Effect of ultrasound-guided nursing program in preventing pressure ulcers in children during the ECMO operation period
Objective To assess the effects of different nursing programs,namely traditional pressure ulcer prevention interventions and ultrasound-guided nursing program combined with traditional pressure ulcer prevention interventions,on observed indicators in children during the extracorporeal membrane oxygenation(ECMO)operation period.Methods Sixty children during the ECMO operation period admitted to Children's Hospital Affiliated to Zhengzhou University from June 2020 to June 2022 were randomly divided into a control group and an observation group,with 30 cases in each group.In the control group,there were 18 boys and 12 girls;the age was 5-14(10.74±1.63)years old;there were 7 cases of cardiovascular diseases,5 cases of respiratory diseases,4 cases of gastrointestinal diseases,8 cases of surgical diseases,and 6 cases of other diseases.In the observation group,there were 16 boys and 14 girls;the age was 5-13(10.72±1.55)years old;there were 8 cases of cardiovascular diseases,6 cases of respiratory diseases,3 cases of gastrointestinal diseases,9 cases of surgical diseases,and 4 cases of other diseases.After enrollment,the control group received traditional pressure ulcer prevention interventions,while the observation group received ultrasound-guided nursing program combined with traditional pressure ulcer prevention interventions.Nursing till discharge,the nursing effects of different nursing intervention schemes were compared by observing the data of indicators.t test and x2 test were used.Results The incidence of pressure ulcers in the observation group[6.67％(2/30)]was lower than that in the control group[26.67％(8/30)],and the length of hospital stay[(14.71± 2.59)d],the use time of vasoactive drugs[(15.34±2.38)h],and the ECMO support time[(8.91±2.51)d]were shorter than those in the control group[(20.38±3.39)d,(23.55±2.45)h,and(12.05±3.54)d],with statistically significant differences between the two groups(x2=4.320,t=7.280,13.165,and 3.963;all P＜0.05).Nursing till discharge,the Short Form 36(SF-36)scores(social function,physical function,psychological function,and role function)of the observation group were(86.64±5.48)points,(82.28±5.41)points,(82.54±5.51)points,and(84.17±5.48)points,which were higher than those of the control group[(74.35±5.61)points,(73.59±5.37)points,(71.41±5.48)points,and(70.21±5.53)points],with statistically significant differences between the two groups(t=5.584,5.584,7.845,and 9.821,all P＜0.05).Nursing till discharge,the Self-Rating Depression Scale(SDS)and Self-Rating Anxiety Scale(SAS)scores of the control group and the observation group[(48.27± 4.64)and(41.28±3.51)points,(42.10±4.79)and(33.59±3.57)points]were decreased compared with those before nursing[(52.49±4.33)and(49.35±2.61)points,(51.67±4.29)and(48.64±2.48)points],and those of the observation group were lower than those of the control group(all P＜0.05).Nursing till discharge,the satisfaction scores(health education,environmental comfort,nurses'attitude,nursing operation,and treatment effect)of family members of the observation group were(16.22±2.47)points,(17.28±2.45)points,(16.48±2.72)points,(18.36±1.12)points,and(18.01± 1.51)points,which were higher than those of the control group[(14.18±2.58)points,(15.66±2.51)points,(13.56±2.59)points,(12.28±2.33)points,and(13.40±2.61)points],with statistically significant differences between the two groups(t=3.128,2.530,4.258,12.882,and 8.374,all P＜0.05).The treatment compliance of the observation group was higher than that of the control group[90.00％(27/30)vs.73.33％(22/30)],with a statistically significant difference(x2=4.320,P=0.038).Conclusion The use of ultrasound-guided nursing program in children during the ECMO operation period can shorten the recovery time,improve the psychological status,enhance the quality of life,increase the treatment compliance and family satisfaction,and prevent the pressure ulcers.
Extracorporeal membrane oxygenationPressure ulcersPreventionUltrasoundNursing interventionQuality of life
万方数据
维普
