小儿呼吸衰竭的重症监护护理干预与效果观察

Intensive Care Nursing Intervention and Effect Observation of Respiratory Failure in Children

目的对小儿呼吸衰竭临床中重症监护护理的应用效果进行观察。方法从郑州大学附属儿童医院2018年1月至2020年10月期间收治的所有小儿呼吸衰竭患儿当中选取其中的92例患儿作为本次临床试验研究的观察和分析对象,将这92例患儿按照数字随机法分为各46例的对照组和观察组两组;对照组46例患儿实施常规护理,给予观察组46例患儿重症监护护理;对两组患儿干预前后的心率、呼吸频率以及血氧饱和度进行对比,分析两组患儿的不良反应发生率和患儿家长的护理满意度。结果护理前,两组患儿在呼吸频率、心率和血氧饱和度方面差异不具有统计学意义(P>0.05),护理后,观察组的呼吸频率和血氧饱和度著优于对照组,观察组的心率比对照组少,差异有统计学意义(P<0.05);在不良反应发生率方面,观察组和对照组分别为4.35%和28.26%,差异有统计学意义(P<0.05)。;观察组的护理满意度为95.65%,比对照组71.74%的护理满意度,差异有统计学意义(P<0.05)。两组肺功能指标比较,护理前,两组肺功能指标比较,差异不具有统计学意义(P>0.05),护理后,观察组FEV1、FEV1/FVC两项指标数据结果分别为(2.89±0.25)L、(79.21±3.22)%,均高于对照组,差异有统计学意义(P<0.05)。结论对将重症监护护理干预应用到小儿呼吸衰竭患儿中,有助于加快促进患儿心率、呼吸频率和血氧饱和度的明显改善,不仅能减少患儿不良反应,同时能够提高患儿家长的护理满意度。

Objective To observe the application effect of intensive care care in pediatric respiratory failure.Methods A total of 92 children with respiratory failure treated in Children’s Hospital Affiliated to Zhengzhou University from January 2018 to October 2020 were selected as the observation and analysis objects of this clinical trial.These 92 children were randomLy divided into control group and observation group with 46 cases in each group,children in the control group received routine nursing and children in the observation group received intensive care nursing.The heart rate,respiratory rate and blood oxygen saturation of the two groups were compared before and after the intervention,and the incidence of adverse reactions and the nursing satisfaction of parents were analyzed.Results Before nursing,there were no significant differences in respiratory rate,heart rate and blood oxygen saturation between the two groups(P>0.05).After nursing,the respiratory rate and blood oxygen saturation of the observation group were significantly better than those of the control group.The heart rate of the observation group was less than that of the control group(P<0.05);The incidence of adverse reactions in the observation group and the control group were 4.35%and 28.26%respectively,with significant difference(P<0.05);The nursing satisfaction of the observation group was 95.65%,which was significantly higher than that of 71.74%in the control group(P<0.05).Before nursing,there was no significant difference between the two groups in the lung function index(P>0.05).After nursing,the data results of FEV1 and FEV1/FVC in the observation group were(2.89±0.25)l and(79.21±3.22)%respectively,which were higher than those in the control group(P<0.05).Conclusion The application of intensive care nursing intervention to children with respiratory failure is helpful to accelerate the significant improvement of children's heart rate,respiratory rate and blood oxygen saturation.It can not only reduce children's adverse reactions,but also improve the nursing satisfaction of children's parents.