细节管理在CPAP治疗新生儿呼吸衰竭临床护理中的应用.docx

细节管理在CPAP治疗新生儿呼吸衰竭临床护理中的应用 (四川省内江市隆昌县人民医院四川内江641000) 【摘 要】目的：分析细节管理在卬ap治疗新生儿呼吸衰渴临床护理中的 应用效果。方法：将我院收治的68例呼吸衰竭新牛儿随机分为观察组34例和对 照组34例。2组患儿均行鼻塞式持续气道正压(CPAP)治疗，临床护理中对照 组患儿行常规护理管理，观察组患儿行细节护理管理。调查2组患儿家属的护理 满意度，统计2组患儿细节护理差错发牛率及CPAP治疗相关并发症及意外事故 的发生率。结果：观察组患儿家属对护理人员细节护理意识、细节护理内容的完 整性、细节护理实施效果及整体护理质量的满意度均高于对照组(P<0.05)o观 察组患儿细节护理差错总发牛率为11.76%,对照组为35.29% (P<0.05)o观察 组患儿CPAP治疗相关并发症及意外事故总发牛率为14.71%,对照组为29.41%, (PV0.05)。结论：于cpap治疗新生儿呼吸衰渴临床护理中应用细节管理能有 效提高细节护理质量及护理满意度，并降低细节护理差错发牛率及CPAP治疗相 关并发症及意外事故的发牛率。 【关键词】新生儿呼吸衰竭；持续气道正压；护理；细节管理 【中图分类号】R47 【文献标识码】B 【文章编号】1003-5028 (2015) 7-0291-02 The details of management for application in clinical nursing of neonatal respiratory failure in CPAP [Abstract】Objective: to analysis the application effects of detail management in treatment of neonatal respiratory failure in clinical nursing care of cpap. Methods: 68 cases of neonatal respiratory failure were randomly divided in our hospital as observation group 34 cases and control group with 34 cases. 2 groups of patients underwent nasal continuous positive airway pressure (CPAP) therapy, clinical nursing of patients in the control group received routine nursing management; the observation group underwent detailed nursing management. Nursing satisfaction survey of 2 groups of families of the children, the incidenee of nursing error statistics 2 groups of children with details of the incidenee and treatment of CPAP related complications and accidents. Results: the observation group with family members of nursing staff, nursing care consciousness details of the integrity of the content, detail nursing effects and the overall satisfaction of nursing quality were higher than the control group (P < 0.05). The observation group with details of nursing errors the total occurrence rate is 11.76%, 35.29% in the control group (P < 0.05). The observation group with CPAP treatment related complications and accidents occurrence rate is 14.71%, 29.41% in the control group, (P < 0.05). Conclusion: the appl