综合护理干预在急性呼吸衰竭呼吸困难患儿中的应用效果研究

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目的分析综合护理干预在急性呼吸衰竭呼吸困难患儿中的应用效果。方法选取2011年1月—2016年1月应城市人民医院收治的急性呼吸衰竭呼吸困难患儿80例,根据护理干预方案分为对照组和观察组,每组40例。在常规对症治疗基础上,对照组患者接受常规护理干预,而观察组患儿接受综合护理干预。比较两组患儿护理疗效、患儿家属护理满意度、护理前后血气分析指标[包括动脉血二氧化碳分压(PaCO_2)、动脉血氧分压(PaO_2)]。结果观察组患儿护理疗效优于对照组(P<0.05)。观察组患儿家属护理满意度优于对照组(P<0.05)。护理前两组患儿PaCO_2、PaO_2比较,差异无统计学意义(P>0.05);护理后观察组患儿PaCO_2低于对照组,PaO_2高于对照组(P<0.05)。结论综合护理干预在急性呼吸衰竭呼吸困难患儿中的应用效果良好,可有效降低PaCO_2,提高PaO_2及患儿家属护理满意度。 Objective To analyze the effect of comprehensive nursing intervention in children with dyspnea of ​​acute respiratory failure. Methods Eighty children with respiratory failure due to acute respiratory failure who were admitted to Yingcheng People’s Hospital from January 2011 to January 2016 were selected and divided into control group and observation group according to nursing intervention plan, 40 cases in each group. On the basis of routine symptomatic treatment, patients in the control group received routine nursing intervention, while children in the observation group received comprehensive nursing intervention. The curative effect of the two groups were compared, the satisfaction of nursing care of children and the blood gas analysis index (including PaCO_2 and PaO_2) before and after nursing were compared. Results The efficacy of nursing in observation group was better than that in control group (P <0.05). The nursing satisfaction of family members in observation group was better than that in control group (P <0.05). There was no significant difference in the PaCO_2 and PaO_2 between the two groups before nursing (P> 0.05). After treatment, the PaCO_2 in the observation group was lower than that in the control group, PaO_2 was higher than that in the control group (P <0.05). Conclusion Comprehensive nursing intervention in children with dyspnea of ​​acute respiratory failure has a good effect, which can effectively reduce PaCO_2 and improve the nursing satisfaction of PaO_2 and their families.
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