首页|基于循证医学理论的护理模式在新生儿肺炎合并心力衰竭的应用研究

基于循证医学理论的护理模式在新生儿肺炎合并心力衰竭的应用研究

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目的 观察循证医学理论护理改善肺炎伴心力衰竭新生儿的效果。方法 选取 2020 年 3 月至 2022 年 3 月期间72例肺炎伴心力衰竭新生儿作为研究对象,经电脑盲选法均等划分为均组36例的参照组(常规护理)与干预组(基于循证医学护理),对比分析两组护理效果。结果 干预组肺部阴影消失、湿啰音、咳嗽消失、气喘缓解各项症状恢复时间均短于参照组,差异有统计学意义(P<0。05)。护理前,两组心率、呼吸以及肝肋下增大程度比较,差异无统计学意义(P>0。05);护理后,干预组心率、呼吸均慢于参照组,干预组肝肋下增大程度小于参照组,差异有统计学意义(P<0。05)。护理前,两组左室舒张末期内径(LVDd)、左室收缩末期内径(LVDs)、左室射血分数(LVEF)比较,差异无统计学意义(P>0。05);护理后,干预组LVDd、LVDs低于参照组,干预组LVEF高于参照组,差异有统计学意义(P<0。05)。护理前,两组儿童生存质量测定量表(PedsQL)评分比较,差异无统计学意义(P>0。05);护理后,干预组PedsQL评分高于参照组,差异有统计学意义(P<0。05)。结论 肺炎伴心力衰竭患儿在基于循证医学理论护理模式下,其临床病症能够在较短时间得到改善,还可有效促进生命体征与心功能改善,提高生存质量,值得应用。
Application Research of Nursing Model based on Evidence-based Medicine Theory in neonatal Pneumonia complicated with Heart Failure
Objective To observe the effect of evidence-based medicine theory nursing on improving neonatal pneumonia with heart failure.Methods A total of 72 newborns with pneumonia and heart failure between March 2020 and March 2022 were selected as the study subjects.They were equally divided into control group(conventional nursing)and intervention group(based on evidence-based medicine nursing)using a computer-based blind selection method,with 36 cases in each group.The nursing effects of the two groups were compared and analyzed.Results The recovery time of various symptoms such as disappearance of lung shadows,wet rales,cough,and asthma relief in the intervention group was shorter than that in the control group,and the difference was statistically significant(P<0.05).Before nursing,there was no statistically significant difference in heart rate,respiration,and subcostal liver enlargement between the two groups(P>0.05);After nursing,the heart rate and respiration of the intervention group were slower than those of the control group,and the degree of subcostal liver enlargement in the intervention group was smaller than that of the control group,with statistical significance(P<0.05).Before nursing,there was no statistically significant difference in left ventricular end diastolic diameter(LVDd),left ventricular end systolic diameter(LVDs),and left ventricular ejection fraction(LVEF)between the two groups(P>0.05);After nursing,the LVDd and LVDs in the intervention group were lower than those in the control group,while the LVEF in the intervention group was higher than that in the control group,with statistical significance(P<0.05).Before nursing,there was no statistically significant difference in the pediatric quality of life inventory measurement models(PedsQL)scores between the two groups of children(P>0.05);After nursing,the PedsQL score of the intervention group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Under the nursing model based on evidence-based medicine theory,the clinical symptoms of children with pneumonia and heart failure can be improved in a short period of time,and it can effectively promote the recovery of vital signs and cardiac function,improve quality of life,and is worthy of application.

neonatal pneumoniaevidence-based medicine theoryheart failureheart functionquality of lifesatisfaction

陈霜凌、贺亚楠、于燕

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驻马店市中心医院 护理部,河南 驻马店 463000

驻马店市中心医院 新生儿科,河南 驻马店 463000

新生儿肺炎 循证医学理论 心力衰竭 心功能 生存质量 满意度

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(4)
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