体位改良护理在早产儿呼吸暂停治疗中的应用

摘要

Objective:To explore the application of of postural improvement nursing in apnea treatment of premature infants.Methods: A total of 68 apnea premature infants admitted to our hospital from April 2016 to April 2017 were selected as the research objects,and randomly and equally divided into obser-vation group and control group.The premature infants in the control group received traditional supine nursing based on conventional treatment;the observa-tion group received postural improvement nursing based on conventional treatment.The frequency of apnea,apnea duration,symptom disappearance time, heart rate(HR), respiration(RR)and oxygen saturation(SpO2)changes,adverse reactions and nursing satisfaction evaluation were compared before and after nursing between the two groups.Results:After nursing intervention,the frequency of apnea in the observation group was significantly less than that in the control group(P<0.05),the apnea duration and symptom disappearance time in the observation group was significantly shorter than that in the control group(P<0.05); after nursing intervention,the HR and RR in the observation group were significantly lower than those in the control group(P<0.05), and SpO2in the observation group was significantly higher than that in the control group(P<0.05);the adverse reactions in the observation group were fe-wer than those in the control group(P<0.05);the nursing satisfaction in the observation group was significantly higher than that in the control group(P<0.05).Conclusion: The postural improvement nursing intervention can significantly improve the cardiopulmonary function of premature infants,reduce the incidence of adverse reactions, and improve the treatment effect and nursing satisfaction.%目的:探讨体位改良护理在早产儿呼吸暂停治疗中的应用.方法:选取我院2016年4月 ~2017年4月期间收治的呼吸暂停早产儿68例为研究对象,随机等分为观察组和对照组.对照组早产儿在常规治疗基础上采用传统仰卧位护理;观察组在常规治疗基础上采用改良体位护理干预.比较两组护理前后呼吸暂停发作次数、呼吸暂停发作时间、症状消失时间变化,心率(HR)、呼吸(RR)和血氧饱和度(SpO2)变化,不良反应情况以及护理满意度评价.结果:护理干预后,观察组呼吸暂停发作次数显著少于对照组(P<0.05),观察组呼吸暂停发作时间、症状消失时间显著短于对照组(P<0.05);护理干预后,观察组HR和RR显著低于对照组(P<0.05),观察组 SpO2显著高于对照组(P<0.05);观察组不良反应发生少于对照组(P<0.05);观察组护理满意度显著高于对照组(P<0.05).结论:早产儿呼吸暂停治疗中采用体位改良护理干预,可明显改善早产儿心肺功能,提高治疗效果,降低不良反应发生率,提高护理满意度.