家庭核心化照护模式在新生儿呼吸窘迫综合征患儿中的应用分析

Application Analysis of Family Core Nursing Mode in Children with Neonatal Respiratory Distress Syndrome

目的:观察家庭核心化照护模式在新生儿呼吸窘迫综合征患儿中的应用效果。方法:选择2019年10月―2020年9月廉江市人民医院收治的120例新生儿呼吸窘迫综合征患儿作为研究对象,按照病情及家属意愿分为家庭核心化照护组与常规照护组,每组各60例。常规照护组按新生儿科常规护理模式及新生儿呼吸窘迫综合征常规护理施护,家庭核心化照护组在常规照护组的基础上创设条件,使家长深度参与新生儿心身照护活动。对两组患儿干预后机械通气时长、住院时长、病死率、并发症发生率等各项观察指标进行比较。结果:家庭核心化照护组干预后机械通气时长为(97.52±1.38)h、住院时长为(19.32±1.47) h,均显著短于常规照护组的(163.72±10.65) h、(28.03±1.34) h,差异有统计学意义(t=-47.725、-33.982,P<0.05)。家庭核心化照护组干预后病死率为1.67%、并发症发生率为6.67%,显著低于常规照护组的11.67%、28.33%,差异有统计学意义(χ^(2)=4.821、9.755,P<0.05)。结论:采用家庭核心化照护模式对新生儿呼吸窘迫综合征患儿施加干预,能够显著提升患儿的救治效果,推动患儿康复进程,降低其病死率与并发症发生率。家庭核心化照护模式对于新生儿呼吸窘迫综合征患儿而言,不失为一种安全积极高效的照护模式。

Objective: To observe the effect of family core care model in children with neonatal respiratory distress syndrome.Methods: A total of 120 infants with neonatal respiratory distress syndrome who were admitted to the hospital from October 2019to September 2020 were selected as the research subjects, and were divided into a family core care group and a routine care group according to their conditions and the wishes of their families, with 60 cases in each group. The routine nursing group adopted the routine nursing mode of neonatology and routine nursing care of neonatal respiratory distress syndrome, and the family core nursing group created conditions on the basis of the routine nursing group, so that parents could deeply participate in the psychosomatic nursing activities of the newborn. The mechanical ventilation time, hospitalization time, mortality rate, complication rate and other observation indicators were compared between the two groups after intervention. Results: The duration of mechanical ventilation after intervention in the family core care group was(97.52±1.38) h, and the length of hospitalization was(19.32±1.47) h, which were significantly shorter than(163.72±10.65) h and(28.03±1.34) h in the routine care group, the difference was statistically significant(t=-47.725,-33.982, P<0.05). The mortality rate and complication rate after intervention in the family core care group were1.67% and 6.67%, which were lower than 11.67% and 28.33% in the routine care group, and the differences were statistically significant(χ^(2)=4.821, 9.755, P<0.05). Conclusion: Using the family core care model to intervene in children with neonatal respiratory distress syndrome can significantly improve the treatment effect of children, promote the recovery process of children, and reduce their mortality and complication rates. The family core care model is a safe, active and efficient care model for children with neonatal respiratory distress syndrome, which has the value of popularization and application.