强化风险护理对早产儿肺炎生命体征及预后转归的影响  

Effect of intensive risk nursing on vital signs and prognosis of premature infants with pneumonia

作　　者：张运梅[1] 黄咏欣 肖坤茂 吴丽玲 ZHANG Yunmei;HUANG Yongxin;XIAO Kunmao;WU Liling(Department of Stomatology,Guangdong Provincial Maternity and Child Healthcare Hospital,Guangdong,Guangzhou 510010,China;Department of Neonatology,Guangdong Provincial Maternity and Child Healthcare Hospital,Guangdong,Guangzhou 510010,China)

机构地区：[1]广东省妇幼保健院口腔科,广东广州510010 [2]广东省妇幼保健院新生儿科,广东广州510010

出　　处：《中国医药科学》2022年第15期50-53,共4页China Medicine And Pharmacy

基　　金：广东省自然科学基金(2021A1515012121)。

摘　　要：[背景]目的 探讨强化风险护理对早产儿肺炎生命体征及预后转归的影响。方法 选取2017年9月至2020年8月于广东省妇幼保健院新生儿科出生的60例肺炎早产儿,按照随机数表法分为对照组及观察组,每组各30例。对照组给予常规护理,观察组在对照组基础上采用强化风险护理干预,两组均干预至患儿出院,记录两组干预前及干预3 d后生命体征[呼吸频率(RR)、心率(HR)、血氧饱和度(SaO)]变化,对比患儿预后转归情况(气促消失时间、肺部啰音消失时间、住院时间),干预5 d后比较两组家长护理满意度。结果 干预3 d后,两组患儿较干预前RR、HR均明显降低,SaO均明显升高(P <0.05);观察组RR、HR水平均明显低于对照组,SaO明显高于对照组(P <0.05)。观察组气促消失时间、肺部啰音消失时间、住院时间均明显短于对照组(P <0.05)。干预5 d后观察组护理总满意率明显高于对照组(P <0.05)。结论 早产儿肺炎接受强化风险护理干预有利于更好维持生命体征,且有助于改善预后,提高家长满意度,临床应用价值较高。Objective To investigate the effect of intensive risk nursing on vital signs and prognosis of premature infants with pneumonia. Methods A total of 60 premature infants with pneumonia born in the Department of Neonatology, Guangdong Provincial Maternity and Child Healthcare Hospital from September 2017 to August 2020 were enrolled and randomly divided into the control group(n=30) and the observation group(n=30). The control group was given conventional nursing, while the observation group was given the intensive risk nursing intervention based on nursing in the control group. Children in the two groups were followed up until they were discharged. The changes in vital signs(respiratory rate [RR], heart rate [HR],oxygen saturation [SaO]) both before the intervention and 3 days after the intervention were recorded. The prognosis(disappearance time of shortness of breath and pulmonary rales, and hospital stay) was compared between the two groups. The satisfaction of parents with nursing was compared between the two groups after 5days of intervention. Results After 3 days of intervention, RR and HR levels were significantly lower and SaOwas significantly higher in the two groups than those before the intervention(P < 0.05), and RR and HR levels were significantly lower and SaOwas significantly higher in the observation group than those in the control group(P < 0.05). The disappearance time of shortness of breath and pulmonary rales, and hospital stay in the observation group were all shorter than those in the control group(P < 0.05). After 5 days of intervention, the total satisfaction of parents with nursing in the observation group was significantly higher than that in the control group(P < 0.05). Conclusion Intensive risk nursing intervention for premature infants with pneumonia is beneficial to better maintain vital signs, improve prognosis, and increase the satisfaction of parents with nursing,with betler clinical application values.

关 键 词：强化风险护理 早产儿 肺炎 预后 生命体征 

分 类 号：R473.72[医药卫生—护理学]