安全目标管理在留置胃管新生儿护理中的应用价值

Application value of safety objective management in nursing of neonates w ith indwelling gastric tube

目的:分析安全目标管理在对留置胃管新生儿进行护理中的应用价值。方法:选取2020年1月至2020年3月在深圳市龙岗区龙岗中心医院进行留置胃管术的80例患儿为研究对象。采用随机数表法将其分为对照组与观察组(40例/组)。对对照组患儿进行常规护理,在此基础上对观察组患儿进行安全目标管理,然后对比两组患儿的护理效果。结果:1)护理前,两组患儿胃管的插入深度相比,差异无统计学意义(P>0.05)。护理后,观察组患儿胃管的插入深度与护理前相当,差异无统计学意义(P>0.05);对照组患儿胃管的插入深度较护理前减小,差异有统计学意义(P<0.05);观察组患儿胃管的插入深度深于对照组患儿,差异有统计学意义(P<0.05)。2)护理后,观察组患儿非计划拔管的发生率(2.50%)、并发症的发生率(5.00%)均低于对照组患儿非计划拔管的发生率(10.00%)、并发症的发生率(17.50%),差异有统计学意义(P<0.05)。结论:安全目标管理在对留置胃管新生儿进行护理中的应用价值较高,可降低其非计划拔管、并发症的发生率。

Objective:To analyze the application value of safety objective management in the nursing of neonates with indwelling gastric tube.Methods:A total of 80 children who underwent indwelling gastric catheterization in Longgang Central Hospital,Longgang District,Shenzhen city from January 2020 to March 2020 were selected as the research objects.They were divided into control group and observation group(40 cases/group)by random number table method.The children in the control group were given routine care,and the children in the observation group were given safety objective management on this basis,and then the nursing effects of the two groups were compared.Results:1)Before nursing,there was no statistical significance in the depth of gastric tube insertion between the two groups(P>0.05).After nursing,the insertion depth of gastric tube in the observation group was similar to that before nursing,and there was no statistical significance(P>0.05).The insertion depth of gastric tube in the control group was decreased compared with that before nursing,and the difference was statistically significant(P<0.05).The insertion depth of gastric tube in observation group was deeper than that in control group,and the difference was statistically significant(P<0.05).2)After nursing,the incidence of unplanned extubation(2.50%)and complications(5.00%)in the observation group were lower than those in the control group(10.00%)and complications(17.50%),with statistically significant differences(P<0.05).Conclusion:Safety objective management has a high application value in the nursing of neonates with indwelling gastric tube,which can reduce the inc idence of unplanned extubation and complications.