精细化护理对新生儿重症肺炎伴呼吸衰竭的护理效果

Effect of fine nursing on neonatal severe pneumonia with respiratory fail-ure

目的分析精细化护理对新生儿重症肺炎伴呼吸衰竭的临床护理效果。方法选取2019年5月—2020年5月我院新生儿重症肺炎伴呼吸衰竭患儿146例,按随机数字表法分为精细化组(n=73)和常规组(n=73),常规组予以常规护理干预,精细化组予以精细化护理干预。对比两组临床恢复(住院时间、通气时间、症状消失时间)、生命体征[心率(HR)、动脉血二氧化碳分压(PaCO_(2))、呼吸频率(RR)]水平变化、并发症发生率、护理满意度。结果精细化组住院时间(t=6.301,P<0.001)、通气时间(t=10.923,P<0.001)、症状消失时间(t=9.369,P<0.001)较常规组短,差异有统计学意义;精细化组HR(t=7.666,P<0.001)、PaCO_(2)(t=12.225,P<0.001)较对照组低,RR(t=19.553,P<0.001)较常规组高,差异有统计学意义;精细化组并发症发生率5.48%(4/73)较常规组24.66%(18/73)低,差异有统计学意义(χ^(2)=10.490,P=0.001);精细化组护理满意度93.15%(68/73)较常规组75.34%(55/73)高,差异有统计学意义(χ^(2)=8.723,P=0.003)。结论新生儿重症肺炎伴呼吸衰竭患儿采用精细化护理,可改善临床症状和体征,促进患儿机体恢复,降低并发症发生率,提高护理满意度。

ObjectiveTo evaluate the effect of fine nursing on neonatal severe pneumonia with respiratory failure.MethodsA total of 146 neonates with severe pneumonia and respiratory failure in our hospital from May 2019 to May 2020were selected and they were divided into a fine nursing group (n=73) and a routine nursing group (n=73) by the random number table method.The routine nursing group was given the routine nursing intervention and the fine nursing group was given the fine nursing intervention.The clinical recovery (hospitalization time,ventilation time,and symptom disappearance time),vital signs[heart rate (HR),arterial blood carbon dioxide partial pressure (PaCO_(2)),respiratory rate (RR)],complication rate,and nursing satisfaction were investigated and compared between the two groups.ResultsIn the fine nursing group,the hospitalization time,ventilation time,and symptom disappearance time were shorter than those in the routine group,and the differences were statistically significant (t=6.301,P<0.001;t<10.923,P<0.001;t=9.369,P<0.001 respectively).In the fine nursing group,HR and PaCO_(2) were lower than those in the routine group,and the differences were statistically significant (t=7.666,P<0.001,t=12.225,P<0.001).In the fine nursing group,RR was higher than that in the routine group and the difference was statistically significant (t=19.553,P<0.001).In the fine nursing group,the incidence of complications was 5.48%(4/73),which was lower than that in the routine group[24.66%(18/73)],and the difference was statistically significant (χ^(2)=10.490,P=0.001).The nursing satisfaction in the fine nursing group was 93.15%(68/73),which was higher than that of the routine group[75.34%(55/73)],and the difference was statistically significant (χ^(2)=8.723,P=0.003).ConclusionIn the neonatal severe pneumonia with respiratory failure,the fine nursing can improve the clinical symptoms and signs,promote the recovery,reduce the incidence of complications,and improve nursing satisfaction.