风险预防护理在PICU重症肺炎患儿中的应用效果  

Application ef fect of risk preventive nursing on children with severe pneumonia in PICU

作　　者：彭映秋 陈锦秀[1] PENG Yingqiu;CHEN Jinxiu(Tongji Medical Collage of HUST,Wuhan,430074,China)

机构地区：[1]华中科技大学同济医学院附属同济医院儿科儿童重症医学科(PICU),湖北省武汉市430074

出　　处：《护理实践与研究》2022年第13期2001-2005,共5页Nursing Practice and Research

摘　　要：目的 探讨风险预防护理在PICU重症肺炎患儿中的应用效果。方法 选择2019年5月-2021年3月华中科技大学同济医院PICU收治的重症肺炎患儿86例,按照组间基本特征具有可比性的原则分为观察组和对照组,每组43例。两组均行抗感染等常规治疗,对照组采用常规PICU重症肺炎护理,观察组行风险预防护理。比较两组患儿临床症状消失时间、疗效、呼吸道感染的改善情况、30 d后生存率。结果实施风险预防护理后,观察组止咳时间、平喘时间、啰音消失时间均短于对照组,总有效率高于对照组,痰液显著减少时间、痰培养转阴时间、肺部病变吸收一半以上时间短于对照组,30 d后生存率高于对照组,观察组家属护理总满意率高于对照组,组间比较差异均有统计学意义(P<0.05)。结论 风险预防护理能有效提高PICU重症肺炎患儿疗效,缩短止咳时间、平喘时间、啰音消失时间、痰液显著减少时间、痰培养转阴时间、肺部病变吸收一半以上时间,提高患儿的生存率及家属护理满意度。Objective To explore the effect of risk prevention nursing on children with severe pneumonia in PICU. Methods 86 children with severe pneumonia admitted in the Tongji Medical Collage of HUST PICU from May 2019 to March 2021 were selected and divided into an observation group and a collage group according to the principle of comparability of basic characteristics between groups, with 43 cases in each group. Both groups received conventional treatment such as anti-infection, the control group received conventional PICU care for severe pneumonia, and the observation group received risk prevention care. The clinical symptoms disappeared time, efficacy, improvement of respiratory tract infection and survival rate after 30 days were compared between two groups. Results After implementation of risk prevention and nursing, the observation group, smooth wheezing cough time, then the sound disappear time was shorter than the control group, the total effective rate was higher than the control group, and sputum significantly reduce time, sputum culture turn negtive, lung lesions absorb more than half of the time was shorter than the control group, 30 d after the survival rate was higher than the control group, the observation group of family nursing total satisfaction rate was higher than the control group,There were statistically significant differences between groups(P<0.05). Conclusion Risk prevention nursing could effectively improve the curative effect of PICU children with severe pneumonia, shorten the time of relieving cough, relieving asthma, ronal disappearance time, significantly reduced sputum time, sputum culture to negative time, lung lesions absorption more than half of the time, improve the survival rate of children and their family nursing satisfaction.

关 键 词：重症肺炎 PICU 风险预防护理 临床指标 呼吸道感染 

分 类 号：R473.72[医药卫生—护理学]