集束化护理干预对持续正压通气早产儿预后及并发症的影响  

Effect of Cluster Nursing Intervention on Prognosis and Complications of Preterm Infants with Continuous Positive Pressure Ventilation

作　　者：国丽佳 GUO Lijia(Department of Neonatal,the Third People's Hospital of Liaoyang,Liaoyang 111000,China)

机构地区：[1]辽阳市第三人民医院新生儿科,辽宁辽阳111000

出　　处：《中国医药指南》2023年第2期11-14,共4页Guide of China Medicine

摘　　要：目的分析新生儿重症监护室(NICU)持续正压通气早产儿临床护理需求,评价集束化护理干预预后效果,为早产儿治疗护理工作提供参考。方法选择我院2018年7月至2019年7月NICU收治的80例持续正压通气早产儿,结合治疗期间护理方法采取1∶1比例法分组。研究获得伦理委员会批准。对照组早产儿采取NICU常规护理,观察组NICU早产儿配合集束化护理干预。比较两组持续正压通气早产儿血氧分压(PaO_(2))、血氧饱和度(SpO_(2))、呼吸频率、机械通气时间、NICU入住时间、住院时间以及新生儿并发症情况、家属满意度。结果组间PaO_(2)、SpO_(2)、呼吸频率比较,观察组均明显优于对照组P<0.05。组间机械通气、NICU入住以及住院时间比较,观察组均短于对照组P<0.05。组间新生儿安全性以及家属满意度比较,观察组占比均高于对照组P<0.05。结论以持续正压通气维持早产儿呼气相时气道正压,扩张萎陷肺泡,增加功能残气量,改善氧合作用。持续正压通气治疗期间辅助集束化护理干预可以促进PaO_(2)、SpO_(2)、呼吸频率改善,缩短治疗、康复时间,进一步提高早产儿的安全性,满足家属护理需求。Objective To analyze the clinical nursing needs of preterm infants with continuous positive pressure ventilation in NICU,evaluate the prognostic effect of cluster nursing intervention,and provide reference for the treatment and nursing of preterm infants.Methods Eighty preterm infants with continuous positive pressure ventilation who were admitted to NICU from July 2018 to July 2019 in our hospital were selected and combined with nursing methods during treatment and adopt the 1∶1 ratio method.The study was approved by the ethics committee.The preterm infants in the control group received NICU routine care,and the NICU preterm infants in the observation group cooperated with the cluster nursing intervention.The blood oxygen partial pressure(PaO_(2)),blood oxygen saturation(SpO_(2)),respiratory rate,mechanical ventilation time,NICU stay time,hospital stay,neonatal complications and family satisfaction of preterm infants with continuous positive pressure ventilation were compared between the 2 groups.Results The comparison of PaO_(2),SpO_(2) and respiration rate between the groups,the observation group was significantly better than the control group P<0.05.The comparison of mechanical ventilation,NICU stay and hospitalization time between groups,the observation group was shorter than the control group P<0.05.The comparison of neonatal safety and family satisfaction among the groups,the proportion of the observation group was higher than that of the control group P<0.05.Conclusion Continuous positive pressure ventilation maintains positive airway pressure during expiratory phase in preterm infants,expands and collapses alveoli,increases functional residual volume,and improves oxygenation.Assisted cluster nursing intervention during continuous positive pressure ventilation therapy can promote PaO_(2),SpO_(2),respiratory rate improvement,shorten treatment and recovery time,further improve the safety of premature infants,and meet the needs of family care.

关 键 词：集束化护理干预 持续正压通气 早产儿 并发症 康复情况 

分 类 号：R473.72[医药卫生—护理学]