RDS早产儿撤机后实施SEC过渡期护理的效果评价

Effect evaluation of SEC transitional nursing for premature infants with RDS after withdrawal

目的探究呼吸窘迫综合征(RDS)早产儿撤机后实施安全-支持-合作(SEC)过渡期护理的应用效果。方法选取2022年1月-2023年12月绵阳市中心医院RDS早产儿98例,按照入院顺序分为B组(n=49)与A组(n=49)。A组采用常规护理,B组在A组基础上加以SEC过渡期护理。比较护理前后两组患儿家属抑郁自评量表(SDS)评分以及焦虑自评量表(SAS)评分、疾病不确定感父母量表(PPUS)评分以及患儿家属护理满意度。结果护理后,两组患儿家属SDS、SAS评分较护理前低,且B组患儿家属SDS、SAS评分较A组低(P<0.05);两组患儿家属不可预测性、不明确性、复杂性以及信息缺乏性评分较护理前低,且B组患儿家属不可预测性、不明确性、复杂性以及信息缺乏性评分较A组低(P<0.05);出院当天,B组患儿家属护理满意度93.88%较A组的77.55%高(P<0.05)。结论RDS早产儿撤机后实施SEC过渡期护理,可减轻患儿家属焦虑、抑郁情绪,降低其疾病不确定感,提高护理满意度。

Objective To explore and evaluate the effect of safety-support-cooperation(SEC)transitional nursing after withdrawal of premature infants with respiratory distress syndrome(RDS).Methods Ninety-eight premature infants with RDS in our hospital from January 2022 to December 2023 were selected and divided into group B(n=49)and group A(n=49)according to the admission order.Group A received routine care,group B received SEC transitional care based on group A.The scores of family members'self-rating Depression Scale(SDS),self-rating Anxiety Scale(SAS),parents'Uncertainty of Disease Scale(PPUS)and family members'nursing satisfaction were compared before and after nursing.Results After nursing,the scores of SDS and SAS of family members in two groups were lower than before nursing,and the scores of SDS and SAS of family members in group B were lower than those in group A(P<0.05).The scores of unpredictability,uncertainty,complexity and lack of information of family members in the two groups were lower than before nursing,and the scores of unpredictability,uncertainty,complexity and lack of information of family members in group B were lower than those in group A(P<0.05).On the day of discharge,the nursing satisfaction of family members in group B was 93.88%higher than that in group A 77.55%(P<0.05).Conclusion SEC transitional nursing can relieve anxiety and depression,reduce disease uncertainty and improve nursing satisfaction of premature infants with RDS.