层级链式护理联合体位干预在新生儿肺炎中的应用价值

摘要/Abstract

摘要： 目的探究新生儿肺炎患儿层级链式护理联合体位干预的应用效果。方法选取2022年6月—2023年12月赤峰市医院收治的66例新生儿肺炎患儿为研究对象,采用随机信封抽签法将患儿分为对照组和试验组,每组33例。对照组采用常规护理干预,试验组采用层级链式护理联合体位干预,比较两组症状消失时间、住院时间、身体应激指标、氧合指标及护理满意度。结果护理后,试验组发热消失时间、咳嗽消失时间、肺啰音消失时间、胸X片阴影消失时间及住院时间均短于对照组,差异有统计学意义（P<0.05）;护理1周后,试验组血氧饱和度（SpO₂）、氧分压（PaO₂）及氧合指数（PaO₂/FiO₂）高于对照组,心率、呼吸及肺泡-动脉氧分压差（A-aDO₂）低于对照组,差异均有统计学意义（P<0.05）;患儿家属护理满意度高于对照组,差异有统计学意义（P<0.05）。结论层级链式护理联合体位干预在新生儿肺炎中具有重要价值,可加快患儿肺炎症状消退,并在一定程度上促进肺氧合功能的改善,缩短住院时间,提高护理满意度。

关键词: 新生儿肺炎, 层级链式护理, 体位, 临床症状, 氧合功能

Abstract: Objective To provide hierarchical chain care joint intervention for children with neonatal pneumonia and explore its application effect. Methods A total of 66 children with neonatal pneumonia treated in the neonatology department of Chifeng Hospital from June 2022 to December 2023 were selected and randomly divided into control group (33 cases, conventional care) and experimental group (33 cases, hierarchical chain nursing combined intervention) by envelope drawing method. T-test was used to compare the time of symptom disappearance, length of hospital stay, physical stress and oxygenation indexes of the two groups, and χ² test was used to compare nursing satisfaction. Results The disappearance time of fever, cough, lung rales, chest X and shadow were shorter than those of the control group (P<0.05); Oxyoxygen saturation (SpO₂), heart rate (HR) and respiration (R) were higher than / lower than the control group (P<0.05), The oxygen partial pressure (PaO₂) and oxygenation index (PaO₂/ FiO₂) were higher than the control group (P<0.05), The difference between alveolar-artery oxygen (A-aDO₂) was lower than that of the control group (P<0.05); The nursing satisfaction of the children was higher than that of the control group (P<0.05). Conclusion The hierarchical chain nursing consortium intervention has important value in neonatal pneumonia, which can accelerate the resolution of pneumonia symptoms in children, and promote the improvement of pulmonary oxygenation function to a certain extent, shorten the length of hospital stay, and improve nursing satisfaction.

Key words: neonatal pneumonia, hierarchical chain care, posture, clinical symptoms, oxygenation function

中图分类号:

R473.72

刘春丽, 张颜红. 层级链式护理联合体位干预在新生儿肺炎中的应用价值[J]. 中华养生保健, 2025, 43(2): 136-139.

LIU Chun-li, ZHANG Yan-hong. Application Value of Hierarchical Chain Care Consortium Intervention in Neonatal Pneumonia[J]. ZHONGHUA YANGSHENG BAOJIAN, 2025, 43(2): 136-139.

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