转变体位护理对新生儿肺炎呼吸频率及康复进程的影响  

Effect of changing position nursing on respiratory rate and recovery process of neonatal pneumonia

作　　者：张青 杨静[1] 高萍 张翠翠 ZHANG Qing;YANG Jing;GAO Ping;ZHANG Cuicui(Department of Neonatology,Taihe County People’s HospitalTaihe Hospital Affiliated to Wannan Medical College,Anhui Province,Taihe236600,China)

机构地区：[1]安徽省太和县人民医院皖南医学院附属太和医院新生儿科,安徽太和236600

出　　处：《中国医药导报》2024年第18期185-187,191,共4页China Medical Herald

摘　　要：目的探讨转变体位护理对新生儿肺炎呼吸频率(RR)及康复进程产生的影响。方法选择安徽省太和县人民医院2021年1月至12月收治的89例新生儿肺炎患儿作为研究对象,采用随机数字表法将其分为常规组和干预组。常规组患儿45例,治疗期间行呼吸道常规护理;干预组患儿44例,治疗期间除行常规护理外行转变体位护理干预。观察干预5 d后患儿RR、经皮血氧饱和度(SpO_(2))变化及症状改善时间。结果整体分析发现:RR时间点比较、交互作用差异均有统计学意义(P<0.05);SpO_(2)组间比较、时间点比较、交互作用差异均有统计学意义(P<0.05)。进一步两两比较,组内比较:干预组入院第1、3、5天RR比较,入院第3、5天SpO_(2)与入院第1天比较,差异有统计学意义(P<0.05);常规组入院第3、5天RR与第1天比较,入院第5天SpO_(2)与入院第1天比较,差异有统计学意义(P<0.05)。组间比较:干预组入院第1、3、5天的RR均低于常规组,SpO_(2)均高于常规组(P<0.05)。干预后干预组体温异常、呼吸困难、气促、咳嗽、湿啰音消失时间均短于常规组,差异有统计学意义(P<0.05)。结论新生儿肺炎患儿治疗中实施转变体位护理,可有效促进患儿RR、SpO_(2)获得更好的改善,加速患儿临床症状的改善,有助于康复进程缩短。Objective To explore the effect of changing position nursing on respiratory rate(RR)and recovery process of neonatal pneumonia.Methods Eighty-nine cases of neonatal pneumonia admitted to Taihe County People’s Hospital in Anhui Province from January to December 2021 were selected as the study subjects,and they were divided into the routine group and the intervention group by using the method of randomized numerical table.Forty-five children in the routine group were treated with routine respiratory care during the treatment period;44 children in the intervention group were treated with positional change nursing intervention in addition to routine care during the treatment period.The RR,saturation of peripheral oxygen saturation(SpO_(2)),and symptom improvement time were observed after 5 d of intervention.Results Overall analysis revealed that,the differences in RR time point comparison and interaction were statistically significant(P<0.05);the differences in SpO_(2)between groups,time point comparison,and interaction were statistically significant(P<0.05).Further pairwise comparison were made within groups:RR on days 1,3,and 5 of admission and SpO_(2)on days 3 and 5 of admission compared with day 1 of admission in the intervention group,the differences were statistically significant(P<0.05);RR on days 3 and 5 of admission compared with day 1 of admission in the conventional group,and SpO_(2)on day 5 of admission compared with day 1 of admission,the differences were statistically significant(P<0.05).Comparisons between groups:the RR on day 1,3,and 5 of admission in the intervention group were lower than those in the conventional group,and the SpO_(2)was higher than that in the conventional group(P<0.05).The disappearance time of abnormal body temperature,dyspnea,shortness of breath,cough,and moist crackles in the intervention group was shorter than that in the conventional group after the intervention,the differences were statistically significant(P<0.05).Conclusion The implementation of position change nursing i

关 键 词：新生儿肺炎 转变体位护理 呼吸频率 经皮血氧饱和度 

分 类 号：R473.72[医药卫生—护理学]