舒适护理在先天性心脏病患儿术后呼吸道管理中的作用.docx

舒适护理在先天性心脏病患儿术后呼吸道管理中的作用【摘要】目的：探讨舒适护理在先天性心脏病患儿术后呼吸道管理中的作用。方法：将155例先天性心脏病患儿随机分为实验组78例和对照组77例。对照组予以常规护理措施，实验组在对照组的基础上加以舒适护理。比较两组患儿术后呼吸系统相关并发症（主要包括肺不张、呼吸机相关性肺炎、再插管呼吸机辅助通气、严重低氧血症等）发生情况。结果：对照组患儿术后呼吸系统相关并发症共10例，其中肺不张3例（发生率3.90%），呼吸机相关性肺炎2例（发生率2.60%），再插管呼吸机辅助通气3例（发生率3.90%），严重低氧血症2例（发生率2.60%）；实验组患儿术后呼吸系统相关并发症共3例，其中呼吸机相关性肺炎2例（发生率2.56%），再插管呼吸机辅助通气1例（发生率1.28%）；实验组患儿呼吸系统相关并发症发生率3.85%（3/78）低于对照组患儿呼吸系统相关并发症发生率12.99%（10/77），两者比较差异有统计学意义（P＜0.05）。结论：舒适护理可以减少先天性心脏病患儿术后呼吸系统相关并发症，提高治疗效果，改善预后，值得在临床推广应用。【关键词】舒适护理；先天性心脏病；呼吸道管理The application of comfort care in postoperativerespiratory?management of congenital heart disease children 【Abstract】Objective: To explore the effect of comfort care in postoperative respiratory management of congenital heart disease children. Methods: There were 155congenital heart disease children randomly divided into intervention group(n=78) and control group(n=77). The patients in the control group were served with routine nursing care, while the patients in the intervention group added comfort care intervention. The respiratory system related complications rates were compared betweenthese 2 groups,in which pulmonary atelectasis, ventilator-associated pneumonia, breathing machine intubation assisted ventilation and severe hypoxemia were included. Results: There were 3cases of pulmonary atelectasis,2 cases of ventilator-associated pneumonia, 3 cases of breathing machine intubation assisted ventilation and 2 cases of severe hypoxemia in the control group. There were2 cases of ventilator-associated pneumonia and 1 case of breathing machine intubation assisted ventilation in the intervention group.The rate of respiratory system related complications was 3.85%(3/78) in the intervention group, lower than the control group which was 12.99%(10/77), with statistically significant difference(P＜0.05).Conclusion:The comfort careintervention could reduce the rate of respiratory system related complications, improve the treatment outcome, worthy of clinical application.〖Keyw