在儿科重症监护病房小儿重症肺炎患儿中应用层级链式护理的效果  

Effect of Applying Hierarchical Chain Nursing in Children with Severe Pneumonia in Pediatric Intensive Care Unit

作　　者：胡鹏[1] 卢建丽 韩旭[1] Hu Peng;Lu Jianli;Han Xu(Affiliated Maternity and Child Health Care Hospital of Nantong University(Nantong Children's Hospital),Nantong 226000,Jiangsu Province,China)

机构地区：[1]南通大学附属妇幼保健院(南通市儿童医院),江苏南通226000

出　　处：《中国社区医师》2025年第2期114-116,共3页Chinese Community Doctors

摘　　要：目的:探究层级链式护理在儿科重症监护病房(PICU)小儿重症肺炎患儿中的应用效果。方法:选取2022年1月-2024年3月南通大学附属妇幼保健院PICU收治的70例重症肺炎患儿进行研究,随机分为对照组和试验组,各35例。对照组应用常规护理,试验组应用层级链式护理。比较两组护理满意度、临床症状消失时间、住院时间、血气分析指标、肺功能指标。结果:与对照组相比,试验组护理满意度更高(P=0.024)。相比对照组,试验组发热、咳嗽、肺湿啰音、呼吸困难、憋喘气促消失时间更早,住院时间更短(P<0.001)。护理后,两组血氧饱和度、动脉血氧分压均高于护理前,且试验组高于对照组(P<0.05);两组动脉血二氧化碳分压均低于护理前,且试验组低于对照组(P<0.05)。护理后,两组用力肺活量、第1秒用力呼气容积、呼气峰值流速均高于护理前,且试验组高于对照组(P<0.05)。结论:层级链式护理在PICU小儿重症肺炎中的应用效果较好,可缓解患儿临床症状,改善其肺功能,提高护理满意度。Objective:To explore the application effect of hierarchical chain nursing in pediatric intensive care unit(PICU)children with severe pneumonia.Methods:A total of 70 children with severe pneumonia admitted to PICU of Affiliated Maternity and Child Health Care Hospital of Nantong Universityfrom January 2022 to March 2024 were selected for the study.They were randomly divided into control group and experimental group,with 35 cases in each group.The control group received conventional nursing and the experimental group received hierarchical chain nursing.The nursing satisfaction,time of disappearance of clinical symptoms,length of hospital stay,blood gas analysis indicators and lung function indicators were compared between the two groups.Results:Compared with the control group,the experimental group had higher nursing satisfaction(P=0.024).Compared with the control group,the experimental group had earlier time of disappearance of fever,cough,pulmonary moist rales,dyspnea,asthma and shortness of breath,and shorter length of hospital stay(P<0.001).After nursing,the blood oxygen saturation and arterial partial pressure of oxygen in the two groups were higher than those before nursing,and these indicators in the experimental group were higher than those in the control group(P<0.05).The arterial partial pressure of carbon dioxidein the two groups was lower than that before nursing,and this indicator in the experimental group was lower than that in the control group(P<0.05).After nursing,the forced vital capacity,forced expiratory volume in 1 second,and peak expiratory flow in the two groups were higher than those before nursing,and these indicators in the experimental group were higher than those in the control group(P<0.05).Conclusion:The hierarchical chain nursing has better application effects in PICU children with severe pneumonia,and can relieve clinical symptoms of children,ameliorate their lung function,and improve the nursing satisfaction.

关 键 词：儿科 重症监护病房 重症肺炎 层级链式护理 

分 类 号：R473.72[医药卫生—护理学]