CAJ | 학술논문

目的探讨围手术期护理干预对食道闭锁早产儿的影响.方法将深圳市儿童医院新生儿重症监护病房(NICU)2008年6月至2010年6月收治的先天性食道闭锁早产儿60例,按随机数字表法分为干预组和对照组各30例.对照组患儿给予术后常规护理,干预组给予围手术期护理干预.结果干预组并发症发生率为23.3%,对照组为60.0%,两组比较差异有统计学意义(x2=8.30,P＜0.01);住院时间干预组为(37.0±7.2)d,对照组为(55.2±14.2)d,两组比较差异有统计学意义(t=8.92,P＜0.01);两组体重变化比较差异有统计学意义(t=14.51,P＜0.01);两组患者满意度比较差异有统计学意义(86.7%比63.3%,x2=4.36,P＜0.05).结论对伴食道闭锁早产儿实施围手术期护理干预,能保证手术效果,有效减少并发症,降低病死率,促进疾病早日康复.
목적 탐토위수술기호리간예대식도폐쇄조산인적영향.방법 장심수시인동의원신생인중증감호병방(NICU)2008년6월지2010년6월수치적선천성식도폐쇄조산인60례,안수궤수자표법분위간예조화대조조각30례.대조조환인급여술후상규호리,간예조급여위수술기호리간예.결과 간예조병발증발생솔위23.3%,대조조위60.0%,량조비교차이유통계학의의(x2=8.30,P＜0.01);주원시간간예조위(37.0±7.2)d,대조조위(55.2±14.2)d,량조비교차이유통계학의의(t=8.92,P＜0.01);량조체중변화비교차이유통계학의의(t=14.51,P＜0.01);량조환자만의도비교차이유통계학의의(86.7%비63.3%,x2=4.36,P＜0.05).결론 대반식도폐쇄조산인실시위수술기호리간예,능보증수술효과,유효감소병발증,강저병사솔,촉진질병조일강복.
Objective To investigate the effect of perioperative nursing intervention on 30 cases premature with esophageal atresia.Methods 60 cases of premature children with congenital esophageal atresia treated in our hospital neonatal unit (NICU) from June 2008 to June 2010, were randomly divided into intervention group and control group with 30 cases in each group.The control group received routine postoperative care, the intervention group on this basis, were given perioperative nursing intervention.Results Complication rate of the intervention group and control group was statistically significant difference (23.3% vs 60.0%, x2 =8.30,P ＜0.01); Hospital zation was statistically significant difference[(37.0 ± 7.2)d vs (55.2 ± 14.2)d, t =8.92,P ＜0.01] between the two groups; Weight change and patient satisfation were statistically significant difference(P ＜0.05).Conclusions Premature with esophageal atresia received perioperative nursing intervention can guarantee results of operations, reduce complications, decrease mortality, promoting rehabilitation, worthy of clinical application.