细节护理干预在开胸手术治疗先天性心脏病中的临床效果和对患儿血流动力学的影响

Clinical Effect of Detailed Nursing Intervention in the Treatment of Congenital Heart Disease by Thoracotomy and its Influence on Hemodynamics of Children

目的:探讨细节化护理干预在开胸手术治疗先天性心脏病中的临床疗效和对患儿血流动力学的影响。方法:选择2018年7月—2020年6月于安阳市人民医院行开胸手术治疗的124例先天性心脏病患儿,按随机数字表法分为两组,各62例。对照组实施常规护理,观察组予以细节化护理干预,比较两组临床护理效果及患儿血流动力学。结果:干预前,两组心率(HR)、平均动脉压(MAP)、脉搏血氧饱和度(SpO_(2))比较,差异无统计学意义(P>0.05);干预后,观察组HR(74.28±4.33)次/min、MAP(95.66±3.75)mmHg、SpO2(93.07±1.52)%,均优于对照组,差异有统计学意义(P<0.05);观察组患儿术后48h疼痛评分(3.21±0.86)分低于对照组,家属满意度评分(88.79±4.22)分高于对照组,住院时间(3.31±0.58)d短于对照组,差异有统计学意义(P<0.05)。结论:细节护理干预在开胸手术治疗先天性心脏病中效果良好,能够减轻患儿术后疼痛、缩短住院时间、提高家属满意度,并改善患儿血流动力学指标。

Objective:To explore the clinical effect of detailed nursing intervention in the treatment of congenital heart disease by thoracotomy and its influence on hemodynamics of children.Methods:124 children with congenital heart disease from July 2018 to June 2020 were randomly divided into two groups,62 cases in each group.The control group was given routine nursing,while the observation group was given detailed nursing intervention.The clinical nursing effect and hemodynamics of the two groups were compared.Results:Before intervention,there was no significant difference in heart rate(HR),mean arterial pressure(MAP) and pulse oxygen saturation(SpO2) between the two groups(P>0.05).After intervention,HR(74.28±4.33) times/min,MAP(95.66±3.75) mmHg and SpO2(93.07±1.52)% in the observation group were better than those in the control group(P<0.05).The pain score 48 hours after operation(3.21±0.86) in the observation group was lower than that in the control group,the family satisfaction score in the observation group(88.79±4.22) was higher than that in the control group,and the hospitalization time(3.31±0.58) d in the observation group was shorter than that in the control group(P<0.05).Conclusion:The effect of detail nursing intervention in the treatment of congenital heart disease with thoracotomy is good,which can reduce the postoperative pain,shorten the hospitalization time,improve the satisfaction of family members,and improve the hemodynamic indexes of children.