优质护理措施应用于重症监护急性呼吸衰竭呼吸困难患儿效果观察

Effect of High Quality Nursing Measures in Intensive Care of Dyspnea Children with Acute Respiratory Failure

目的:探讨优质护理措施应用于重症监护急性呼吸衰竭呼吸困难患儿效果。方法:选取2013年4月至2018年5月本院重症监护室收治的64例急性呼吸衰竭呼吸困难患儿,随机分为干预组和对照组。干预组给予优质护理干预,对照组给予常规护理,比较两组患儿临床疗效、干预前后血气分析指标、ICU监护时间以及家长对护理服务满意度。结果:干预组患儿临床疗效总有效率为93.75%,较对照组显著提高(P<0.05);干预前两组患儿血气分析指标无明显差异(P>0.05);干预后两组患儿PaO2显著上升,PaCO2显著下降,且干预组患儿血气分析指标改善更显著(P<0.05);两组患儿ICU监护时间分别为(5.12±1.37)d、(9.54±1.39)d,干预组患儿ICU监护时间较对照组显著缩短(P<0.05);干预组患儿家长对护理服务满意率为87.50%,较对照组显著提高(P<0.05)。结论:优质护理措施应用于重症监护急性呼吸衰竭呼吸困难患儿可显著提高临床疗效,改善患儿临床症状,提高护理服务质量,值得推广。

Objective:To investigate the effect of high quality nursing measures in intensive care of dyspnea children with acute respiratory failure. Methods:Sixty-four children with acute respiratory failure and dyspnea, admitted to our intensive care unit from April 2013 to May 2018, were selected and randomly divided into the intervention group and the control group. The intervention group was given high quality nursing intervention, and the control group was given routine care, with such indicating factors compared as the clinical efficacy in the children of the two groups, blood gas analysis indicators before and after intervention, ICU monitoring time, and parents’ satisfaction with nursing services. Results: The total effective rate was 93.75 % in the intervention group, significantly higher than that in the control group(P<0.05). There was no significant difference in blood gas analysis between the two groups before intervention(P>0.05). PaO2 significantly increased and PaCO2 significantly decreased in both groups after intervention, with the blood gas analysis index in the intervention group significantly improved after intervention(P<0.05). The ICU monitoring time in the two groups were(5.12±1.37)d and(9.54±1.39)d, respectively, with the ICU monitoring time in the intervention group significantly shorter than that in the control group(t=3.591,P=0.003). The parents’ satisfaction rate with nursing service in the intervention group was(87.50 %), significantly higher than that in the control group(P<0.05). Conclusion:Hhigh quality nursing measures in intensive care of dyspnea children with acute respiratory failure can significantly improve clinical efficacy and alleviate clinical symptoms of children patients, and improve the quality of care services, deserving of clinical popularization.