集束化护理对婴幼儿先天性心脏病围术期呼吸道管理的影响  

Effect of Cluster Nursing on Perioperative Respiratory Tract Management in Infants with Congenital Heart Disease

作　　者：万淑 刘燕 WAN Shu;LIU Yan(Jiangxi Children’s Hospital,Nanchang 330000,China)

机构地区：[1]江西省儿童医院,江西南昌330000

出　　处：《中国医学创新》2019年第4期102-105,共4页Medical Innovation of China

基　　金：江西省卫生计生委科技计划项目(20171131)

摘　　要：目的:分析集束化护理对婴幼儿先天性心脏病围术期呼吸道管理的影响。方法:选取2015年12月-2017年11月本院收治的82例婴幼儿先天性心脏病手术患儿。根据就诊顺序分为观察组(单序号)和对照组(双序号),各41例。对照组按常规方式进行呼吸道管理,观察组采用集束化护理进行呼吸道管理。比较两组护理前后的氧合状况(PaO_2、FiO_2、PaO_2/FiO_2)及并发症发生率。结果:护理后,观察组PaO_2、FiO_2、PaO_2/FiO_2均高于对照组,比较差异均有统计学意义(P<0.05);观察组并发症总发生率为2.44%,低于对照组的14.63%(P<0.05)。结论:集束化护理应用在婴幼儿先天性心脏病围术期呼吸道管理中,能有效地改善氧合状况,并降低并发症发生率。Objective:To analyze the effect of cluster nursing on respiratory tract management in infants with congenital heart disease during perioperative period.Method:A total of 82 infants with congenital heart disease treated in our hospital from December 2015 to November 2017 were selected.According to the order of treatment,they were divided into observation group(single serial number)and control group(double serial number),41 cases in each group.The control group was given routine way for respiratory tract management,while the observation group was given cluster nursing for respiratory tract management.The oxygenation status(PaO2,FiO2,PaO2/FiO2)before and after nursing and the incidence of complications between two groups were compared.Result:After nursing,the PaO2,FiO2,PaO2/FiO2 in observation group were higher than those of control group,the differences were statistically significant(P<0.05).The total incidence of complications in observation group was 2.44%,which was lower than 14.63% in control group(P<0.05).Conclusion:Cluster nursing applied in perioperative respiratory management of infants with congenital heart disease can effectively improve oxygenation and reduce the incidence of complications.

关 键 词：集束化护理 先天性心脏病 围术期 呼吸道管理 

分 类 号：R473.72[医药卫生—护理学]