优质护理联合延续性护理干预在重症呼吸衰竭患儿中的应用效果

Application effect of high-quality nursing combined with continuous nursing on children with severe respiratory failure

目的探究优质护理联合延续性护理干预在重症呼吸衰竭患儿中的应用效果。方法回顾性分析2020年6月至2021年6月莆田市第一医院重症监护室(ICU)收治的86例呼吸衰竭患儿的临床资料,按照护理措施的不同划分为对照组(44例)和观察组(42例)。对照组患儿应用优质护理,观察组患儿在优质护理的基础上加用延续性护理。比较2组患儿的临床症状缓解时间、恢复情况、并发症发生率和血气分析指标。结果观察组的并发症总发生率较对照组更低(P<0.05)。2组在干预2周和1个月后的动脉血氧分压(PaO_(2))水平均较干预前升高,动脉血二氧化碳分压(PaCO_(2))水平均较干预前降低,且观察组的PaO_(2)和PaCO_(2)均优于同期对照组,比较均有统计学差异(P均<0.05)。观察组的发热、咳嗽、气促及肺部啰音缓解时间均早于对照组(P均<0.05)。2组在干预1周、2周和1个月后的急性生理学和慢性健康状况评分Ⅱ均较干预前降低,且观察组均低于同期对照组,比较均有统计学差异(P均<0.05)。观察组的呼吸机使用时间、住院时间均短于对照组(P均<0.05),再插管率低于对照组(P<0.05)。结论对重症呼吸衰竭患儿应用优质护理联合延续性护理,有助于改善其血气分析水平和康复效果,加快康复进程,降低并发症发生率和再插管率。

Objective To explore the application effect of high-quality nursing combined with continuous nursing intervention on children with severe respiratory failure.Methods The clinical data of 86 children with respiratory failure admitted to the intensive care unit(ICU)of the First Hospital of Putian City from June 2020 to June 2021 were retrospectively analyzed.The children were divided into a control group(44 cases)and an observation group(42 cases)according to different nursing measures.The children in the control group were given high-quality nursing,while the children in the observation group were given continuous nursing on the basis of high-quality nursing.The clinical symptom relief time,recovery,incidence of complication,and blood gas indicators were compared between the two groups.Results The observation group had a lower incidence of complications than the control group(P<0.05).After 2 weeks and 1 month of intervention,the level of arterial partial pressure of oxygen(PaO_(2))in the two groups was higher than that before intervention,and the level of arterial partial pressure of carbon dioxide(PaCO_(2))was lower than that before intervention(all P<0.05).The levels in the observation group were better than those in the control group(all P<0.05).The relief time of fever,cough,short breath,and pulmonary rales in the observation group was earlier than that in the control group(all P<0.05).After 1 week,2 weeks and 1 month of intervention,the acute physiology and chronic health evaluationⅡscores of the two groups were lower than those before intervention,and the scores of the observation group were lower than those of the control group(all P<0.05).The duration of ventilator use and length of hospital stay in the observation group were shorter than those in the control group,and the reintubation rate was lower than that in the control group(all P<0.05).Conclusion The application of high-quality nursing combined with continuous nursing in children with severe respiratory failure can help improve the blood gas levels and rehabilitation effect,accelerate the rehabilitation process,and reduce the incidence of complications and reintubation.