两组治疗前、治疗后12、24 h的血气指标变化、病儿家属疾病知识认知度和并发症发生率情况,并作比较分析。结果观察组治疗后12、24 h的氧分压[p(O_2)]和pH值均高于治疗前和对照组,二氧化碳分压[p(CO_2)]指标低于治疗前和对照组,差异有统计学意义(均P<0.05);观察组病儿家属疾病知识认知度优于对照组,差异有统计学意义(χ~2=6.943,P=0.008);观察组并发症发生率低于对照组(7.14%比33.33%),差异有统计学意义(χ~2=8.924,P=0.003)。结论细节护理管理运用于持续气道正压通气治疗新生儿呼吸衰竭效果显著,可有效改善血气指标,提高病儿家属疾病认知度,降低并发症发生率,值得推广。

Objective To explore the effect of detail nursing management on prevention of complications of neonatal respiratory failure with continuous positive airway pressure ventilation.Methods Eighty-four cases of neonates with respiratory failure admitted to Wuxi Maternal and Child Health Care Hospital from December 2014 to December 2016 were enrolled and assigned into two groups according to the random number table.All children were treated with continuous positive airway pressure.The control group received routine care,while the observation group received detail nursing management.The changes of blood gas index,the awareness of disease among family members and the incidence of complications were observed and recorded before treatment and 12 h and 24 h after treatment,and the results were compared and analyzed.Results The values of p(O2)and pH in the observation group after 12 h and 24 h treatment were significantly higher than those before treatment and in the control group.The p(CO2)index was lower than that before treatment and in the control group(all P<0.05).The cognition of family disease knowledge in the observation group was better than that in the control group,and the difference was statistically significant(χ^2=6.943,P=0.008).The incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(7.14%vs.33.33%,χ^2=8.924,P=0.003).Conclusion The effect of nursing management on the treatment of neonatal respiratory failure with continuous positive airway pressure can improve the blood gas index,enhance the awareness of diseases among family members and reduce the incidence of complications,which is worth promoting.