超低体重儿呼吸窘迫综合征的精细化护理干预  

Fine Nursing Intervention for Respiratory Distress Syndrome in Ultra-low Weight Infants

作　　者：杨清花[1] 叶亚兰 YANG Qing-hua;YE Ya-lan(Department of Pediatrics,the First Affiliated Hospital of Xiamen University,Xiamen,Fujian Province,361000 China)

机构地区：[1]厦门大学附属第一医院儿科,福建厦门361000

出　　处：《中外医疗》2020年第10期123-125,共3页China & Foreign Medical Treatment

摘　　要：目的分析超低体重儿呼吸窘迫综合征行精细化护理干预的临床价值。方法方便选取厦门大学附属第一医院于2016年3月-2017年4月期间收治的超低体重儿呼吸窘迫综合征40例,采用随机数字表法的形式将其平均分为研究组和对照组,每组各为20例,对照组行常规早产儿护理指导,研究组在此基础上加行精细化护理模式,对比两组护理后的临床各项指标改善情况。结果研究组总满意度90%高于对照组55%,组间对比差异有统计学意义(χ~2=6.144,P<0.05);研究组非计划拔管率(5%)、感染率(5%)、红臀发生率(20%)、再次入院率(5%)等均优于对照组(30%、30%、55%、30%)(χ~2=4.329、4.329、5.227、4.329,P<0.05);两组住院用时对比中,对照组(48.5±2.7)d长于研究组(45.2±2.5)d,组间对比差异有统计学意义(t=4.011,P<0.05)。结论将精细化护理干预模式应用于超低出生体重儿呼吸窘迫综合征中,护理质量显著提升,临床指标大幅改善,推广价值存在。Objective To analyze the clinical value of refined nursing intervention for respiratory distress syndrome in ultra-low weight infants. Methods Convenient selection forty patients with ultra-low birth weight respiratory distress syndrome admitted to the first affiliated hospital of Xiamen university from March 2016 to April 2017 were randomly divided into study group and control group by random number table method. There were 20 cases in each group. The control group received routine nursing guidance for premature infants. The research group added a refined nursing model based on this, and compared the improvement of clinical indicators after the two groups. Results The total satisfaction rate of the study group was 90% higher than that of the control group 55%, and the different was statistical significance between the groups(χ~2=6.1442, P<0.05);the study group unplanned extubation rate(5%), infection rate(5%), red hip incidence(20%),re-admission rate(5%) were better than the control group(30%, 30%, 55%, 30%)(χ~2=4.329, 4.329, 5.227, 4.329, P<0.05);in the two groups of hospitalization time comparison, the control group(48.5±2.7)d longer than the study group(45.2±2.5)d,the difference between groups was statistically significant(t=4.011, P<0.05). Conclusion The refined nursing intervention model is applied to the respiratory distress syndrome in ultra-low birth weight infants. The quality of nursing is significantly improved, the clinical indicators are greatly improved, and the promotion value exists.

关 键 词：精细化护理 超低出生儿 呼吸窘迫综合征 满意度 住院时间 

分 类 号：R656[医药卫生—外科学]