[1]陈玲,尚彦彦,王舒杰,等.新生儿重症监护室经鼻持续正压通气患儿鼻损伤结局的调查分析[J].解放军护理杂志,2021,38(05):86-89.[doi:10.3969/j.issn.1008-9993.2021.05.023]
　CHEN Ling,SHANG Yanyan,WANG Shujie,et al.The Outcome of Nasal Injuries in Neonates with Nasal Continuous Positive Pressure Ventilation in NICU[J].Nursing Journal Of Chinese People’s Laberation Army,2021,38(05):86-89.[doi:10.3969/j.issn.1008-9993.2021.05.023]
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新生儿重症监护室经鼻持续正压通气患儿鼻损伤结局的调查分析()
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《解放军护理杂志》[ISSN:2097-1826/CN:31-3186/R]

卷:
38
期数:
2021年05期
页码:
86-89
栏目:
专科护理
出版日期:
2021-05-15

文章信息/Info

Title:
The Outcome of Nasal Injuries in Neonates with Nasal Continuous Positive Pressure Ventilation in NICU
文章编号:
1008-9993(2021)05-0086-04
作者:
陈玲; 尚彦彦; 王舒杰; 税晓玉
武汉大学人民医院 新生儿科,湖北 武昌 430060
Author(s):
CHEN Ling; SHANG Yanyan; WANG Shujie; SHUI Xiaoyu
Department of Neonatology,People’s Hospital of Wuhan University,Wuhan 430060,Hubei Province,China
关键词:
鼻压力性损伤;  鼻损伤结局;  新生儿重症监护室;  经鼻持续正压通气
Keywords:
Nasal pressure injury;  outcomes of nasal injuries;  neonatal intensive care unit;  nasal continuous positive airway pressure
分类号:
R473.72
DOI:
10.3969/j.issn.1008-9993.2021.05.023
文献标志码:
A
摘要:
目的 探讨新生儿重症监护室(neonatal intensive care unit,NICU)经鼻持续正压通气(nasal continuous positive airway pressure,nCPAP)患儿鼻损伤结局特点,为护理管理者提供切实可靠的管理策略和依据。方法 便利抽样选取某院采用nCPAP治疗出现鼻损伤的140例新生儿,分析影响其鼻损伤结局的相关因素。结果 90%患儿鼻损伤可在住院期间完全恢复; 鼻部残留黑色印记的鼻损伤所需愈合时间最长; 住院时长、鼻塞尺寸、发生损伤时体重是影响出院时鼻损伤结局的重要因素; 不同出生体重、胎龄的新生儿发展为鼻损伤所需时间及鼻损伤持续时间差异有统计学意义(均P<0.05)。结论 NICU护士应掌握影响出院时鼻损伤结局的相关因素,制定nCPAP治疗护理风险知情同意书,做好入院宣教及出院后延续护理,以促进新生儿鼻损伤尽早恢复。
Abstract:
Objective To explore the outcomes of nasal injuries in Neonatal Intensive Care Unit(NICU)patients with nasal continuous positive airway pressure(nCPAP),and to provide management strategies and the reference for nursing managers.Methods By convenience sampling method,140 neonates with nasal injuries treated by nCPAP in a hospital were selected. The factors affecting the outcomes of nasal injuries were analyzed.Results About 90% of nasal injuries can be completely recovered during hospitalization.The healing time of nasal injuries in neonates with residual black marks on the nose was the longest.The hospitalization time,the size of nasal obstruction,the weight and the gestational age were the factors affecting the outcomes of nasal injuries at discharge.The time of developing nasal injuries and the duration of nasal injuries were significantly different among neonates with different birth weight and gestational age(all P<0.05).Conclusions To promote the early recovery of nasal injuries,NICU nurses should understand the factors that affect the patients’ nasal injuries at discharge,develop informed consent for nursing risk treatment through nCPAP,and conduct hospital education as well as extended care after discharge.

参考文献/References:

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备注/Memo

备注/Memo:
【 收稿日期 】 2021-01-15 【 修回日期 】 2021-04-08
【 作者简介 】 陈玲,本科,主管护师,主要从事危重新生儿护理工作
更新日期/Last Update: 2021-05-15