陳蒙蒙

【摘 要】目的：評(píng)價(jià)綜合護(hù)理干預(yù)在機(jī)械通氣新生兒護(hù)理中的效果。方法：以2018年1月-2019年1月來(lái)我院收治的134例機(jī)械通氣新生兒為研究對(duì)象，將其分為對(duì)照組與研究組，每組各67例患兒，對(duì)對(duì)照組患兒實(shí)施常規(guī)護(hù)理，對(duì)研究組患兒實(shí)施綜合護(hù)理干預(yù)，以機(jī)械通氣次數(shù)、機(jī)械通氣時(shí)間、住院時(shí)間、相關(guān)性肺炎發(fā)生率為觀察依據(jù)，對(duì)比常規(guī)護(hù)理與綜合護(hù)理干預(yù)在機(jī)械通氣新生兒護(hù)理中的效果。結(jié)果：經(jīng)觀察發(fā)現(xiàn)研究組患兒的機(jī)械通氣次數(shù)、時(shí)間明顯少于對(duì)照組，相關(guān)性肺炎發(fā)生率低于對(duì)照組，住院時(shí)間短于對(duì)照組，差異具有統(tǒng)計(jì)學(xué)價(jià)值。結(jié)論：在機(jī)械通氣新生兒護(hù)理中應(yīng)用綜合護(hù)理干預(yù)存在著較為積極的效果，可縮短患兒住院時(shí)間及機(jī)械通氣時(shí)間，降低不良反應(yīng)發(fā)生率，應(yīng)在臨床實(shí)踐中予以推廣。

【關(guān)鍵詞】綜合護(hù)理干預(yù);機(jī)械通氣

【中圖分類號(hào)】R473.72 【文獻(xiàn)識(shí)別碼】B 【文章編號(hào)】1002-8714（2019）12-0008-02

【ABSTRACT】Objective：To evaluate the effect of comprehensive nursing intervention in neonatal nursing with mechanical ventilation. Methods： 134 neonates with mechanical ventilation admitted to our hospital from January 2018 to January 2019 were divided into control group and research group 67 cases in each group. Routine nursing care was given to the control group and comprehensive nursing intervention was given to the study group. The number of mechanical ventilation duration of mechanical ventilation and length of hospital stay were used. Secondary pulmonary infection rate was observed and the effect of routine nursing and comprehensive nursing intervention in mechanical ventilation neonatal nursing was compared. Result： The number and time of mechanical ventilation in the study group were significantly less than those in the control group the secondary pulmonary infection rate was lower than that in the control group and the hospitalization time was shorter than that in the control group. Conclusion：The application of comprehensive nursing intervention in neonatal nursing with mechanical ventilation has a positive effect. It can shorten the hospitalization time and mechanical ventilation time of children and reduce the incidence of adverse reactions. It should be popularized in clinical practice.

【Key words】Comprehensive nursing intervention; Mechanical ventilation

機(jī)械通氣一直都是對(duì)危重新生兒進(jìn)行搶救的主要措施，然而，長(zhǎng)時(shí)間使用機(jī)械通氣可導(dǎo)致患兒的住院時(shí)間延長(zhǎng)，并提升呼吸機(jī)相關(guān)性肺炎的發(fā)生幾率，易造成患兒死亡。因此，應(yīng)在臨床實(shí)踐中合理實(shí)施綜合護(hù)理干預(yù)，降低相關(guān)性肺炎發(fā)生率。據(jù)此本文以2018年1月-2019年1月來(lái)我院收治的134例機(jī)械通氣新生兒為研究對(duì)象，評(píng)價(jià)綜合護(hù)理干預(yù)在機(jī)械通氣新生兒護(hù)理中的效果。在此對(duì)研究?jī)?nèi)容進(jìn)行歸納整理，做出如下報(bào)告：

1 資料與方法

1.1一般資料

以2018年1月-2019年1月來(lái)我院收治的134例機(jī)械通氣新生兒為研究對(duì)象，將其分為對(duì)照組與研究組，在67例對(duì)照組患兒中，共有男患兒32例，女患兒35例，所患疾病為氣胸、新生兒濕肺等。在67例研究組患兒中，共有男患兒30例，女患兒37例，所患疾病為胎糞吸入綜合征、氣胸等。兩組一般資料無(wú)統(tǒng)計(jì)學(xué)差異（P>0.05），具有可比性。

1.2方法

1.2.1對(duì)照組：對(duì)對(duì)照組患兒實(shí)施常規(guī)護(hù)理，包括對(duì)患兒生命體征進(jìn)行監(jiān)測(cè)等。

1.2.2研究組：對(duì)研究組患兒實(shí)施綜合護(hù)理干預(yù)。在氣管導(dǎo)管進(jìn)的管理方面，在機(jī)械通氣插管后應(yīng)合理對(duì)其進(jìn)行固定，固定方法分為常規(guī)固定法以及雙套結(jié)固定法，我院在實(shí)踐中同時(shí)使用兩種方法對(duì)導(dǎo)管雙重固定，同時(shí)對(duì)氣管導(dǎo)管的相關(guān)距離進(jìn)行記錄。在護(hù)理過(guò)程中，除了需要保持膠布干燥外，還應(yīng)該按時(shí)對(duì)其進(jìn)行更換等。如果發(fā)現(xiàn)固定膠布的邊緣出現(xiàn)了打卷的情況，值班護(hù)理人員就應(yīng)立即對(duì)其進(jìn)行更換。