主动风险干预结合精细化护理在新生儿呼吸窘迫综合征患儿中的应用  

Application of active risk intervention combined with refined nursing in neonatal respiratory distress syndrome

作　　者：朱冰瑶 原琳 ZHU Bingyao;YUAN Lin(Department of Pediatrics,the First Affiliated Hospital of Air Force Medical University,Shaanxi,Xi'an 713200,China)

机构地区：[1]中国人民解放军空军军医大学第一附属医院儿科,西安市713200

出　　处：《河北医药》2025年第2期342-345,共4页Hebei Medical Journal

摘　　要：目的分析主动风险干预结合精细化护理在新生儿呼吸窘迫综合征(NRDS)患儿中的应用价值。方法选取2021年1月至2023年6月我院收治的NRDS患儿120例,采用信封随机法分为对照组和干预组,每组60例。患儿均给予机械通气、肺泡表面活性物质等基础治疗,对照组给予常规护理,干预组实施主动风险干预结合精细化护理。对比2组患儿的临床效果和护理结局。结果干预后,2组患儿的动脉血氧分压和动脉血氧含量明显增高、动脉血二氧化碳分压明显降低(P<0.05),但组间差异无统计学意义(P>0.05)。干预组患儿并发症总发生率为8.33%明显低于对照组的21.67%,差异均有统计学意义(P<0.05)。与对照组比较,干预组患儿机械通气时间和住院时间缩短,干预后的新生儿紧急生理学评分量表Ⅱ评分更低,差异有统计学意义(P<0.05)。干预组患儿家长的护理总满意度为96.67%,明显高于对照组的85.00%,差异有统计学意义(P<0.05)。结论针对NRDS患儿实施主动风险干预结合精细化护理,能改善血气指标、减少并发症情况,加快患儿恢复速度且提高家长的护理满意度,具有推广价值。Objective To analyze the application value of active risk intervention combined with refined nursing in neonatal respiratory distress syndrome(NRDS).Methods One hundred and twenty children with NRDS admitted to our hospital from January 2021 to June 2023 were randomly divided into the control group(n=60)and the intervention group(n=60)using sequential numbered,opaque,sealed envelopes(SNOSE).All children were given mechanical ventilation,alveolar surface active substances and other basic treatment programs,the control group received routine care,and the intervention group received active risk intervention combined with refined nursing.The clinical outcomes and nursing outcomes of the children in the two groups were compared.Results After nursing intervention,the partial pressure of oxygen(PaO2)and oxygen saturation of blood(SaO2)of the children in the two groups increased significantly and partial pressure of carbon dioxide(PaCO2)decreased significantly(P<0.05),but there was no statistically significant difference between the groups(P>0.05).The total incidence of complications in the intervention group was significantly lower than that in the control group(8.33%vs 21.67%,P<0.05).Compared with the control group,the children in the intervention group had shorter mechanical ventilation time and hospitalization time,and lower Score for Neonatal Acute PhysiologyⅡ(SNAPⅡ)(P<0.05).The total satisfaction of children's parents in the intervention group was significantly higher than that of the control group(96.67%vs 85.00%,P<0.05).Conclusion The implementation of active risk intervention combined with refined nursing for children with NRDS can improve blood gas indexes,reduce complications,accelerate recovery of the children,and improve the nursing satisfaction of parents,which has the value of promotion.

关 键 词：新生儿呼吸窘迫综合征 风险干预 精细化护理 并发症 血气指标 

分 类 号：R714.253[医药卫生—妇产科学]