Application of preventive nursing in mechanical ventilation nursing of neonatal respiratory distress syndrome in premature infants
10.3760/cma.j.issn.1672-7088.2019.16.008
- VernacularTitle: 预防性护理在早产儿新生儿呼吸窘迫综合征机械通气护理中的应用
- Author:
Yanfang ZHENG
1
;
Jianying WANG
;
Peirong FAN
;
Cuixing WU
Author Information
1. Department of Neonatology, the Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai 519000, China
- Publication Type:Clinical Trail
- Keywords:
Preventive nursing;
Premature infants;
Neonatal respiratory distress;
Application value
- From:
Chinese Journal of Practical Nursing
2019;35(16):1238-1241
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the value of preventive nursing in the treatment of neonatal respiratory distress syndrome (NRDS) mechanical ventilation in premature infants.
Methods:A total of 45 NRDS preterm infants who received treatment during the preventive care program from February 1, 2018 to November 1, 2018 were selected as group A, 45 cases of NRDS preterm infants who received treatment during the preventive care program from January 1, 2017 to January 10, 2018 were included in group B for retrospective study. Baseline data, mechanical ventilation index, complications, and family satisfaction of the children were observed.
Results:The number of pulmonary surfactant applications, mechanical ventilation time, hospitalization time and hospitalization cost were (1.5±0.5) times, (92.5±13.8) h, (12.5±1.3) d, (26±4) thousand yuan in group A, and (2.6±0.4) times, (131.4±23.1) h, (16.0±2.8) d, (33±5) thousand yuan in group B, the highest oxygen saturation value was 468.9±42.1 in group A,401.2±22.3 in group B, there were significant difference between the two groups(t=7.334-11.524, P<0.05). The total incidence of complications during treatment was 15.6%(7/45) in group A and 48.9%(22/45), there was significant difference between the two groups (χ2=11.447, P<0.05). The total satisfaction rate of family members was 95.6%(43/45) in group A, which was significantly higher than that in group B (64.4%, 29/45). The difference was statistically significant (χ2=13.611, P<0.05).
Conclusions:Prophylactic care can be used in the mechanical ventilation of premature infants with NRDS, which can significantly reduce the incidence of complications, reduce the amount of pulmonary surfactant, shorten the mechanical ventilation time, and save the cost of treatment. It is worth promoting.
