| 多学科协作式护理模式在新生儿持续肺动脉高压气管插管中的应用观察题录 |
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| 引用本文： | 石兰兰,端木艳艳,刘彦彦.多学科协作式护理模式在新生儿持续肺动脉高压气管插管中的应用观察题录[J].国际医药卫生导报,2023,29(3):385-389. |
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| 作者姓名： | 石兰兰 端木艳艳 刘彦彦 |
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| 作者单位： | 郑州大学附属儿童医院 河南省儿童医院 郑州儿童医院新生儿重症监护室，郑州 450000 |
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| 基金项目： | 河南省医学科技攻关计划联合共建项目（LHGJ20210660） |
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| 摘 要： | 目的探讨多学科协作(MDT)式护理模式在新生儿持续肺动脉高压(PPHN)气管插管中的应用效果。方法本研究为前瞻性随机对照试验。选取2020年3月至2022年5月来郑州大学附属儿童医院就诊的92例PPHN作为研究对象, 简单随机分为常规组(46例)、观察组(46例)。常规组男22例, 女24例, 胎龄(39.35±0.74)周, 予以传统护理干预;观察组男20例, 女26例, 胎龄(39.08±0.82)周, 在常规组基础上予以MDT式护理模式。比较两组并发症发生率、康复情况、体循环血压、收缩期肺动脉压、神经行为新生儿神经行为量表(NBNA)评分]及家属护理满意度。统计学方法采用χ2检验、独立样本t检验。结果观察组新生儿的并发症总发生率低于常规组6.52%(3/46)比21.74%(10/46)], 差异有统计学意义(χ2=4.390, P=0.036);观察组的新生儿重症监护室(NICU)住院时间、气管插管时间、氧疗时间均短于常规组(8.26±1.38)d比(10.14±1.27)d、(5.32±1.05)d比(6.74±1.13)d、(7.25±0.97)d比(9.47±1.1...
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| 关 键 词： | 多学科协作 新生儿持续肺动脉高压 并发症 护理满意度 |
| 收稿时间： | 2022-09-15 |
Observation on the application of MDT nursing mode in neonates with persistent pulmonary hypertension undergoing tracheal intubation |
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| Shi Lanlan,Duanmu Yanyan,Liu Yanyan.Observation on the application of MDT nursing mode in neonates with persistent pulmonary hypertension undergoing tracheal intubation[J].International Medicine & Health Guidance News,2023,29(3):385-389. |
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| Authors: | Shi Lanlan Duanmu Yanyan Liu Yanyan |
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| Affiliation: | Neonatal Intensive Care Unit, Children's Hospital Affiliated to Zhengzhou University, Henan Children's Hospital, Zhengzhou Children's Hospital, Zhengzhou 450000, China |
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| Abstract: | Objective To explore the application effect of multidisciplinary teamwork (MDT) nursing mode in tracheal intubation for persistent pulmonary hypertension of the newborn (PPHN). Methods It was a prospective randomized controlled trial. A total of 92 cases of PPHN who came to Children's Hospital Affiliated to Zhengzhou University from March 2020 to May 2022 were selected as the research objects, and were simply randomly divided into a conventional group (46 cases) and an observation group (46 cases). In the conventional group, there were 22 males and 24 females, with a gestational age of (39.35±0.74) weeks; in the observation group, there were 20 males and 26 females, with a gestational age of (39.08±0.82) weeks. The conventional group was given traditional nursing intervention, and the observation group was given MDT nursing mode on the basis of the conventional group. The incidence of complications, rehabilitation, systemic blood pressure, systolic pulmonary artery pressure (SPAP), neurobehavior Neonatal Behaviral Neurological Assessment (NBNA) score], and family members' nursing satisfaction were compared between the two groups. Statistical methods were χ2 test and independent sample t test. Results The incidence of complications in the observation group was lower than that in the conventional group 6.52% (3/46) vs. 21.74% (10/46)], with a statistically significant difference (χ2=4.390, P=0.036). The neonatal intensive care unit (NICU) stay, tracheal intubation time, and oxygen therapy time in the observation group were shorter than those in the conventional group (8.26±1.38) d vs. (10.14±1.27) d, (5.32±1.05) d vs. (6.74±1.13) d, (7.25±0.97) d vs. (9.47±1.16) d], with statistically significant differences between the two groups (t=6.800, 6.244, and 9.957; all P<0.001). After nursing, the systemic blood pressure of the observation group was (63.89±6.25) mmHg (1 mmHg=0.133 kPa) and (63.64±6.58) mmHg of the conventional group, and there was no statistically significant difference between the two groups (t=0.187, P=0.852); the SPAP in the observation group was significantly lower than that in the conventional group (37.46±3.85) mmHg vs. (45.84±4.03) mmHg], with a statistically significant difference (t=10.198, P<0.001). The scores of primitive reflex, active muscle tone, passive muscle tone, behavioral ability, and general response of the NBNA in the observation group were (5.32±0.28) points, (5.73±0.34) points, (7.49±0.36) points, (9.35±1.03) points, and (4.38±0.56) points, respectively, which were higher than those in the conventional group (3.77±0.16) points, (4.32±0.25) points, (5.48±0.27) points, (7.41±0.12) points, and (3.62±0.48) points], with statistically significant differences (t=32.598, 22.660, 30.294, 12.689, and 6.989; all P<0.001). The family members' nursing satisfaction in the observation group was higher than that in the conventional group 91.30% (42/46) vs. 76.09% (35/46)], with a statistically significant difference (χ2=3.903, P=0.048). Conclusion MDT nursing mode can reduce the risk of complications in children with PPHN, improve their pulmonary artery pressure, promote their neurobehavioral development, accelerate their rehabilitation, and improve their family members' nursing satisfaction. |
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| Keywords: | Multidisciplinary teamwork Persistent pulmonary hypertension of the newborn Complications Nursing satisfaction |
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