目标行为理论的针对性护理干预在新生儿持续性肺动脉高压中的应用研究

Application Research of Targeted Nursing Intervention Based on Target Behavior Theory in Neonatal Persistent Pulmonary Hypertension

目的探讨目标行为理论的针对性护理干预在新生儿持续性肺动脉高压(PPHN)的应用效果。方法回顾性方便选取2019年1—12月该院32例PPHN患儿,接受常规护理干预的16例为对照组,在对照组基础上接受目标行为理论的针对性护理干预的16例为研究组,比较两组机械通气时间,干预前、干预5 d后血氧饱和度(SpO2)、动脉血氧分压(PaO2)、动脉血二氧化碳分压(PaCO2)及肺动脉压力(PAP)变化情况。结果研究组机械通气时间(89.21±15.24)h短于对照组(120.17±20.14)h,差异有统计学意义(t=4.903,P<0.001);干预5 d后研究组SpO2(94.37±2.01)%、PaO2(77.54±3.01)mmHg、PaCO2(35.14±3.57)mmHg优于对照组SpO2(92.01±2.61)%、PaO2(74.02±3.32)mmHg、PaCO2(39.89±4.05)mmHg,差异有统计学意义(t=2.866,3.142,3.519,P<0.05);干预5 d后研究组PAP(48.36±4.26)mmHg低于对照组(53.14±3.27)mmHg,差异有统计学意义(t=3.560,P=0.001)。结论目标行为理论的针对性护理干预应用于PPHN,能缩短患儿机械通气时间,改善SpO2、PaO2、PaCO2,降低PAP,促进患儿恢复。

Objective To explore the application effect of targeted nursing intervention based on target behavior theory in neonatal persistent pulmonary hypertension(PPHN).Methods A retrospective selection of 32 children with PPHN in our hospital from January to December 2019,16 patients who received routine nursing intervention were conveniently selected as the control group,and 16 patients who received targeted nursing intervention based on the target behavior theory on the basis of the control group were selected as the study group,the mechanical ventilation time of the two groups was compared,the changes in blood oxygen saturation(SpO2),arterial partial pressure of oxygen(PaO2),arterial partial pressure of carbon dioxide(PaCO2)and pulmonary artery pressure(PAP)before and 5 days after intervention.Results The mechanical ventilation time of the study group was(89.21±15.24)h shorter than that of the control group(120.17±20.14)h,the difference was statistically significant(t=4.903,P<0.001);SpO2(94.37±2.01)%and PaO2(77.54±3.01)mmHg in the study group after intervention for 5 days,PaCO2(35.14±3.57)mmHg was better than the control group SpO2(92.01±2.61)%,PaO2(74.02±3.32)mmHg,PaCO2(39.89±4.05)mmHg,the difference was statistically significant(t=2.866,3.142,3.519,P<0.05);PAP(48.36±4.26)mmHg in the study group was lower than the control group(53.14±3.27)mmHg,the difference was statistically significant(t=3.560,P=0.001)after 5 days of intervention.Conclusion The targeted nursing intervention based on the target behavior theory applied to PPHN can shorten the time of mechanical ventilation of children,improve SpO2,PaO2,PaCO2,reduce PAP,and promote the recovery of children.