临床护理路径在重度喉软化行声门上成形术新生儿中的应用  

Application of clinical nursing pathway in neonates with severe laryngopalacia and supractglotoplasty

作　　者：王永贞[1] Wang Yongzhen(Children′s Hospital Affiliated of Zhengzhou University,Zhengzhou Henan 450000,China)

机构地区：[1]郑州大学附属儿童医院河南省儿童医院郑州儿童医院,河南郑州450000

出　　处：《齐鲁护理杂志》2019年第8期12-16,共5页Journal of Qilu Nursing

摘　　要：目的:探讨临床护理路径在重度喉软化行声门上成形术新生儿中的应用效果。方法:将100例重度喉软化行声门上成形术新生儿按护理方法不同分为观察组和对照组各50例,对照组给予常规护理,观察组在常规护理基础上实施临床护理路径,比较两组护理效果。结果:观察组术后6个月症状缓解情况优于对照组(P <0. 05);观察组术后1、3、6个月体重高于对照组(P <0. 05),而营养不良率低于对照组(P <0. 05);观察组术后3个月食管括约肌静息压、蠕动性收缩比高于对照组(P <0. 05),卧位与立位反流时间比低于对照组(P <0. 05);观察组患儿家属随访结束时汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分低于对照组(P <0. 05),应激评定量表(SSRS)评分高于对照组(P <0. 05)。结论:临床护理路径有助于改善重度喉软化行声门上成形术新生儿的症状,促进其食管动力学恢复,缓解家属负性情绪。Objective:To explore the application method and effect of clinical nursing pathway in severe laryngopalacia supractglotoplasty neonatal.Methods:According to different nursing methods,100 cases of neonates with severe laryngopalacia and supractglotoplasty were divided into observation group and control group with 50 cases in each group.The control group was given routine nursing,and the observation group was given clinical nursing path on the basis of this implementation.The nursing effects of two groups were compared.Results:The symptom remission of the observation group was better than that of the control group( P <0.05).The body weight of the observation group was higher than that of the control group( P <0.05),and the malnutrition rate was lower than that of the control group( P <0.05).The resting pressure and peristaltic contraction ratio of esophageal sphincter in the observation group were higher than those in the control group 3 months after surgery( P <0.05),and the reflux time ratio between horizontal position and vertical position was lower than that in the control group( P <0.05).At the end of follow-up,the scores of Hamilton anxiety scale(HAMA)and Hamilton depression scale(HAMD)in the observation group were lower than those in the control group( P <0.05),and the SSRS scores were higher than those in the control group( P <0.05).Conclusion:The clinical nursing pathway is helpful to improve the symptoms of neonates with severe laryngopalacia and supractglotoplasty,promote the recovery of esophageal dynamics,and alleviate negative emotions of family members.

关 键 词：重度 喉软化 新生儿 声门上成形术 护理 

分 类 号：R473.72[医药卫生—护理学]