转变体位联合常规护理对新生儿肺炎患儿的影响

Effect of Changing Body Position Combined with Routine Nursing on Neonatal Pneumonia

目的:探讨新生儿肺炎护理期间应用转变体位联合常规护理的效果。方法:选取2020年9月-2021年9月在泉州市妇幼保健院·儿童医院确诊的新生儿肺炎患儿作为研究对象,共纳入72例,按照随机数字表法划分为对照组和观察组,各36例。对照组采取常规护理,观察组联合应用常规护理和转变体位护理,对比分析两组护理有效率、临床症状消失时间、家属护理满意度评分、生命体征、免疫功能、不良事件发生率。结果:观察组护理有效率(97.22%)高于对照组(77.78%),差异有统计学意义(χ^(2)=4.571,P<0.05)。观察组湿啰音、体温不稳定、气促、咳嗽等相关临床症状消失时间早于对照组,差异有统计学意义(P<0.05)。护理后,观察组心率、呼吸频率低于对照组,血氧饱和度高于对照组,差异有统计学意义(P<0.05)。观察组家属护理满意度评分高于对照组,差异有统计学意义(P<0.05)。护理后,观察组IgA、IgG、IgM水平高于对照组,差异有统计学意义(P<0.05)。观察组不良事件发生率(8.33%)低于对照组(33.33%),差异有统计学意义(χ^(2)=6.821,P<0.05)。结论:新生儿肺炎护理期间应用常规护理联合转变体位护理有利于促进患儿临床症状尽早消失,对于改善免疫功能具有积极意义,有利于促进患儿家属满意度的提高。

Objective:To explore the effect of changing body position combined with routine nursing during the nursing of neonatal pneumonia.Method:A total of 72 children with neonatal pneumonia diagnosed in Quanzhou Maternal and Child Health Hospital·Children’s Hospital from September 2020 to September 2021 were selected as the research objects.They were divided into control group and observation group according to the random number table method,36 case in each group.The control group received routine nursing,and the observation group combined routine nursing and changing body position nursing.The nursing efficiency,disappearance time of clinical symptoms and nursing satisfaction of family members scores,vital signs,immunological function,incidence of adverse events of the two groups were compared and analyzed.Result:The effective rate of nursing in the observation group was 97.22%,which was higher than 77.78%in the control group,the difference was statistically significant(χ^(2)=4.571,P<0.05).The disappearance time of wet rale,temperature instability,shortness of breath and cough in the observation group were earlier than those in the control group(P<0.05).After nursing,the heart rate and respiratory rate of the observation group were lower than those of the control group,and the blood oxygen saturation was higher than that of the control group,the differences were statistically significant(P<0.05).The nursing satisfaction of family members scores in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The levels of IgA,IgG and IgM in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The incidence of adverse events in the observation group was 8.33%,which was lower than 33.33%in the control group,the difference was statistically significant(χ^(2)=6.821,P<0.05).Conclusion:During the nursing period of neonatal pneumonia,the application of routine nursing combined with changing body position nursing is helpful to promote the disappearance of clinical symptoms as soon as possible,has positive significance for improving immune function,is conducive to promoting the improvement of family satisfaction of children.