Application effect of multi-dimension evaluation on the nasal septum injuries of prematures treated with NCPAP
10.3760/cma.j.issn.1674-2907.2017.05.027
- VernacularTitle:多维度评估在早产儿NCPAP治疗下鼻中隔皮肤损伤中的应用效果
- Author:
Dong WU
1
;
Lingzhi CHEN
Author Information
1. 江苏省苏州市吴中人民医院新生儿科
- Keywords:
Infant;
premature;
Multi-dimension evaluation;
Nasal continuous positive airway pressure;
Nasal septum injury
- From:
Chinese Journal of Modern Nursing
2017;23(5):701-705
- CountryChina
- Language:Chinese
-
Abstract:
Objective To improve the nursing quality and optimize services by shortening the treatment time of nasal continuous positive airway pressure (NCPAP), and decreasing the incidence of nasal septum injury. Methods Totally 72 prematures treated with NCPAP in neonate department from February 2014 to September 2016 were selected and divided into the observation group and the control group, with 26 cases in each group. Patients in the control group received routine nursing method, while patients in the observation group received multi-dimension evaluation intervention. We used quality control circle to improve the quality, used cause-and-effect diagram to analyze the cause of nasal septum injury of prematures under the treatment of NCPAP, and used correlation analysis and clinical examination to find out the root cause. Targeted at 5 root causes, the improvement project was made. The treatment time of prematures, the number of cases of nasal septum injury and its degree, the average hospitalization time, the decannulation rate under the duty nurses' intervention, the increasing situation of prematures' weight in two groups before and after the application of multi-dimension evaluation were compared.Results Early machine withdrawal standard process and pain management plan were made, and hydrocolloid dressing combined with piping belt fixation method was used. The treatment time of NCPAP in prematures decreased from (44.2±18.4) h to (32.3±11.7) h (t=2.173,P=0.003); the incidence rate of Ⅰskin injury decreased from 41.7% to 11.1% (χ2=-3.092,P=0.003); the incidence rate of Ⅱskin injury decreased from 16.7% to 2.8% (χ2=-2.017,P=0.048); the machine withdrawal rate under nurses' intervention decreased from 58.3% to 13.9% (χ2=4.366,P=0.000); the average hospitalization time decreased from (189.1±52.8) h to (170.9±42.4) h (t=3.014,P=0.003); the increasing weight of prematures reduced from 58.3% to 88.9% (χ2=3.092,P=0.003); and the comparison between two groups had significant difference (P<0.05).Conclusions Multi-dimension evaluation can significantly decrease the occurrence of premature's nasal septum injuries.
