系统性护理干预在重症肺炎合并呼吸衰竭患儿中应用效果观察.doc

精品论文 参考文献 系统性护理干预在重症肺炎合并呼吸衰竭患儿中应用效果观察 (商丘市第一人民医院儿童重症监护室PICU 河南商丘 476100) [摘要] 目的:探讨给予重症肺炎合并呼吸衰竭患儿系统性护理干预的效果。方法:选取2013年5月-2015年10月在我院就诊的重症肺炎合并呼吸衰竭患儿60例，将其随机分为两组，各30例，对比分析两组护理效果。结果:对照组患儿的深吸气量、肺活量、通气流速、每分钟最大通气量等肺功能指标明显差于观察组，差异显著（P＜0.05）；对照组患儿的SaO2、PaO2、pH血气指标明显低于观察组，但PaCO2明显高于观察组，差异显著（P＜0.05）。结论:给予重症肺炎合并呼吸衰竭患儿系统性护理干预的效果较好，可有效缓解患儿的负面情绪，改善临床症状，促进护患关系和谐，提高家长对护理的满意度。 [关键词] 系统性护理干预；重症肺炎；呼吸衰竭 Systemic nursing intervention in children with severe pneumonia with respiratory failure in application effect observation Li Mengli childrens intensive care unit (shangqiu first peoples hospital PICU henan shangqiu, 476100) [abstract] objective: to study the given combination of respiratory failure in children with severe pneumonia the effect of systemic nursing intervention. Selection methods: in May 2013 - October 2015 in our hospital in 60 cases of children with severe pneumonia with respiratory failure, its were randomly divided into two groups, each 30 cases, compared two groups of nursing effect. Results: the control group with deep inspiratory capacity, vital capacity, ventilation velocity, the chase volume per minute pulmonary function index significantly worse in observation group, significant difference (P lt; 0.05); SaO2, PaO2, pH value of the control group with blood gas index was lower than that in group to observe, but PaCO2 obviously higher than the observation group, significant difference (P lt; 0.05). Conclusion: given combination of respiratory failure in children with severe pneumonia has good effect of systemic nursing intervention, which can effectively alleviate the patients negative emotions, improve the clinical symptoms, promote the harmonious relationship between nurses and patients, improve the parents satisfaction to nursing. [key words] systemic nursing intervention; Severe pneumonia; Respiratory failure 小儿重症肺炎是临床儿科比较常见的一种疾病，其病程较长，发病急，常伴有呼吸衰竭等并发症，严重影响患儿的生存质量[1]。提高治疗重症肺炎合并呼吸衰竭疗效越来越成为医生和患儿家长关注的重点。有研究报道