首页|集束化呼吸道护理结合保护性睡眠护理对新生儿肺炎患儿血气分析指标及睡眠状态的影响

集束化呼吸道护理结合保护性睡眠护理对新生儿肺炎患儿血气分析指标及睡眠状态的影响

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目的 探讨集束化呼吸道护理结合保护性睡眠护理对新生儿肺炎患儿血气分析指标及睡眠状态的影响。方法 选取2021年1月至2022年12月于我院就诊的96例新生儿肺炎患儿为研究对象,将其随机分为对照组与观察组,各48例。对照组给予常规护理干预,观察组在对照组基础上采取集束化呼吸道护理结合保护性睡眠护理。比较两组的血气分析指标、多导睡眠图指标及并发症发生情况。结果 干预前,两组的血氧饱和度(SpO2)、动脉血氧分压(PaO2)、动脉血氧饱和度(SaO2)及动脉血二氧化碳分压(PaCO2)比较,差异无统计学意义(P>0。05);干预后,观察组的SpO2、PaO2及SaO2高于对照组,PaCO2低于对照组,差异具有统计学意义(P<0。05)。干预前,两组的觉醒次数、入睡潜伏时间、快速眼动期(REM)及深睡眠时间比较,差异无统计学意义(P>0。05);干预后,观察组的觉醒次数少于对照组,入睡潜伏时间短于对照组,REM、深睡眠时间长于对照组,差异具有统计学意义(P<0。05)。观察组的并发症总发生率为6。25%,低于对照组的25。00%,差异具有统计学意义(P<0。05)。结论 集束化呼吸道护理结合保护性睡眠护理应用于新生儿肺炎患儿的临床护理过程中,可有效改善血气分析指标,调节睡眠状态,降低并发症发生风险,值得推广。
Effects of cluster respiratory tract nursing combined with protective sleep nursing on blood gas analysis indexes and sleep state in children with neonatal pneumonia
Objective To investigate the effects of cluster respiratory tract nursing combined with protective sleep nursing on blood gas analysis indexes and sleep state in children with neonatal pneumonia.Methods A total of 96 children with neonatal pneumonia who were treated in our hospital from January 2021 to December 2022 were selected as the study subjects and randomly divided into control group and observation group,with 48 cases in each group.The control group was given routine nursing intervention,and the observation group was given cluster respiratory tract nursing combined with protective sleep nursing on the basis of the control group.The blood gas analysis indexes,polysomnography indexes and complications were compared between the two groups.Results Before intervention,there were no significant differences in oxygen saturation(SpO2),partial pressure of oxygen in arterial blood(PaO2),arterial oxygen saturation(SaO2)and partial pressure of carbon dioxide in arterial blood(PaCO2)between the two groups(P>0.05);after intervention,the SpO2,PaO2 and SaO2 in the observation group were higher than those in the control group,and the PaCO2 was lower than that in the control group,and the differences were statistically significant(P<0.05).Before intervention,there were no significant differences in the number of awakenings,sleep latency time,rapid eye movement(REM)and deep sleep time between the two groups(P>0.05);after intervention,the number of awakenings in the observation group was less than that in the control group,the sleep latency time was shorter than that in the control group,and the REM and deep sleep time were longer than those in the control group,and the differences were statistically significant(P<0.05).The total incidence of complications in the observation group was 6.25%,which was lower than 25.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion The cluster respiratory tract nursing combined with protective sleep nursing applied in the clinical nursing process of children with neonatal pneumonia can effectively improve the blood gas analysis indexes,regulate the sleep state and reduce the risk of complications,which is worthy of promotion.

cluster respiratory tract nursingprotective sleep nursingneonatal pneumoniablood gas analysis indexsleep state

段维鸽、闫丹

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咸阳市中心医院新生儿科,陕西咸阳,712000

集束化呼吸道护理 保护性睡眠护理 新生儿肺炎 血气分析指标 睡眠状态

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(35)