儿科重症监护室患儿并发肺部感染的临床护理经验探析

摘要

Objective To investigate clinical nursing methods and efficacy in the pediatric intensive care unit(PICU) for children with pulmonary infection.Methods One hundred and twenty-seven children with pulmonary infection admitted into the PICU of Shengjin Hospital Mfiliated to China Medical University were selected as research subjects.They were divided into the observation group (n =65) and the control group (n =62),in accordance with different nursing methods.Then,analysis was made on related factors of pulmonary infection,and comprehensive nursing intervention was given to the 65 cases in the observation group,The 62 cases in the control group just received routine nursing care.Corresponding to pediatric pulmonary infection in the 2 groups,such related factors as clinical indicators,length of stay in hospital,mental status,rate of reentry into PICU and rate of satisfaction with nursing were closely observed between the patients of the 2 groups.Results Following intervention,various indicators of the patients in the observation group were obviously superior to those before intervention and those of the control group,with statistical significance (P ＜ 0.05).The length of stay in hospital,the incidence and duration of mental disorder syndrome,the rate of reentry into PICU,and the rate of satisfaction with various items of nursing,were all significantly superior to those of the control group,also with statistical significance (P ＜ 0.05).Conclusion Analysis of associated factors in those PICU patients with pulmonary infection and provision of effective clinical nursing could significantly improve the conditions of the child patients.Comprehensive nursing intervention was of positive significance in the promotion of patient recovery,enhancement of patient safety and harmonious relationship between patients and medical personnel.%目的 探讨儿科重症监护室(PICU)患儿并发肺部感染的临床护理方法及效果.方法 选取中国医科大学附属盛京医院PICU收治的127例并发肺部感染的患儿作为研究对象,按照护理方法分为观察组和对照组,观察组65例,分析导致并发肺部感染的因素,实施具有针对性的综合护理干预;对照组62例,实施常规护理.观察2组患儿肺部感染相关临床指标、住院时间、心理状态、重返PICU率、护理满意率等.结果 干预后观察组患儿各项指标明显优于干预前和对照组,差异有统计学意义(P＜0.05);观察组住院时间、心理紊乱综合征持续时间及发生率、重返PICU率、各项护理满意度评分均显著优于对照组,差异有统计学意义(P＜0.05).结论 分析PICU患儿并发肺部感染的相关因素并给予有效的临床护理干预,可有效改善患儿肺部感染,具有促进患儿恢复、保障护理安全及构建护患和谐关系等积极意义.