专职化护理小组模式对急性呼吸窘迫综合征患儿肺通气功能的影响  

Effect of full time nursing group model on pulmonary ventilation function in children with acute respiratory distress syndrome

作　　者：崔慧贤[1] 

机构地区：[1]唐山市妇幼保健院,河北唐山063000

出　　处：《现代医学》2016年第3期411-414,共4页Modern Medical Journal

摘　　要：目的:探讨专职化护理小组模式对急性呼吸窘迫综合征患儿肺通气功能的影响。方法:对2013年1月至2014年1月唐山市妇幼保健院ICU病房收治的40例急性呼吸窘迫综合征患儿行机械通气治疗,治疗过程中给予常规护理干预,将其作为对照组;对2014年1月至2015年1月40例急性呼吸窘迫综合征患儿在机械通气治疗过程中给予危重症专职化护理小组模式干预,作为观察组。检测两组患儿护理干预前后的血气分析及氧合指标,记录两组患儿护理后的再插管率、呼吸机相关肺炎(VAP)发生率、机械通气时间、住院时间及住院费用,并进行比较。结果:与护理前比较,两组患儿护理后的Sa O2、Pa O2值均增加,Pa CO2值降低,对照组仅Sa O2护理前后差异有统计学意义(P=0.043),而观察组3项指标护理前后差异均具有统计学意义(P<0.05);观察组患儿护理后的Sa O2、Pa O2值较对照组高,而Pa CO2值较对照组低(均P<0.05)。观察组患儿护理后的再插管率、VAP发生率分别为5.0%、0%,均明显低于对照组(χ2值分别为4.11、4.21,均P<0.05)。观察组患儿的机械通气时间、住院时间较对照组短,住院费用较对照组少(均P<0.05)。结论:危重症专职化护理小组模式不仅可有效改善ARDS患儿的肺通气功能,降低再插管及VAP的发生率,还能减少治疗费用,缩短住院时间,值得在临床上推广应用。Objective： To investigate the effect of full-time care group model on pulmonary ventilation function in children with acute respiratory distress syndrome（ ARDS）. Methods： The clinical data of 40 cases of ARDS teated in our hospital ICU wards from January 2013- January 2014 were retrospectively analyzed. The patients undergoing mechanical ventilation therapy and receiving routine nursing were selected as control group. The clinical data of another 40 cases of ARDS patients treated in our hospital ICU wards from January 2014 to January 2015 were also retrospectively analyzed. They received from full-time nursing group model and served as observation group. Blood gas analysis and oxygenation index were detected before and after patient care intervention. Reintubation rate,VAP incidence and duration of mechanical ventilation,length of hospital stay and cost were compared between the two groups. Results： Compared with those before nursing,Sa O2 and Pa O2 values were significantly increased after the nursing,and Pa CO2 was significantly reduced,which changed more sharply in the observation group,the difference being significant（ P〈0. 05）. observation group After nursing Sa O2 and Pa O2 values were higher in the observation group than those in the control group,while Pa CO2 value was lower than that in the control group（ P〈0. 05）. The rate of reintubation and VAP occurrence was 5. 0% and 0% respectively,significantly lower than that in the control group（ χ2= 4. 11,4. 21,P〈0. 05）. The time of mechanical ventilation and hospital stay,and the cost of hospitalization in the observation group were respectively shorter and lower than those in the control group（ P〈0. 05）. Conclusion： The full-time care model for critical illness can improve pulmonary function in children with ARDS,reduce the incidence of re-intubation and VAP,cost of treatment,and shorten the hospital stay.

关 键 词：呼吸窘迫综合征 专职化护理小组模式 肺通气功能 呼吸机相关性肺炎 

分 类 号：R473.56[医药卫生—护理学]