精细化护理干预在新生儿呼吸窘迫综合征BiPAP呼吸机辅助治疗过程中的应用

Application of elaborate nursing intervention in BiPAP ventilator-assisted treatment of neonatal respiratory distress syndrome

目的探讨精细化护理干预在新生儿呼吸窘迫综合征无创双水平正压通气呼吸机辅助治疗过程中的应用效果.方法将86例新生儿呼吸窘迫综合征患儿按照随机数字表法分为研究组与对照组,各43例.两组均给予常规护理干预,研究组在此基础上给予精细化护理干预,观察住院全程.比较两组干预前后动脉血氧含量、氧分压及二氧化碳分压水平,比较两组患儿家属护理工作满意度及并发症发生情况.结果 干预后两组动脉血氧含量、氧分压水平均较干预前显著升高(P<0.01),二氧化碳分压水平较干预前显著降低(P<0.01),研究组较对照组变化更显著(P<0.01).研究组护理工作总满意率显著高于对照组(P<0.05),并发症发生率显著低于对照组(P<0.01).结论精细化护理干预应用于新生儿呼吸窘迫综合征患儿无创双水平正压通气呼吸机辅助治疗过程中效果显著,可改善患儿血气指标,降低并发症发生率,提高家属护理工作满意度.

Objective To investigate the effect of elaborate nursing intervention in BiPAP ventilator-assisted treatment of neonatal respiratory distress syndrome.Methods 86 children with NRDS were divided into experimental group and control group according to random number table method,43 cases each.Both groups were given routine nursing intervention,and the experimental group was given refined nursing intervention on this basis,observe the whole hospital stay.Compare the arterial blood oxygen content,oxygen partial pressure and carbon dioxide partial pressure before and after intervention.The nursing job satisfaction and complications of the family members of the two groups were compared.Results After intervention,the arterial oxygen content and oxygen partial pressure in the two groups were significantly higher than before the intervention(P<0.01),and the carbon dioxide partial pressure was significantly lower than before the intervention(P<0.01).The experimental group changed more significantly than the control group(P<0.01).The total satisfaction rate of nursing work in the experimental group was significantly higher than that in the control group(P<0.05),and the incidence of complications was significantly lower than that in the control group(P<0.01).Conclusions The refined nursing intervention applied to NRDS children with BiPAP ventilator treatment has a significant effect,which can improve children's blood gas indicators,reduce the incidence of complications,and improve family nursing job satisfaction.