Effect of quantitative evaluation model of airway nursing for postoperative respiratory management in children with congenital heart disease
Objective To explore the effect of quantitative evaluation model of airway nursing for postoperative respiratory management in children with congenital heart disease.Methods In this randomized controlled trial,96 children with congenital heart disease admitted to Fuwai Central China Cardiovascular Hospital from September 2022 to October 2023 were divided into two groups by random drawing with 48 cases in each group.The control group included 27 boys and 21 girls,with an age of(3.57±0.53)years old.The observation group included 29 boys and 19 girls,with an age of(3.64±0.54)years old.The control group was given routine airway management after surgery,and the observation group was given quantitative evaluation model of airway nursing,until the children were discharged from the hospital.The perioperative indexes,oxygenation indicators[partial pressure of arterial oxygen(PaO2),fraction of inspired oxygen(FiO2),and oxygenation index(PaO2/FiO2)]before and 14 d after intervention,and incidence of postoperative complications were compared between the two groups.x2 test and t test were performed.Results Compared with those in the control group[(86.26±12.93)h,(7.35±1.10)d,and(8.49±1.27)d],the duration of ventilator use,monitoring,and hospitalization[(45.3 2±6.79)h,(4.04±0.60)d,and(5.58±0.83)d]in the observation group were shorter,with statistically significant differences(t=19.421,18.302,and 13.288,all P＜0.001).After intervention,the levels of PaO2,FiO2,and PaO2/FiO2 in the observation group were(121.63±18.24)mmHg(1 mmHg=0.133 kPa),(48.67±7.30)％,and(439.62±65.94)mmHg,respectively,which were higher than(110.58±16.58)mmHg,(39.82±5.97)％,and(378.40±56.76)mmHg in the control group,with statistically significant differences(t=3.105,6.501,and 4.874,all P＜0.05).Compared with that in the control group[16.66％(8/48)],the incidence of postoperative complications in the observation group[4.16％(2/48)]was lower,with a statistically signifiicant difference(x2=4.018,P=0.045).Conclusion The application of quantitative evaluation model of airway nursing to respiratory management in postoperative nursing for children with congenital heart disease can effectively promote the children's recovery,improve the oxygenation indicators,and has positive significance in reducing the incidence of postoperative complications.
Congenital heart diseaseChildrenQuantitative evaluation model of airway nursingRespiratory tract managementApplication value
万方数据
维普
