专职化护理干预对急性呼吸窘迫综合征患儿预后及Murray、Marshll评分的影响  

Effect of professional nursing intervention on prognosis and Murray and Marshll scores of children with acute respiratory distress syndrome

作　　者：蒋凤碧[1] 卢瑞鸽 袁欣琦 周家吉[1] Jiang Fengbi;Lu Ruige;Yuan Xinqi(Sichuan Maternal and Child Health Hospital,Sichuan 610045 China)

机构地区：[1]四川省妇幼保健院

出　　处：《护理研究》2018年第18期2891-2894,共4页Chinese Nursing Research

摘　　要：[目的]专职化护理干预对急性呼吸窘迫综合征患儿预后及Murray和Marshll评分的影响。[方法]以2014年1月—2016年1月于我院治疗的37例急性呼吸窘迫综合征患儿为研究对象,将其随机分为对照组和观察组,分别采用常规护理和专职化护理模式,观察两组机械通气时间、住院时间和住院费用,记录两组患儿的二氧化碳分压(PaCO2)、氧分压(PaO2)以及血氧饱和度(SaO_2),记录两组患儿的Murray和Marshll评分。[结果]对照组患儿机械通气时间为(12.53±2.75)d,住院时间为(20.21±3.45)d,而观察组分别为(8.35±2.34)d和(16.23±3.54)d,且观察组住院治疗费用为(42 806.53±3 152.74)元,明显比对照组(66 588.95±2 142.53)元少,差异均具有统计学意义(P<0.05);护理1周后两组患儿PaCO_2明显下降(P<0.05),PaO2明显升高(P<0.05),且观察组比对照组患儿更明显,差异具有统计学意义(P<0.05),观察组SaO_2水平也显著高于对照组和护理前(P<0.05);出院时两组Murray和Marshll评分明显低于入院时(P<0.05),但观察组患儿两项评分更低,差异具有统计学意义(P<0.05)。[结论]建立专职化护理小组,可以显著缓解急性呼吸窘迫综合征患儿的临床症状,有效改善其肺功能,加快患儿康复。Objective：To study the effects of professional nursing intervention on prognosis of children with acute respiratory distress syndrome and the scores of Murray and Marshll.Methods：A total of 37 cases of children with ARDS in our hospital were selected from Jan.2014 to Jan.2016 as the research subjects,according to random number table method they were divided into two groups,respectively receiving conventional nursing and the professional care.During the clinical curative effects of two groups of children,mechanical ventilation time,length of hospital stay and the expenses were monitored.The two groups of children′s CO_2 partial pressure（PaCO_2）,partial pressure of oxygen（PaO_2）and oxygenation index（SaO_2）were recorded before and after nursing;and the Murray and Marshll scores in the two groups were recorded.Results：In control group,the mechanical ventilation time was（12.23±2.53）d,hospitalization time was（26.53±3.35）d,while in observation group they were respectively（8.35±2.43）d and（16.23±3.53）d.The hospitalization expenses in observation group was obviously less than that in control group（P〈0.05）,respectively（42 806.53±3152.74）RMB and（66 588.95±2 142.53）RMB.After nursing,PaCO_2 decreased significantly（P〈0.05）,PaO_2 content significantly increased in two groups（P〈0.05）,and the change of observation group was more significant than that in control group,the difference was statistically significant（P〈0.05）,while the SaO_2 level in observation group after nursing was significantly higher than that in control group and before nursing（P〈0.05）.When the children′re discharged,Murray and Marshll scores in two groups were significantly lower than on admission（P〈0.05）,but the two scores were lower in observation group,and the difference was statistically significant（P〈0.05）.Conclusions：To establish professional care team can significantly alleviate the clinical symptoms of respiratory distress syndrome,improve the lung function and

关 键 词：呼吸窘迫综合征 专职化护理 小组护理 肺功能 呼吸指标 机械通气时间 

分 类 号：R473.56[医药卫生—护理学]