团队协作式零缺陷护理在新生儿呼吸窘迫综合征CPAP治疗期间的应用价值  

Application value of teamwork zero defect nursing during CPAP treatment of neonatal respiratory distress syndrome

作　　者：韩艳[1] 周慧慧[1] 周月[1] 陶晶晶 HAN Yan;ZHOU Huihui;ZHOU Yue;TAO Jingjing(Yancheng Third People’s Hospital,Yancheng,Jiangsu 224001,China)

机构地区：[1]盐城市第三人民医院,江苏盐城224001

出　　处：《中国优生与遗传杂志》2022年第6期1069-1072,共4页Chinese Journal of Birth Health & Heredity

摘　　要：目的探究团队协作式零缺陷护理在新生儿呼吸窘迫综合征(NRDS)CPAP治疗期间的应用价值。方法选取2019年1月至2021年1月期间于我院接受治疗的NRDS患儿共计50例作为研究对象,将这50例患儿按照护理干预的不同分为对照组(常规护理干预)和研究组(团队协作式零缺陷护理干预),两组患儿均给予连续气道正压通气(CPAP)治疗,对比两种方法的疗效以及干预前后患者临床指标的变化,比较两组患儿不良反应率。结果治疗后研究组患儿的治疗总有效率为92.59%,显著高于对照组的69.57%,差异有统计学意义(P<0.05);治疗前两组患儿的氧合指标PaO_(2)、PaCO_(2)、SaO_(2)、SpO_(2)、FiO_(2)和呼气末压力差异均无统计学意义(P>0.05);治疗后两组患儿的氧合指标PaCO_(2)、FiO_(2)和呼气末压力均低于治疗前,且治疗后研究组患儿氧合指标PaCO_(2)、FiO_(2)和呼气末压力低于对照组,差异有统计学意义(P<0.05);治疗后两组患儿的氧合指标PaO_(2)、SaO_(2)、SpO_(2)均高于治疗前,且治疗后研究组患儿氧合指标PaO_(2)、SaO_(2)、SpO_(2)高于对照组,差异有统计学意义(P<0.05);研究组患儿的不良反应总发生率显著低于对照组患儿(22.22%vs 65.22%,P<0.05)。结论在采用CPAP治疗新生儿呼吸窘迫综合征基础上采用团队协作式零缺陷护理模式进行护理可以显著提升疗效,降低患儿不良反应,改善患儿临床指标,提升护理满意度,值得临床上进一步推广使用。Objective To explore the application value of team-based zero-defect care during neonatal respiratory distress syndrome(neonatal respiratory distress syndrome,NRDS)CPAP treatment.Methods A total of 50 children with neo-natal respiratory distress syndrome treated from January 2019 to January 2021 were selected as the study subjects,and the 50 children were divided into control group(routine care intervention)and study group(collaborative zero-defect care interven-tion).Both groups were given continuous positive airway pressure ventilation(CPAP)treatment,comparing the efficacy of the two methods and the change of clinical indicators of the patients before and after the intervention,and investigated the nursing satisfaction.Results The overall treatment efficiency of the children in the treatment study group was 92.59%.It was signifi-cantly higher than 69.57%in the control group.The difference was statistical significant(P<0.05).There were no significant difference in the oxygenation indexes PaO_(2),PaCO_(2),SaO_(2),SpO_(2),FiO_(2),and end of the expiratory pressure between the first two groups of treatment(P>0.05).After treatment,PaCO_(2),FiO_(2) and end-expiratory pressure were lower than before treatment.In addition,the oxygenation indexes PaCO_(2),FiO_(2),and end of breath pressure in the study group were lower than in the control group.The difference was statistical significant(P<0.05).Both groups had higher PaO_(2),SaO_(2) and SpO_(2) than before treatment.Moreover,the oxygenation indexes of PaO_(2),SaO_(2),and SpO_(2) of the children in the post treated study group were higher than those of the control group.The difference was statistical significant(P<0.05).The overall incidence of adverse reactions in the study group was significantly lower than that in the control group(22.22%vs 65.22%,P<0.05).Care satisfaction was signifi-cantly higher than in the control children(96.30%vs 69.57%,P<0.05).Conclusion Based on the use of CPAP to treat neonatal respiratory distress syndrome,the use of team-based zero-defect n

关 键 词：新生儿呼吸窘迫综合征 连续气道正压通气 团队协作式零缺陷护理 氧合指标 

分 类 号：R473.72[医药卫生—护理学]