基于循证的主动风险防范模式在新生儿重症肺炎护理中的应用

Application of Proactive Risk Prevention Based on Evidence in the Nursing of Neonates with Severe Pneumonia

目的分析基于循证的主动风险防范模式在新生儿重症肺炎护理中的应用效果。方法回顾性分析2022年1月至2023年1月医院收治的84例新生儿重症肺炎的临床资料,按照护理方法分为对照组(40例,接受常规护理)和观察组(44例,接受常规护理联合基于循证的主动风险防范模式)。统计两组的护理风险事件及投诉率、护理安全及护理质量评分、高流量给氧时间、通气时间及住院时间,并评估护理前后的患儿家属焦虑感[状态-特质焦虑量表(STAI)评分]。结果观察组护理风险事件发生率(2.27%)及投诉率(6.82%)低于对照组(17.50%、25.00%),护理安全及护理质量评分均高于对照组,高流量给氧时间、通气时间、住院时间短于对照组(P<0.05)。护理后,两组STAI评分均降低,且观察组低于对照组(P<0.05)。结论主动防范风险护理可降低护理风险事件及投诉率,提高护理安全及护理质量,减轻患儿家属焦虑感,缩短高流量给氧时间、通气时间及住院时间。

Objective To study the application of proactive risk prevention based on evidence in the nursing of neonates with severe pneumonia.Methods The clinical data of 84 cases of neonatal severe pneumonia admitted to the hospital from January 2022 to January 2023 were retrospectively analyzed and divided into control group(40 cases,accepted routine nursing)and observation group(44 cases,accepted routine and active risk prevention nursing)according to nursing method.Nursing risk events and complaint rate,nursing safety and nursing quality scores,high flow oxygen time,ventilation time and hospital stay of the two groups were counted,and the anxiety[state-trait anxiety inventory(STAI)score]of family members before and after care was assessed.Results The incidence of nursing risk events(2.27%)and complaint rate(6.82%)in the observation group were lower than those in the control group(17.50%and 25.00%),the scores of nursing safety and nursing quality were higher than those in the control group,and the high flow oxygen time,ventilation time and hospital stay were shorter than those in the control group(P<0.05).After nursing,STAI scores of both groups were decreased,and the observation group was lower than the control group(P<0.05).Conclusion Active prevention of risk nursing can reduce nursing risk events and complaint rate,improve nursing safety and nursing quality,reduce anxiety of family members,shorten the time of high flow oxygen,ventilation and hospital stay.