摘要
目的观察循证护理模式在新生儿吸入性肺炎中的护理效果,探讨其对临床护理工作的实际价值。方法随机选取该院2018年1—12月期间接收的新生儿吸入性肺炎患者104例,其中2018年1—6月期间接收的56例患者为对照组,采取常规护理干预措施,2018年7—12月期间接收的48例患者为观察组,采取循证护理干预模式。对比两组患者的护理效果,并就循证护理的临床价值进行分析。结果经过护理后,两组患儿均取得了一定的治疗效果,但观察组患儿的住院时间(12.3±3.1)d、肺部啰音消失时间(4.5±1.7)d、X线征象消失时间(3.6±2.1)d均明显短于对照组患儿(t=11.854、4.609、6.348,P<0.05),提示循证护理能够在一定程度上提高吸入性肺炎的治疗效果。在护理期间的并发症方面,观察组患儿的呼吸窘迫发生率明显低于对照组。在肺部感染评分方面,观察组患儿的肺部感染评分(4.13±0.92)分改善情况明显优于对照组患儿(t=9.329,P<0.05)。结论新生儿吸入性肺炎患者的护理是一项相对困难的护理任务,考虑到护理对象的特殊性,在临床护理工作中,合理应用循证护理模式,能够明显改善患儿的治疗效果,缩短患儿的治疗时间,并降低呼吸窘迫的发生率,保证患儿的安全。
Objective To observe the nursing effect of evidence-based nursing model in neonatal aspiration pneumonia and explore its practical value in clinical nursing.Methods 104 cases of neonatal aspiration pneumonia were randomly selected from January to December 2018 in the hospital.56 cases of neonatal aspiration pneumonia received from January to June 2018 were taken as the control group.Routine nursing intervention measures were adopted.48 cases of neonatal aspiration pneumonia received from July to December 2018 were taken as the observation group.Evidence-based nursing intervention mode was adopted.The nursing effect of the two groups was compared,and the clinical value of evidence-based nursing was analyzed.Results After nursing,both groups of patients achieved a certain therapeutic effect,but the hospitalization time(12.3±3.1)d,lung voice disappearance time(4.5±1.7)d,and X-ray sign disappearance time(3.6±2.1)d were significantly shorter than the control group(t=11.854,4.609,6.348,P<0.05),suggesting that evidence-based care can improve the therapeutic effect of aspiration pneumonia to some extent.In the complications during the nursing period,the incidence of respiratory distress in the observation group was significantly lower than that in the control group.In the lung infection score,the improvement of lung infection score(4.13±0.92)points in the observation group was significantly better than that in the control group(t=9.329,P<0.05)Conclusion Nursing of neonatal inhalation pneumonia patients is a relatively difficult nursing task.Considering the particularity of nursing objects,rational application of evidence-based nursing model in clinical nursing can significantly improve the treatment effect of children,shorten the treatment time of children,reduce the incidence of respiratory distress,and ensure the safety of children.
作者
黄丽
HUANG Li(Department of Pediatrics,the First Affiliated Hospital of Xiamen University,Xiamen,Fujian Province,361003,China)
出处
《中外医疗》
2019年第33期149-152,共4页
China & Foreign Medical Treatment
关键词
新生儿
吸入性肺炎
临床护理
循证护理
肺部感染评分
Newborn child
Inhalation pneumonia
Clinical care
Evidence-based care
Pulmonary infection score
