集束化护理在极低出生体质量儿机械通气中的应用

Zhongxiyi Jiehe Huli (Zhong-Yingwen Ban)

青旭蓉¹ 

关键词: 极低出生体质量儿;    机械通气;    集束化护理;    呼吸机相关性肺炎;    呼吸道管理;   

DOI  :  10.11997/nitcwm.201804003

学科分类：护理学

来源: Shanghai Jiao Tong University Press

【 摘 要 】

Abstract：Objective To evaluate the nursing care bundles for very low birth weight(VLBW)infants with mechanical ventilation. Methods 〓Totally 60 VLBW infants with mechanical ventilation were assigned to the control group(n=29, between May, 2015 and April, 2016)and the observation group(n=31, between May, 2016 and April, 2017 )according to the admission sequence. The control group was given routine care during mechanical ventilation. The nursing care bundles including hand hygiene, sterile operation, position management, oral and skin care and management on trachea cannula, sputum suction, stomach tube, withdraw from ventilatory support were carried out in the observation. The duration of ventilatory support, length of stay, hospitalization costs and daily growth rate of bodyweight were recorded and compared between two groups. Results 〓There was a shorter duration of ventilatory support, a shorter length of stay and a lower hospitalization cost in the observation group than that of controls, respectively(P<0.05). The infants in the observation group gained a higher daily growth rate of bodyweight compared with those in the control group(P<0.05). Conclusion 〓The application of care bundles is potentially effective to reduce the duration of ventilatory support and promote the growth of bodyweight in VLBW infants with mechanical ventilation.

【 授权许可】

CC BY-NC