Application of Dynamic Airbag Pressure Monitoring Combined with Special Respiratory Intensive Intervention in the Postoperative Nursing of Tetralogy of Fallot in Infants
Objective To study the application effects of dynamic airbag pressure monitoring combined with special respiratory intensive intervention in the postoperative nursing of tetralogy of Fallot in infants.Methods A total of 86 children with mechanical ventilation after surgery for tetralogy of Fallot admitted to pediatric cardiac intensive care unit of the hospital from January 2021 to December 2022 were prospectively selected as the study subjects,and were divided into observation group(43 cases)and control group(43 cases)according to the random number table method.The control group received routine nursing intervention,and the observation group received dynamic airbag pressure monitoring combined with special respiratory intensive intervention on this basis.The postoperative recovery(mechanical ventilation time,postoperative monitoring time,hospital stay)and occurrence of respiratory system-related complications,blood gas indicators[oxygen saturation(SpO2),arterial partial pressure of oxygen(PaO2),arterial partial pressure of carbon dioxide(PaCO2)]before and after intervention,face,legs,activity,cry,consolability behavioral tool(FLACC)at 48 hours after surgery and quality of life on the day of discharge[pediatric quality of life inventory measurement model(PedsQLTM 3.0)parent questionnaire]were compared between the two groups.Results The mechanical ventilation time,postoperative monitoring time and hospital stay in observation group were shorter than those in control group(P＜0.05).The total incidence rate of respiratory system-related complications was lower in observation group than that in control group(P＜0.05).After intervention,the SpO2 and PaO2 in both groups were increased(P＜0.05),and the indicators in observation group were higher than those in control group(P＜0.05).PaCO2 in the two groups was decreased(P＜0.05),and the indicator in observation group was lower than that in control group(P＜0.05).At 48 hours after surgery,there were no statistically significant differences in expression,body movement and behavior scores(P＞0.05),and the scores of crying and consolability and total score of FLACC were lower in observation group than those in control group(P＜0.05).On the day of discharge,the scores of dimensions of PedsQLTM 3.0 parent questionnaire in observation group were higher than those in control group(P＜0.05).Conclusion Dynamic airbag pressure monitoring combined with special respiratory intensive intervention can help improve the arterial blood gas level in children after surgery for tetralogy of Fallot,reduce the incidence rates of respiratory system-related complications,and enhance the short-term quality of life.
dynamic airbag pressure monitoringspecial respiratory intensive interventiontetralogy of fallot in infants
万方数据
维普
