重症监护室患儿呼吸机护理中舒适护理的应用(1)
【摘要】 目的：探讨重症监护室患儿呼吸机护理中舒适护理的应用效果。方法：本研究纳入2017年12月-2018年12月笔者所在医院收治的72例重症监护室患儿，根据盲选方法将其随机分为参照组(n=36)和研究组(n=36)。参照组采取常规护理，研究组在此基础上实施舒适护理，比较两组患儿的护理效果和家长满意度。结果：研究组患儿呼吸机相关性肺炎发生率明显低于参照组，差异有统计学意义(P<0.05)。研究组患儿呼吸机通气时间和住院时间均明显短于参照组，差异有统计学意义(P<0.05)。研究组患儿家长护理满意度明显高于参照组，差异有统计学意义(P<0.05)。结论：重症监护室患儿呼吸机护理中实施舒适护理能够降低患儿呼吸机相关性肺炎发生率，缩短患儿机通气时间和住院时间，同时还可以提高家长满意度，值得临床借鉴和应用。
【关键词】 重症监护室患儿; 呼吸机护理; 舒适护理; 家长满意度
doi：10.14033/j.cnki.cfmr.2019.24.036 文献标识码 B 文章编号 1674-6805(2019)24-00-02
【Abstract】 Objective：To explore the application effect of comfortable nursing in ventilator nursing for children in intensive care unit.Method：A total of 72 children in intensive care unit admitted to our hospital from December 2017 to December 2018 were enrolled in this study.They were randomly divided into reference group(n=36) and research group(n=36) according to the blind selection method.The reference group was given routine nursing，and the research group was given comfortable nursing on this basis.The nursing effect and parents’ satisfaction of the two groups were compared.Result：The incidence of ventilator-associated pneumonia in the research group was significantly lower than that in the reference group，the difference was statistically significant(P<0.05).The Ventilator ventilation time and hospitalization time in the research group were significantly shorter than those in the reference group，the differences were statistically significant(P<0.05).The nursing satisfaction of parents in the research group was significantly higher than that in the reference group，the difference was statistically significant(P<0.05).Conclusion：Comfortable nursing can reduce the incidence of ventilator-associated pneumonia，shorten the ventilation time and hospitalization time of children in intensive care unit，and improve the satisfaction of parents.It is worthy of clinical reference and application.
【Key words】 Children in intensive care unit; Ventilator care; Comfortable nursing; Parents’ satisfaction
First-author’s address：Xianning Central Hospital，Xianning 437100，China
重癥监护室收治的患儿多为病情危重的患儿，在患儿的抢救中机械通气是一项重要的抢救措施，但是机械通气治疗后患儿出现呼吸机相关性肺炎的风险较高，严重威胁患儿的生命[1-2]。因此为提高患儿在机械通气期间的舒适度，降低患儿的呼吸机相关性肺炎发生率，促进患儿康复，提高家长满意度，本研究将舒适护理应用于重症监护室患儿的护理中，就护理效果进行以下探讨。
1 资料与方法
1.1 一般资料
研究纳入2017年12月-2018年12月笔者所在医院收治的重症监护室患儿72例，根据盲选方法随机将其分成参照组(n=36)和研究组(n=36)。参照组男19例，女17例;年龄最小1岁，最大8岁，平均(4.4±1.3)岁。研究组男18例，女18例;年龄最小1岁，最大8岁，平均(4.5±1.2)岁。两组患儿性别、年龄等一般资料比较，差异无统计学意义(P>0.05)，有可比性。所有患儿家长均知情同意并签署研究同意书。, http://www.100md.com(余燕)
【关键词】 重症监护室患儿; 呼吸机护理; 舒适护理; 家长满意度
doi：10.14033/j.cnki.cfmr.2019.24.036 文献标识码 B 文章编号 1674-6805(2019)24-00-02
【Abstract】 Objective：To explore the application effect of comfortable nursing in ventilator nursing for children in intensive care unit.Method：A total of 72 children in intensive care unit admitted to our hospital from December 2017 to December 2018 were enrolled in this study.They were randomly divided into reference group(n=36) and research group(n=36) according to the blind selection method.The reference group was given routine nursing，and the research group was given comfortable nursing on this basis.The nursing effect and parents’ satisfaction of the two groups were compared.Result：The incidence of ventilator-associated pneumonia in the research group was significantly lower than that in the reference group，the difference was statistically significant(P<0.05).The Ventilator ventilation time and hospitalization time in the research group were significantly shorter than those in the reference group，the differences were statistically significant(P<0.05).The nursing satisfaction of parents in the research group was significantly higher than that in the reference group，the difference was statistically significant(P<0.05).Conclusion：Comfortable nursing can reduce the incidence of ventilator-associated pneumonia，shorten the ventilation time and hospitalization time of children in intensive care unit，and improve the satisfaction of parents.It is worthy of clinical reference and application.
【Key words】 Children in intensive care unit; Ventilator care; Comfortable nursing; Parents’ satisfaction
First-author’s address：Xianning Central Hospital，Xianning 437100，China
重癥监护室收治的患儿多为病情危重的患儿，在患儿的抢救中机械通气是一项重要的抢救措施，但是机械通气治疗后患儿出现呼吸机相关性肺炎的风险较高，严重威胁患儿的生命[1-2]。因此为提高患儿在机械通气期间的舒适度，降低患儿的呼吸机相关性肺炎发生率，促进患儿康复，提高家长满意度，本研究将舒适护理应用于重症监护室患儿的护理中，就护理效果进行以下探讨。
1 资料与方法
1.1 一般资料
研究纳入2017年12月-2018年12月笔者所在医院收治的重症监护室患儿72例，根据盲选方法随机将其分成参照组(n=36)和研究组(n=36)。参照组男19例，女17例;年龄最小1岁，最大8岁，平均(4.4±1.3)岁。研究组男18例，女18例;年龄最小1岁，最大8岁，平均(4.5±1.2)岁。两组患儿性别、年龄等一般资料比较，差异无统计学意义(P>0.05)，有可比性。所有患儿家长均知情同意并签署研究同意书。, http://www.100md.com(余燕)