集束化护理与人文关怀在儿科重症监护室重症肺炎患儿中的应用  

Application of cluster nursing and humanistic care in children with severe pneumonia in pediatric intensive care unit

作　　者：李佳欣 陈娟娟 LI Jiaxin;CHEN Juanjuan(The First Affiliated Hospital of Bengbu Medical University,Bengbu,Anhui,233000,China)

机构地区：[1]蚌埠医科大学第一附属医院,安徽蚌埠233000

出　　处：《中西医结合护理(中英文)》2024年第11期17-20,共4页Journal of Clinical Nursing in Practice

基　　金：安徽高校人文社会科学研究项目(SK2021A0425)。

摘　　要：目的分析集束化护理与人文关怀联合应用在儿科重症监护室(PICU)重症肺炎患儿中的效果和临床意义。方法回顾分析蚌埠医科大学第一附属医院于2020年7月至2022年6月收治的102例重症肺炎患儿的临床资料,按护理方法的不同分入对照组(52例)、观察组(50例),对照组实施人文关怀,观察组应用集束化护理与人文关怀。比较2组的体征恢复时间、治疗相关时间、并发症发生率以及血气分析指标。结果与对照组比较,观察组的体征恢复时间和治疗相关时间均更短、并发症发生率更低(P均<0.05)。出PICU和出院时,观察组的血气分析指标均优于对照组(P均<0.05),且2组均较入院时改善(P均<0.05)。结论PICU重症肺炎患儿应用集束化护理与人文关怀,可明显加快体征恢复,缩短治疗相关时间,降低并发症发生率,且有利于血气分析指标的改善。Objective To analyze the effect and clinical significance of the combination of cluster nursing and humanistic care in children with severe pneumonia in the pediatric intensive care unit(PICU).Methods The clinical data of 102 children with severe pneumonia admitted to the First Affiliated Hospital of Bengbu Medical University from July 2020 to June 2022 were retrospectively analyzed.They were assigned to a control group(n=52)and an observation group(n=50)according to different nursing methods.The control group was given humanistic care,and the observation group was given cluster nursing and humanistic care.The recovery time of physical signs,treatment related time,complication rate,and blood gas parameters of the two groups were compared.Results Compared with the control group,the observation group had a shorter recovery time for physical signs and treatment related time,and a lower incidence of complications(all P<0.05).At the time of discharge from the PICU and hospital,the blood gas parameters of the observation group were better than those of the control group(all P<0.05),and both groups improved compared with admission(all P<0.05).Conclusion The application of cluster nursing and humanistic care in PICU patients with severe pneumonia can significantly accelerate the recovery of physical signs,shorten the treatment related time,reduce the complication rate,and improve the blood gas parameters.

关 键 词：重症肺炎 人文关怀 集束化护理 并发症 血气指标 

分 类 号：R473.72[医药卫生—护理学]