集束化护理干预对极低出生体重儿呼吸机相关性并发症及通气状态的影响

The Effect of Cluster Nursing Intervention on Ventilator-related Complications and Ventilation Status of Very Low Birth Weight Infants

目的探讨集束化护理干预对极低出生体重儿呼吸机相关性并发症及通气状态的影响。方法选择2019年1—12月该院收治的极低出生体重儿60例进行研究,均接受呼吸机治疗,随机数字表法分为对照组与观察组,各30例,对照组接受常规NICU护理,观察组在对照组基础上实施集束化护理干预,对两组呼吸机相关性并发症及通气状态进行观察。结果观察组患儿发生呼吸机相关性肺炎(VAP)、败血症、肺出血、气胸等并发症发生率为6.67%,明显低于对照组26.67%,差异有统计学意义(χ2=4.320,P<0.05);两组干预前的动脉氧分压(PaO2)、二氧化碳分压(PaCO2)、血氧饱和度(SpO2)比较,差异无统计学意义(P>0.05),观察组干预后上述指标与对照组比较,差异有统计学意义(P<0.05);观察组患儿机械通气时间、NICU住院时间均较对照组短,差异有统计学意义(P<0.05)。结论集束化护理干预可降低极低出生体重儿呼吸机相关性并发症发生率,有助于改善患儿通气状态,缩短机械通气时间及NICU住院时间,有利于患儿康复。

Objective To investigate the effect of cluster nursing intervention on ventilator-related complications and ventilation status of very low birth weight infants.Methods Sixty cases of very low birth weight infants admitted from January to December 2019 were selected for the study.All of them received ventilator treatment.Random number table method was divided into control group and observation group with 30 cases each.The control group received routine NICU care;the observation group implemented cluster nursing intervention on the basis of the control group,and observed the ventilator-related complications and ventilation status of the two groups.Results The incidence of complications such as ventilator-associated pneumonia(VAP),sepsis,pulmonary hemorrhage,and pneumothorax in the observation group was 6.67%,which was significantly lower than 26.67%in the control group,the difference was statistically significant(χ2=4.320,P<0.05);There was no statistically significant difference in arterial partial pressure of oxygen(PaO2),carbon dioxide(PaCO2),and blood oxygen saturation(SpO2)before the intervention(P>0.05).There were statistically significant differences in the above indicators between the observation group and the control group after intervention(P<0.05);The mechanical ventilation time and NICU hospitalization time of children in the observation group were statistically shorter than those in the control group,the difference was statistically significant(P<0.05).Conclusion Clustered nursing intervention can reduce the incidence of ventilator-related complications in very low birth weight infants,help improve the ventilation status of children,shorten the time of mechanical ventilation and NICU hospitalization,and is beneficial to the recovery of children.