集束化护理在重症肺炎新生儿中的应用

Application of cluster nursing in newborns with severe pneumonia

目的 观察集束化护理在重症肺炎新生儿中的应用效果。方法 选取2021年3月至2023年3月兰陵县人民医院收治的60例重症肺炎新生儿为研究对象,应用随机数字表法分为对照组(n=30)、观察组(n=30)。对照组给予常规护理,观察组在常规护理基础上给予集束化护理,比较两组血气指标、并发症总发生率、临床症状改善时间、机械通气时间、护理满意度。结果 干预前,两组血气指标比较,差异无统计学意义(P>0.05);干预后,两组血气指标均改善,且观察组血气指标优于对照组,差异有统计学意义(P<0.05)。观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05);观察组临床症状改善时间短于对照组,差异有统计学意义(P <0.05);观察组机械通气时间短于对照组,差异有统计学意义(P <0.05);观察组护理满意度评分高于对照组,差异有统计学意义(P <0.05)。结论 集束化护理在重症肺炎新生儿中的应用效果显著,能够改善血气指标,减少并发症,缓解临床症状,缩短机械通气时间,具有较高的满意度。

Objective To observe the application effect of cluster nursing in newborns with severe pneumonia.Methods A total of 60 newborns with severe pneumonia in Lanling County People's Hospital from March 2021 to March 2023 were selected and divided into control group(n=30) and observation group(n=30) by the random number table method.The control group was given routine nursing,while the observation group was given cluster nursing on the basis of routine nursing.The blood gas indexes,total incidence of complications,clinical symptom improvement time,mechanical ventilation time and nursing satisfaction were compared between the two groups.Results Before intervention,there were no significant difference in blood gas indexes between the two groups(P > 0.05).After intervention,the blood gas indexes in both groups were improved,and the blood gas indexes in the observation group were better than those in the control group,the differences were statistically significant(P < 0.05).The total incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P < 0.05).The clinical symptom improvement time in the observation group was earlier than that in the control group,the difference was statistically significant(P < 0.05).The mechanical ventilation time in the observation group was shorter than that in the control group,the difference was statistically significant(P < 0.05).The nursing satisfaction score in the observation group was higher than that in the control group,the difference was statistically significant(P < 0.05).Conclusion Cluster nursing in newborns with severe pneumonia has significant application effect,which can improve blood gas indexes,reduce complications,relieve clinical symptoms,shorten mechanical ventilation time,and has high satisfaction.