集束化护理在小儿ICU重症肺炎中的应用分析

摘要

目的 探讨集束化护理在小儿ICU重症肺炎患儿护理中的应用效果.方法 选取88例小儿ICU重症肺炎患儿随机分为2组,对照组采用常规护理,实验组则加施集束化护理,比较2组患儿干预前后血气学分析结果、护理辅助治疗效果、护理干预后相关临床指标、VAP与死亡情况以及家属护理满意调查情况.结果 实验组患儿干预后p(O2)、SaO2与pH水平均显著性高于对照组(P＜0.01),p(CO2)水平、通气时间、ICU时间、住院时间与VAP发生率均显著性低于对照组(P＜0.01);实验组患儿辅助治疗总有效率高于对照组,病死率低于对照组,家属护理满意度调查结果优于对照组,差异均有统计学意义(P＜0.05).结论 集束化护理应用在小儿ICU重症肺炎患儿中效果显著,可提高家属护理满意度,具有借鉴性.%Objective To investigate effect of cluster nursing for children with severe pneumonia in ICU.Methods A total of 88 patients with severe pneumonia were randomly divided into two groups,the control group received routine care,and the experimental group conducted cluster nursing.Blood gas analysis results after intervention,adjuvant effect of nursing,related clinical indicators,VAP,mortality and nursing satisfaction were compared.Results The experimental group had higher levels of p (O2),SaO2 and pH,lower p (CO2) level,ventilation time,ICU time and length of hospital stay and incidence of VAP than the control group (P ＜ 0.01).The experimental group had higher total efficiency and nursing satisfaction,and lower mortality than the control group (P ＜ 0.05).Conclusion Cluster nursing for children with severe pneumonia in ICU has significant efficacy,and can significantly improve nursing satisfaction.