安全护理模式在儿科重症监护室机械通气鼻饲患儿中的应用效果分析

Analysis of the application effect of safe nursing mode in children with mechanical ventilation and nasal feeding in pediatric intensive care unit

目的:分析安全护理模式在儿科重症监护室机械通气鼻饲患儿中的应用效果。方法:选取2019年2月-2020年4月行机械通气鼻饲治疗的患儿92例,随机分两组,各46例。对照组给予儿科重症监护室常规护理;观察组给予儿科重症监护室安全护理。比较两组护理效果。结果:观察组患儿治疗期间氧合指数、血氧饱和度及氧分压等指标水平均明显高于对照组,二氧化碳分压水平明显低于对照组,差异有统计学意义(P<0.05)。观察组护理安全事件发生率明显低于对照组,差异有统计学意义(P<0.05)。观察组患儿家属对重症监护室护理人员的护理工作态度、技能熟练度、情感支持、综合能力等护理服务满意度评分均明显高于对照组,差异有统计学意义(P<0.05)。结论:对儿科重症监护室机械通气鼻饲治疗的患儿实施安全护理干预,可明显提高护理安全性,降低安全事件发生率,从而显著改善治疗效果,提高患儿家属的护理满意度。

Objective:To analyze the effect of safety nursing mode in children with mechanical ventilation and nasal feeding in pediatric intensive care unit.Methods:From February 2019 to April 2020,92 cases of children who were treated by mechanical ventilation and nasal feeding were enrolled,they were randomly divided into two groups with 46 cases in each group.The control group was given conventional nursing in pediatric intensive care unit,while the observation group was given safe nursing in pediatric intensive care unit.The nursing efficacy between the two groups was compared.Results:The indicator levels such as oxygenation index,oxygen saturation and partial pressure in the observation group were significantly higher than in the control group,the partial pressure of carbon dioxide was significantly lower than that of the control group,the differences were statistically significant(P<0.05).The incidence of nursing safety events in the observation group was significantly lower than that in the control group,the difference was statistically significant(P<0.05).The scores of nursing service satisfaction,such as nursing work attitude,skill proficiency,emotional support and comprehensive ability of nursing staff in the observation group were significantly higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion:The implementation of safety nursing intervention in the treatment of children with mechanical ventilation and nasal feeding can improve the nursing safety of children,reduce the incidence of safety events,improve the treatment effect of children,it also can improve the satisfaction of parents of children.