基于Apgar评分结果实施针对性护理在新生儿窒息抢救中的效果研究  

Study on the effect of targeted nursing based on Apgar score in the rescue of neonatal asphyxia

作　　者：李晓慈 Li Xiaoci(The People's Hospital of Taishan City,Taishan,Guangdong 529200)

机构地区：[1]台山市人民医院,广东台山529200

出　　处：《基层医学论坛》2022年第21期19-21,共3页The Medical Forum

摘　　要：目的 探讨基于Apgar评分结果实施针对性护理在新生儿窒息抢救中的应用效果。方法 根据病例纳入时间顺序,将2018年12月—2019年12月收治的48例窒息新生儿作为对照组,将2020年1月—10月收治的52例窒息新生儿作为观察组,对照组患儿予以常规救治护理,观察组在常规护理的基础上基于Apgar评分结果开展针对性护理。比较2组患儿救治时效性、Apgar评分、救治效果、并发症、家属满意度及护患纠纷发生率。结果 观察组预警时间、分诊评估时间、建立静脉通路时间均短于对照组,差异有统计学意义(P<0.05)。救治后,观察组患儿Apgar评分高于对照组,呼吸复苏时间短于对照组,差异有统计学意义(P<0.05)。观察组复苏成功率、家属满意度均高于对照组,并发症发生率、护患纠纷发生率均低于对照组,差异有统计学意义(P<0.05)。结论 基于Apgar评分结果实施针对性护理在新生儿窒息抢救中的应用效果显著,有利于提高救治时效性和救治效果,降低新生儿并发症的发生风险。Objective To explore the application effect of targeted nursing based on Apgar score in the rescue of neonatal asphyxia. Methods According to the time sequence of case inclusion,48 asphyxiated newborns treated from December 2018 to December 2019 were used as the control group,and 52 asphyxiated newborns treated from January 2020 to October 2020 were used as the observation group.The children in the control group were given routine treatment and nursing,and the observation group carried out targeted nursing based on the results of Apgar score on the basis of routine nursing.The timeliness of treatment,Apgar score,treatment effect,complications,family satisfaction and the incidence of nurse-patient disputes were compared between the two groups. Results The early warning time,triage evaluation time and establishment time of venous pathway in the observation group were shorter than those in the control group(P<0.05).After treatment,the Apgar score of the observation group was higher than that of the control group,and the respiratory resuscitation time was shorter than that of the control group(P<0.05).The success rate of resuscitation and family satisfaction in the observation group were higher than those in the control group,and the incidence of complications and nurse patient disputes were lower than those in the control group(P<0.05).Conclusion The application effect of targeted nursing based on Apgar score in the rescue of neonatal asphyxia is significant,which is conducive to improve the timeliness and effect of treatment and reduce the risk of neonatal complications.

关 键 词：新生儿窒息 APGAR评分 针对性护理 家属满意度 复苏成功率 

分 类 号：R473.72[医药卫生—护理学]