改良式拍背吸痰护理在呼吸机通气肺炎患儿中的应用效果

Application effects of modified backslap for suctioning nursing on pneumonia children with ventilator ventilation

目的:观察改良式拍背吸痰护理在呼吸机通气肺炎患儿中的应用效果。方法:回顾性分析2018年6月至2020年6月该院收治的84例采用呼吸机辅助通气的肺炎患儿的临床资料,按照不同拍背吸痰护理分为观察组和对照组各42例。对照组采用常规拍背吸痰护理,观察组采用改良式拍背吸痰护理,比较两组护理前后血气指标水平、呼吸机相关并发症发生率和患儿家长护理满意度。结果:护理后,两组血氧饱和度、动脉血氧分压均高于护理前,且观察组明显高于对照组,两组动脉二氧化碳分压均低于护理前,且观察组明显低于对照组,差异有统计学意义(P<0.05);观察组呼吸机相关并发症发生率为4.76%,明显低于对照组的21.43%,差异有统计学意义(P<0.05);观察组患儿家长护理满意度为95.24%,明显高于对照组的76.19%,差异有统计学意义(P<0.05)。结论:改良式拍背吸痰护理应用于呼吸机通气肺炎患儿可改善血气指标水平,降低呼吸机相关并发症发生率,以及提高患儿家长的护理满意度,效果优于常规拍背吸痰护理。

Objective:To observe application effects of modified backslap for suctioning nursing on pneumonia children with ventilator ventilation.Methods:A retrospective analysis of the clinical data of 84 pneumonia children with ventilator ventilation admitted to the hospital from June 2018 to June 2020 was performed.According to different backslap for suctioning nursing methods,they were divided into observation group and control group,42 cases in each.The control group was treated with conventional backslap for suctioning nursing,while the observation group were treated with modified backslap for suctioning nursing.The blood gas index levels,the incidence of ventilator-related complications,and the nursing satisfaction of the parents of these children were compared between the two groups before and after the nursing.Results:After the nursing,the levels of blood oxygen saturation and arterial oxygen partial pressure of the two groups were higher than those before the nursing,and those of the observation group were significantly higher than those of the control group;the arterial carbon dioxide partial pressures of the two groups were lower than those before the nursing,and that of the observation group was significantly higher than that of the control group;and the differences were statistically significant(P<0.05).The incidence of ventilator-related complications in the observation group was 4.76%,which was significantly lower than 21.43%in the control group,and the difference was statistically significant(P<0.05).Further,the nursing satisfaction degree of the parents of the children in the observation group was 95.24%,which was significantly higher than 76.19%in the control group,and the difference was statistically significant(P<0.05).Conclusions:The modified backslap for suctioning nursing on the pneumonia children with ventilator ventilation can improve the blood gas index levels,reduce the incidence of ventilator-related complications,and improve the nursing satisfaction of the parents of these children.Moreover,it is superior to conventional backslap for suctioning.