NICU新生儿多巴胺渗漏相关因素分析及心理干预

摘要

目的 研究分析NICU新生儿多巴胺渗漏相关因素分析及心理干预.方法 选取象山县第一人民医院2015年2月~2017年2月收治的20例静脉输注多巴胺的NICU新生儿为研究对象,随机分为对照组和实验组2组,每组患者各为10例.对照组患者进行常规护理,实验组患者进行综合护理以及心理干预,关注患者的心理状态,进行全面的评估,积极给予护理.比较分析实验组与对照组患者的相关临床指标.结果 经过对应的护理方式后,对照组10例患儿中输注100例次,发生30例次渗漏,所占比例为30.0%.实验组10例患儿中输注100例次,发生16例次渗漏,所占比例为16.0%.可得,对照组发生多巴胺渗漏的概率显著高于实验组,差异具有统计学意义(P<0.05).实验组中,9例患儿家长对护理工作满意,满意率为90.0%.对照组中,8例患儿家长对护理工作满意,满意率为80.0%.可得,实验组护理满意度显著高于对照组满意度,差异具有统计学意义(P<0.05).结论 在静脉输注多巴胺的NICU新生儿中应用心理干预和综合护理,能够在很大程度上降低发生多巴胺渗漏概率,提高护理满意度,建立和谐的医患关系,具有临床进一步推广和应用的意义.%Objective To study and analyze the related factors of neonatal dopamine leakage in NICU and psychological intervention. Methods 100 cases of neonatal NICU patients who received intravenous infusion of dopamine in our hospital from February 2015 to October 2017 were selected and randomly divided into two groups,the control group and the experimental group,with 10 patients in each group.The patients in the control group were given routine nursing care,the patients in the experimental group were given comprehensive care and psychological intervention,and they paid attention to the psychological status of the patients,and carried out a comprehensive evaluation,and given positive care.The clinical indexes of the experimental group and the control group were compared and analyzed. Results After the corresponding nursing mode,10 cases in the control group were transfused 100 times,and 30 cases of secondary leakage occurred,accounting for 30.0%.In the experimental group,10 cases were transfused 100 times,and 16 cases of secondary leakage occurred,accounting for 16.0%.The probability of dopamine leakage in the control group was significantly higher than that in the experimental group,with statistical difference.In the experimental group,9 parents were satisfied with the nursing work,and the satisfaction rate was 90.0%.In contrast,42 parents were satisfied with the nursing work,and the satisfaction rate was 80.0%. The satisfaction degree of nursing in the experimental group was significantly higher than that in the control group,and the difference was statistically significant.Conclusion The application of psychological intervention in neonatal NICU intravenous infusion of dopamine and comprehensive care,can reduce the occurrence probability of leakage of dopamine in a large extent,improve nursing satisfaction,to build a harmonious doctor-patient relationship is further applied in clinical significance.