基于预警信号的预见护理在新生儿肺炎中的应用效果

Application Effect of Predictive Nursing Based on Early Warning Signals in Neonatal Pneumonia

目的分析在新生儿肺炎中采取基于预警信号(EWS)的预见护理的干预价值。方法将2021年1月—2023年6月本院收治的165例新生儿肺炎作为观察对象,以随机数字表法分组,观察组83例采取基于EWS的预见护理,对照组82例采取常规护理,比较两组护理后家属对护理的满意度、症状改善时间,分析两组治疗前后血氧饱和度(SaO_(2))、血氧分压(PaO_(2))、二氧化碳分压(PaCO_(2))水平。结果护理后,观察组患儿家属对护理的满意度高于对照组(P<0.05);观察组肺啰音消失、退热、咳嗽减退等症状改善时间均短于对照组(P<0.05);观察组SaO_(2)、PaO_(2)水平高于对照组,PaCO_(2)水平低于对照组(均P<0.05)。结论在新生儿肺炎护理管理中,采取基于EWS的预见护理可有效提高护理满意度,改善患儿SaO_(2)、PaO_(2)、PaCO_(2)水平,较常规护理措施更能减轻其临床症状,护理效果明显。

Objective To analyze the intervention value of predictive nursing based on warning signals(EWS)in neonatal pneumonia.Methods A total of 165 cases of neonatal pneumonia admitted to our hospital from January 2021 to June 2023 were taken as observation subjects,grouped by random number table method,83 cases in the observation group adopted EWS-based anticipatory care,82 cases in the control group adopted conventional care,compared the satisfaction of the families with the care and the time of symptom improvement after the care of the two groups,and analyzed the pre-and post-treatment levels of blood oxygen saturation(SaO_(2)),partial pressure of oxygen(PaO_(2)),partial pressure of carbon dioxide(PaCO_(2))and carbon dioxide(PaCO_(2))levels of both groups.Results After the nursing care,the families of the children in the observation group were more satisfied with the nursing care than the control group(P<0.05);The time for improvement of symptoms such as disappearance of pulmonary rales,fever reduction and cough reduction in the observation group was shorter than that in the control group(P<0.05);SaO_(2) and PaO_(2) levels in the observation group were higher than those in the control group,and PaCO_(2) levels were lower than those in the control group(all P<0.05).Conclusions In the nursing management of neonatal pneumonia,the foreseeable nursing based on EWS can effectively improve the nursing satisfaction,improve the SaO_(2),PaO_(2),PaCO_(2) and other related indicators of children,and reduce the clinical symptoms more than the routine nursing measures,and the nursing effect is obvious.