ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2016, Vol. 8 ›› Issue (2): 234-236.doi: 10.3969/j.issn.1674-3865.2016.02.037

• 临床护理 • 上一篇    下一篇

循证护理对降低新生儿鼻塞式持续气道正压通气并发症的应用价值

陈素香，江珊   

  1. 518019 广东 深圳，深圳市罗湖区妇幼保健院新生儿科(陈素香)；518017 广东 深圳，深圳市妇幼保健院新生儿重症监护室(江珊)
  • 出版日期:2016-04-25 发布日期:2018-11-19
  • 通讯作者: 江珊，E-mail：jiang7079@126.com
  • 作者简介:陈素香(1979-)，女，主管护师。研究方向：新生儿疾病的护理

Application value of evidence-based nursing in reducing complications of NCPAP in the newborn

CHEN Suxiang,JIANG Shan   

  1. Department of Neonatology,Luohu Women and Children Health Care Hospital,Shenzhen 518019,China.
  • Online:2016-04-25 Published:2018-11-19

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摘要：
目的：探讨循证护理对降低新生儿鼻塞式持续气道正压通气(CPAP)并发症的临床应用价值。
方法：2012年3月至2014年5月深圳市罗湖区妇幼保健院新生儿科收治住院的行鼻塞式CPAP治疗的新生儿77例，根据入院先后顺序分为常规护理组39例和循证护理组38例。记录两组新生儿护理后CPAP相关并发症发生情况及其护理满意度。
结果：护理后常规护理组患儿CPAP相关并发症发生率为308%(12/39)，显著高于循证护理组79%(3/38)，差异有统计学意义(P<005)；常规护理组护理满意率为590%(23/39)，显著低于循证护理组921%(35/38)，差异有统计学意义(P<005)。
结论：对行鼻塞式CPAP治疗的新生儿予以循证护理措施，可有效降低其相关并发症发生风险，利于提高临床护理满意度，值得临床推广。

关键词: 鼻塞式持续气道正压通气, 并发症, 循证护理, 婴儿, 新生

Abstract:
Objective:To explore the clinical application value of evidence-based nursing in reducing complications of nasal continuous positive airway pressure(NCPAP)in the newborn.
Methods:Totally 77 cases of neonates who underwent the Nasal CPAP treatment in Luohu District Maternal and Child Health Care Hospital were taken as the research objects,and the patients were randomly divided into the routine nursing group of 39 cases and the evidence-based nursing group of 38 cases according to the admission sequence.The occurrence of complications related to CPAP in the newborn of the two groups after nursing was compared and the differences of nursing satisfaction were recorded.
Results:①After nursing,the occurrence rate of CPAP-related complications in routine group was 308%,which was significantly higher than 79% of evidence-based group and the difference was statistically significant(P<005);②the nursing satisfaction of routine group was 59%,which was significantly lower than 921% of evidence-based group and the difference was statistically significant(P<005).
Conclusion:For the newborn with NCPAP treatment,evidence-based nursing can effectively reduce the risk of related complications and improve the clinical nursing satisfaction,which is worthy of promotion.

Key words: Nasal continuous positive airway pressure, Complications, Evidence-based nursing, Newborn