集束化护理在早产儿机械通气中的应用
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摘要
目的探讨集束化护理管理干预在早产儿机械通气中的护理效果。方法选取机械通气早产儿109例,实施集束化护理管理,并与实施常规护理的97例早产儿进行对比分析。结果采取集束化护理管理后,早产儿肺部感染发生率下降,机械通气时间和住院时间缩短(P<0.01)。结论集束化护理管理应用于早产儿机械通气中,可有效促进早产儿康复,值得临床推广应用。
Objective To explore the effects of bundle care in premature infants with mechanical ventilation. Methods Totally,109 premature infants with mechanical ventilation were received bundle care and 97 cases were received routine care. Results After application of bundle care management,the incidence of pneumonia infection of premature infants was decreased,the duration of mechanical ventilation and hospital stays were shorted( P < 0. 01).Conclusion Bundle care management in premature infants with mechanical ventilation can promote recovery of premature infants,which is worthy of clinical popularization and application.
Objective To explore the effects of bundle care in premature infants with mechanical ventilation. Methods Totally,109 premature infants with mechanical ventilation were received bundle care and 97 cases were received routine care. Results After application of bundle care management,the incidence of pneumonia infection of premature infants was decreased,the duration of mechanical ventilation and hospital stays were shorted( P < 0. 01).Conclusion Bundle care management in premature infants with mechanical ventilation can promote recovery of premature infants,which is worthy of clinical popularization and application.
引文
[1]单君,朱健华,顾艳荭.集束化护理理念及其临床应用的研究进展[J].护士进修杂志,2010,25(10):889-890.
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[10]张卫星,张蔚蓝,杜红莲.临床护理路径联合集束化护理提高护理管理质量的研究[J].中华现代护理杂志,2013,19(13):1564-1566.
[11]胡瑶,王晓慧,张健.集束化护理策略在预防心脏外科术后气管插管患者非计划拔管中的应用[J].护理管理杂志,2012,12(9):614-615.
[12]汪秀华,宋立弟,刘恋.新生儿病区护理风险管理的方法与效果[J].护理管理杂志,2011,11(4):292-293.
[2]Elizabeth R,Jarman B,Suntharalingam G.Using care bundles to reduce in hospital mortality:Quantitative survey[J].BMJ,2010,340(15):861-863.
[3]Hawe CS,Ellis K,Cairns C,et al.Reduction of ventilator-associated pneumonia:Active versus passive guideline implementation[J].Intens Care Med,2009,35(7):1180-1186.
[4]成守珍,高明榕,王越秀.专科护理小组在预防呼吸机相关性肺炎中的作用[J].中国护理管理,2010,10(1):10-11.
[5]江方正,叶向红,彭南海.呼吸道专职护士对机械通气患者实施集束化管理效果评价[J].护理管理杂志,2012,12(9):616-617.
[6]苏敏谊,张莉,陈秋玉.集束照护策略对提高NICU医护人员手卫生依从性的作用[J].中国实用护理杂志,2010,26(11):69-71.
[7]陈秋玉,张莉,苏敏谊.早产儿应用改良鸟巢体位包的护理效果观察[J].护理学报,2011,18(8):57-59.
[8]叶春燕,吴凡伟,郭冀丹.碳酸氢钠口腔护理预防新生儿呼吸机相关性肺炎的效果观察[J].护理学报,2012,19(7):50-51.
[9]雷淑珍,胡恬,戴萍华.新生儿呼吸机相关性肺炎的预防与护理措施[J].当代医学,2010,16(28):121-122.
[10]张卫星,张蔚蓝,杜红莲.临床护理路径联合集束化护理提高护理管理质量的研究[J].中华现代护理杂志,2013,19(13):1564-1566.
[11]胡瑶,王晓慧,张健.集束化护理策略在预防心脏外科术后气管插管患者非计划拔管中的应用[J].护理管理杂志,2012,12(9):614-615.
[12]汪秀华,宋立弟,刘恋.新生儿病区护理风险管理的方法与效果[J].护理管理杂志,2011,11(4):292-293.