摘要
目的:评估危重症专职护理模式在重症肺炎患儿护理中的应用效果。方法:选取2023年1—12月黔西南州贞丰县人民医院收治的重症肺炎患儿66例作为研究对象,应用1:1简单随机化法分为对照组、观察组,各33例。对照组采取常规护理,观察组在对照组基础上应用危重症专职护理模式。对比临床症状消失时间、并发症发生率、治疗前后血气指标变化情况。结果:观察组咳嗽、肺啰音、气促、发热、呼吸困难消失时间短于对照组(P<0.05)。观察组并发症发生率低于对照组(P=0.039)。干预前,两组动脉血氧分压(PaO_(2))、动脉血二氧化碳分压(PaCO_(2))、血氧饱和度(SaO_(2))水平比较,差异无统计学意义(P>0.05);干预后,两组PaO_(2)、SaO_(2)水平高于干预前,PaCO_(2)水平低于干预前,且观察组改善水平优于对照组(P<0.05)。结论:危重症专职护理模式在重症肺炎患儿护理中的应用效果显著,可有效改善患儿血气指标,缩短临床症状消失时间,降低并发症发生率。
Objective:To evaluate the application effect of full-time nursing model in the nursing of children with severe pneumonia.Methods:A total of sixty-six children with severe pneumonia treated in Qianxinan Prefecture Zhenfeng County People's Hospital from January to December 2023 were selected as the study objects,and were divided into control group and observation group by 1:1 simple randomization method,with thirty-three cases in each group.The control group was treated with routine nursing,and the observation group was treated with full-time nursing mode of critical illness on the basis of control group.The disappearance time of clinical symptoms,the incidence of complications and the changes of blood gas indexes before and after treatment were compared.Results:The disappearance time of cough,pulmonary rales,shortness of breath,fever and dyspnea in observation group was shorter than that in control group(P<0.05).The complication rate of observation group was lower than that of control group(P=0.039).Before intervention,there was no significant difference in the levels of arterial partial pressure of oxygen(PaO_(2)),arterial partial pressure of carbon dioxide(PaCO_(2)),and blood oxygen saturation(SaO_(2))between the two groups(P>0.05);after intervention,the levels of PaO_(2) and SaO_(2) in two groups were higher than before intervention,and the level of PaCO_(2) was lower than before intervention,and the improvement level in the observation group was better than that in the control group(P<0.05).Conclusion:The application of the full-time nursing model in the nursing of children with severe pneumonia is remarkable,which can effectively improve the blood gas index of children,shorten the disappearance time of clinical symptoms,and reduce the incidence of complications.
作者
王芸
Wang Yun(Qianxinan Prefecture Zhenfeng County People's Hospital,Qianxinan Buyi and Miao Autonomous Prefecture 562200,Guizhou Province,China)
出处
《中外医药研究》
2024年第24期94-96,共3页
JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH
关键词
危重症专职护理模式
小儿重症肺炎
血气指标
并发症
Full-time nursing model for critical illness
Severe pneumonia in children
Blood gas index
Complication
