摘要
目的分析重症监护室新生儿持续气道正压通气(CPAP)治疗中实施可控风险因素多维度护理干预的效果,探讨其对患儿鼻部皮肤的保护作用。方法选取2021年1月至2022年12月泉州市妇幼保健院·儿童医院新生儿科收治的100例CPAP治疗患儿作为研究对象,按随机数表法分为两组。对照组(n=50)实施常规CPAP护理干预,在此基础上,给予观察组(n=50)可控风险因素多维度护理干预,比较两组患儿的呼吸功能、鼻部皮肤损伤情况、家属满意度等。结果干预12、24 h时,观察组氧合指数(OI)高于对照组,吸氧分数(FiO_(2))、平均气道压(MAP)低于对照组,差异有统计学意义(P<0.05)。观察组患儿鼻部皮肤保护优良率为94.00%,高于对照组的80.00%,差异有统计学意义(P<0.05)。观察组家属对护理的满意度为96.00%,高于对照组的80.00%,差异有统计学意义(P<0.05)。干预期间,观察组患儿意外事件发生率低于对照组,差异有统计学意义(P<0.05)。结论可控风险因素多维度护理干预可有效改善重症监护室CPAP治疗新生儿的呼吸功能,减少意外事件发生风险,保护患者鼻部皮肤,从而提高患儿家属的满意度,具有重要的研究价值。
Objective To analyze the effectiveness of multi-dimensional nursing intervention with controllable risk factors in continuous positive airway pressure(CPAP)treatment of neonates in intensive care units,and to explore its protective effectiveness on the nasal skin of the neonates.Methods A total of 100 CPAP-treated children in the Department of Neonatology,Quanzhou Maternal an d Child Health Center and Children’s Hospital from January 2021 to December 2022 were randomly into two groups.The control group(n=50)received routine CPAP nursing intervention,on the basis of which the observation group(n=50)received multi-dimensional nursing intervention with controllable risk factors,the respiratory function,nasal skin injury and satisfaction of family members were compared between the two groups.Results After 12 and 24 h intervention,the oxygenation index(OI)of the observation group was higher than that of the control group,and the fraction of inspiration O2(FiO_(2))and mean airway pressure(MAP)of the control group were lower,with statistical significance(P<0.05).The excellent and good rate of nasal skin protection in observation group was 94.00%,which was higher than 80.00% in control group,the difference was statistically significant(P<0.05).The satisfaction of family members in the observation group was 96.00%,which was higher than 80.00% in control group,the difference was statistically significant(P<0.05).During the intervention period,the incidence of accidents in observation group was lower than that in control group,and the difference was statistically significant(P<0.05).Conclusion Multidimensional nursing intervention with controllable risk factors can effectively improve the respiratory function of neonates treated with CPAP in intensive care units,reduce the risk of accidents,protect the nasal skin of neonates,and thus improve the satisfaction of family members o f neonates,which is worthy of further study.
作者
李科霞
林娇蓉
傅冬梅
林秋云
LI Kexia;LIN Jiaorong;FU Dongmei;LIN Qiuyun(Department of Neonatology,Quanzhou Maternal and Child Health Center and Children’s Hospital,Fujian,Quanzhou 362000,China)
出处
《中国医药科学》
2023年第19期136-140,共5页
China Medicine And Pharmacy
关键词
新生儿重症监护室
可控风险因素多维度护理
持续气道正压通气
鼻部皮肤保护
Neonatal intensive care unit
Multi-dimensional nursing intervention with controllable risk factors
Continuous positive airway pressure
Nasal skin protec tion
