循证护理在产科新生儿窒息复苏中的应用效果

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英文篇名：Application effect of evidence-based nursing in neonatal asphyxia resusci-tation 作者：刘玉莲 ; 赖华春 ; 王贤卿 ; 曹风云 ; 刘晓健 英文作者：LIU Yu-lian;LAI Hua-chun;WANG Xian-qing;CAO Feng-yun;LIU Xiao-jian;Department of Nursing, the First People′ s Hospital of Nankang District in Ganzhou City, Jiangxi Province; 关键词：循证护理 ; 新生儿 ; 窒息 ; 复苏 英文关键词：Evidence-based nursing;;Neonate;;Asphyxia;;Resuscitation 中文刊名：ZGUD 英文刊名：China Modern Medicine 机构：江西省赣州市南康区第一人民医院护理部; 出版日期：2019-03-28 出版单位：中国当代医药 年：2019 期：v.26;No.532 基金：江西省赣州市指导性科技计划项目(GZ2017ZSF397) 语种：中文; 页：ZGUD201909067 页数：3 CN：09 ISSN：11-5786/R 分类号：227-229

摘要

目的探讨循证护理应用于产科新生儿窒息复苏中的护理效果。方法从2014年1月～2016年12月在我院接受窒息复苏治疗的患儿中随机选取198例新生儿作为研究对象,依据分层随机化法将2014年1月～2015年12月的103例作为对照组;将2016年1～12月的95例作为实验组。对照组采用常规护理方法 ,实验组采用循证护理方法。比较两组的阿氏评分、动脉血气指标改善情况及护理服务评价结果。结果实验组经护理后的1、5 min阿氏评分均高于对照组,差异有统计学意义(P<0.05);两组护理后的血氧分压(PaO_2)高于护理前,二氧化碳分压(PaCO_2)低于护理前,差异有统计学意义(P<0.05);护理后实验组PaO_2水平高于对照组,PaCO_2水平低于对照组,差异有统计学意义(P<0.05);实验组产妇的护理总满意率高于对照组,差异有统计学意义(P<0.05)。结论在产科应用循证护理可提供及时有效的护理干预,能提高新生儿窒息复苏的及时性和有效性。
        Objective To explore the effect of evidence-based nursing on the nursing effect of asphyxia neonatal asphyxia resuscitation. Methods From January 2014 to December 2016, 198 neonates were randomly selected from our hospital for suffocation resuscitation. The stratified randomization method was used, from January 2014 to December2015, the neonates with asphyxia were used as the control group(103 cases), the neonates with asphyxia from January to December 2016 were used as the experimental group(95 cases), the control group was treated with routine nursing, and the experimental group was given based on evidence care methods. The Apgar score, the improvement of arterial blood gas index and the evaluation results of nursing service were compared between the two groups. Results The 1 and 5 minutes Apgar scores of the children in the experimental group were higher than those in the control group. The difference was statistically significant(P<0.05). The PaO2 of the two groups was higher after nursing than that before the nursing. The PaCO2 level was lower than that before the nursing, the difference was statistically significant(P<0.05).After the nursing, the PaO2 level of the experimental group was higher than that of the control group, and the PaCO2 level was lower than the control group, the differences were statistically significant(P<0.05). The total satisfaction rate of the experimental group was higher than that of the control group, the difference was statistically significant(P<0.05).Conclusion Evidence-based nursing in obstetrics can provide timely and effective nursing interventions, which can improve the timeliness and effectiveness of neonatal asphyxia resuscitation.

引文

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