摘要
目的分析综合护理干预在小儿重症肺炎护理中的效果及影响。方法回顾性分析2020年6月至2022年4月南阳市第一人民医院急症重症监护室收治的106例小儿重症肺炎病例临床资料,其中开展常规护理干预的53例患儿为常规组,接受综合护理干预的53例患儿为综合组。比较两组患者症状与体征缓解时长、住院时长、动脉血气指标、实验室指标,并调查患儿再住院情况及家属对护理服务的满意程度。结果综合组患儿退热、喘息缓解、咳嗽缓解、肺部湿啰音消失时长及住院时长均短于常规组,差异有统计学意义(P<0.05)。两组患儿干预后氧分压(PaO_(2))、氧合指数(PaO_(2)/FiO_(2))及血氧饱和度(SaO_(2))数值显著高于干预前,二氧化碳分压(PCO_(2))低于干预前,且综合组变动幅度大于常规组,差异有统计学意义(P<0.05)。两组患儿干预后白细胞计数(WBC)、C反应蛋白(CRP)、降钙素原(PCT)及白介素-6(IL-6)水平明显低于干预前,且综合组均低于常规组,差异有统计学意义(P<0.05)。综合组患儿再住院率低于常规组,其家属满意度高于常规组,差异有统计学意义(P<0.05)。结论综合护理干预用于临床小儿重症肺炎护理中,能够快速改善患者动脉血气指标及实验室指标,促进患儿病情恢复,并减少发生再住院情况,家属满意度较高。
Objective To analyze the clinical effects of comprehensive nursing interventions in severe pneumonia children.Methods The clinical data of 106 severe pneumonia children admitted to emergency intensive care unit in Nanyang First People’s Hospital from June 2020 to April 2022 was retrospectively analyzed,53 cases of taking the routine nursing intervention were included in the routine group,and 53 children of taking the comprehensive nursing intervention were included in the comprehensive group.The symptoms and signs relief time,hospital stays,arterial blood gas index,laboratory index,re-admission ratios and family member’s satisfaction were compared between two groups.Results The abatement of fever,wheezing relief,cough relief and lung moist rale disappearance time and hospital stays in comprehensive group were shorter than routine group,the differences were statistically significant(P<0.05);After intervention,the partial pressure of oxygen(PaO_(2)),oxygenation index(PaO_(2)/FiO_(2))and oxygen saturation(SaO_(2))values for two groups were significantly higher than before,the partial pressure of carbon dioxide(PCO_(2))were lower than before,the fluctuation degrees in comprehensive group were significantly higher than routine group,the differences were statistically significant(P<0.05);After intervention,the white blood cell count(WBC),C-reactive protein(CRP),procalcitonin(PCT)and Interleukin-6(IL-6)levels for two groups were significantly lower than before,related values in comprehensive group were significantly lower than routine group,the differences were statistically significant(P<0.05);The re-admission ratios in comprehensive group was lower than routine group;the family member’s satisfaction in comprehensive group was higher than routine group,with significant differences(P<0.05).Conclusion The comprehensive nursing intervention can effectively improve the children’s arterial blood gas analysis index and laboratory indicators,promote the recovery of the children,reduce the re-admission rates,and increase the family member’s satisfaction hospitalization.
作者
李淑娟
韩虹
LI Shujuan;HAN Hong(Department of ICU,Nanyang First People’s Hospital,Nanyang Henan 473000,China)
出处
《临床研究》
2023年第6期142-145,共4页
Clinical Research
关键词
综合护理干预
小儿患者
重症肺炎
护理满意度
comprehensive nursing interventions
pediatric patients
severe pneumonia
nursing satisfaction
