小儿危重病护理评分的个体化护理联合肺泡灌洗在重症肺炎气管插管患儿中的应用

Application of individualized care combined with alveolar lavage in children with severe pneumonia undergoing tracheal intubation

目的:分析基于小儿危重病护理评分的个体化护理联合肺泡灌洗在重症肺炎(severe pneumonia, SP)气管插管患儿中的效果。方法:选取2020年1月至2021年9月期间收治的SP气管插管患儿94例作为研究对象,均接受肺泡灌洗,依据随机数字表法分成研究组与对照组,各47例。对照组接受常规护理干预,研究组接受基于小儿危重病护理评分的个体化护理。统计对比两组康复效果(机械通气时间、住院时间)、并发症发生率、家属护理满意度以及干预前后生活质量[简明健康状况量表(SF-36)]、血气指标[动脉血二氧化碳分压(PaCO_(2))、动脉血氧分压(PaO_(2))]。结果:研究组患者住院时间、机械通气时间短于对照组(P<0.05);研究组患者并发症发生率(2.13%)低于对照组(21.28%)(P<0.05);干预后研究组患者PaO_(2)高于对照组(P<0.05),PaCO_(2)低于对照组(P<0.05);干预后两组SF-36评分高于干预前,且研究组患者高于对照组(P<0.05);研究组患者家属护理满意度(97.87%)高于对照组(76.60%)(P<0.05)。结论:基于小儿危重病护理评分的个体化护理联合肺泡灌洗应用于SP气管插管患儿,可缩短机械通气时间与住院时间,改善血气指标,减少并发症发生,优化生活质量,增加家属护理满意度。

Objective:To analyze the effect of individualized care combined with alveolar lavage based on Pediatric critical illness score(PCIS)in children with severe pneumonia(SP)undergoing tracheal intubation.Methods:A total of 94 SP children undergoing endotracheal intubation in our hospital from January 2020 to September 2021 were selected as the study subjects and divided into the study group and control group using random number table method,with 47 cases in each group.Alveolar lavage was performed on all the 94 SP children.The control group was given the routine nursing intervention,and the research group received individualized care based on the PCIS.The rehabilitation effect(mechanical ventilation time,length of hospital stay),complication rate,nursing satisfaction of family members and quality of life before and after intervention(SF-36),blood gas index(PaCO_(2),PaO_(2))were statistically analyzed and compared between the two groups.Results:The times of hospitalization and mechanical ventilation in the study group were shorter than those in the control group(P<0.05).The incidence of complications in the study group was lower than that in the control group(2.13%vs 21.28%)(P<0.05).After intervention,PaO_(2) in the study group was higher than that in the control group,and PaCO_(2) was lower than that in the control group(P<0.05).The SF-36 score of the two groups after intervention was higher than that before intervention,and it was higher in the study group than the control group(P<0.05).The nursing satisfaction of family members in the study group was higher than that in the control group(97.87%vs 76.60%)(P<0.05).Conclusion:Individualized care combined with alveolar lavage based on PCIS could shorten the time of mechanical ventilation and hospitalization,improve blood gas index,reduce complications,optimize the quality of life,and improve the nursing satisfaction of family members.