精细化护理模式应用在新生儿重症肺炎伴呼吸衰竭护理中的效果研究

Effect of Refined Nursing Mode on the Nursing of Neonatal Severe Pneumonia with Respiratory Failure

目的研究精细化护理模式应用在新生儿重症肺炎伴呼吸衰竭护理中的效果。方法本次所选研究对象均为湖北省黄石市中心医院新生儿科收治的重症肺炎伴呼吸衰竭患儿,共62例,选取时间段为2017年10月—2018年10月。根据不同护理模式将其分为对照组(施予常规护理模式,共31例)、护理组(施予精细化护理模式,共31例),比较两组护理的效果。结果护理后,护理组SPO_2(89.76±2.54)%、PaO_2(90.63±5.17)mmHg、PaCO_2(38.79±1.46)mmHg与对照组比较差异有统计学的意义(P<0.05);护理组哮鸣音消失时间(3.48±0.52)d、咳嗽消失时间(2.43±0.58)d、气促消失时间(2.78±0.57)d及平均住院天数(13.58±2.76)d均短于对照组(P<0.05),护理组患儿家属的总满意度93.55%显著高于对照组(P<0.05)。结论精细化护理模式应用在新生儿重症肺炎伴呼吸衰竭护理中的效果显著,可推广。

Objective To study the effect of fine nursing mode in the nursing of neonatal severe pneumonia with respiratory failure.Methods All the subjects selected in this study were children with severe pneumonia and respiratory failure admitted to the neonatology department of Huangshi Central Hospital.A total of 62 cases from October 2017 to October 2018 were divided into control group(31 cases were given conventional nursing mode)and nursing group(31 cases were given refined nursing mode)according to different nursing modes.The nursing effects of two groups were compared.Results After nursing,SPO2(89.76±2.54)%,PaO2(90.63±5.17)mm Hg and PaCO2(38.79±1.46)mm Hg in nursing group were statistically significant compared with those in control group(P<0.05).The duration of asthma disappeared(3.48±0.52)d,cough disappeared(2.43±0.58)d,shortness of breath disappeared(2.78±0.57)d and the average length of hospital stay(13.58±2.76)d in the nursing group were shorter than those in control group(P<0.05).Conclusion The application of fine nursing mode in the nursing of neonatal severe pneumonia with respiratory failure is effective and can be popularized.