专职化护理对新生儿呼吸窘迫综合征血气指标及康复进度的影响  

Effect of Full-time Nursing on Blood Gas Index and Rehabilitation Progress of Neonatal Respiratory Distress Syndrome

作　　者：王娜娜 李顺彦 王金曼 Wang Nana;Li Shunyan;Wang Jinman(NICU,Pingdingshan First People’s Hospital,Pingdingshan,Henan,467000,China)

机构地区：[1]平顶山市第一人民医院NICU,河南平顶山467000

出　　处：《黑龙江医学》2024年第18期2277-2280,共4页Heilongjiang Medical Journal

摘　　要：目的:研究专职化护理对新生儿呼吸窘迫综合征(NRDS)血气指标及康复进度的影响。方法:选取2022年6—12月平顶山市第一人民医院新生儿重症监护病房(NICU)收治的57例NRDS患儿为对照组,2023年1—7月收治的57例为观察组;对照组给予常规护理,观察组在常规护理基础上给予专职化护理。对比两组新生儿康复时间、并发症发生情况及入院当天、出院前1 d血气分析指标[动脉血氧分压(PaO_(2))、二氧化碳分压(PaCO_(2))、动脉血氧饱和度(SaO_(2))]、神经能力[新生儿神经行为测定评分法(NBNA)评分]。结果:观察组患儿机械通气时间、用氧时间、NICU住院时间均短于对照组,差异均有统计学意义(t=4.481、6.328、7.494,P<0.05);出院前1 d,观察组患儿血气指标情况均短于对照组,差异均有统计学意义(t=3.845、3.891、3.287,P<0.05);观察组患儿神经能力评分优于对照组,差异有统计学意义(t=2.704,P<0.05);观察组患儿并发症总发生率低于对照组,差异有统计学意义(χ^(2)=7.314,P<0.05);观察组护理满意度高于对照组,差异有统计学意义(χ^(2)=5.911,P<0.05)。结论:专职化护理应用于NRDS新生儿,能够缩短其康复时间,改善血气分析指标,降低并发症总发生率,提高新生儿神经行为能力及护理满意度。Objective:To study the effect of full-time nursing on blood gas indexes and rehabilitation progress of neonatal respiratory distress syndrome(NRDS).Methods:57 cases of NRDS neonates admitted to neonatal intensive care unit(NICU)of the hospital from June 2022 to December 2022 were divided into control group,and 57 cases from January to July 2023 were divided into observation group.The control group was given routine nursing,and the observation group was given full-time nursing on the basis of control group.The recovery time,incidence of complications,nursing satisfaction of caregivers of the two groups,as well as blood gas analysis indicators[arterial oxygen partial pressure(PaO_(2)),carbon dioxide partial pressure(PaCO_(2)),arterial oxygen saturation(SaO_(2))]and neurological ability[neonatal neurobehavioral assessment score(NBNA)]of the two groups on the day of admission and 1 day before discharge were compared.Results:The mechanical ventilation time,oxygen time and NICU hospitalization time in observation group were better than those in control group,with statistically significant difference(t=4.481,6.328,7.494;P<0.05).1 day before discharge,the blood gas index of observation group was better than that of the control group,with statistically significant difference(t=3.845,3.891,3.287;P<0.05),and the neurological ability score of the observation group was better than that of the control group,with statistically significant difference(t=2.704,P<0.05).The total incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(χ^(2)=7.314,P<0.05).The nursing satisfaction of observation group was higher than control group,with statistically significant difference(χ^(2)=5.911,P<0.05).Conclusion:The application of full-time nursing to NRDS neonates can shorten the rehabilitation time,improve blood gas analysis index,reduce the total incidence of complications,improve neonatal neurobehavioral ability,and enhance nursing satisfaction.

关 键 词：专职化护理 呼吸窘迫综合征 血气指标 康复进度 

分 类 号：R272.1[医药卫生—中医儿科学]