Analysis of the effect of transnasal high flow oxygen therapy combinedwith personalized nursing intervention in childhood severe pneumonia
经鼻高流量氧疗联合个性化护理干预在儿童重症肺炎中的应用效果分析

摘要

目的 分析经鼻高流量氧疗联合个性化护理干预在儿童重症肺炎中的应用效果。方法 纳入100例儿童重症肺炎患儿，于2020年1月至2022年12月实施研究。常规护理组（50例）：常规治疗及护理干预。个性化护理干预组（50例）：应用经鼻高流量氧疗联合个性化护理干预。研究效果。结果 个性化护理干预组护理2周后的氧合指数、PaO2值均更高[（212.17±25.15）、（90.38±7.08）mm Hg，同常规护理组的（175.36±23.24）、（80.77±6.15）mm Hg比较]（p＜0.05）。个性化护理干预组护理2周后的PaCO2值更低[（37.11±3.03）mm Hg，同常规护理组的（46.58±4.28）mm Hg比较]（p＜0.05）。个性化护理干预组护理2周后的FEV1水平、FEV1 /FVC水平均更高[（1.99±0.41）L、（63.45±3.37）%，同常规护理组的（1.61±0.25）L、（54.67±2.13）%比较]（p＜0.05）。个性化护理干预组的护理满意率更高[96.00%，同常规护理组的80.00%比较]（p＜0.05）。结论 对儿童重症肺炎患儿，实施经鼻高流量氧疗联合个性化护理干预，可实现更佳效果。

Abstract

Objective To analyze the effect of nasal high flow oxygen therapy combined with personalized nursing intervention in children with severe pneumonia.
Methods 100 children with severe pneumonia were included, and the study was conducted from January 2020 to December 2022. Usual care group (50 cases): routine treatment and nursing intervention. Personalized nursing intervention group (50 cases): nasal high flow oxygen therapy combined with personalized nursing intervention. Study effect.
Results After 2 weeks of nursing, the oxygenation index and PaO2 values of the personalized nursing intervention group were higher [(212.17±25.15), (90.38±7.08) mm Hg, compared with the usual care group (175.36±23.24), (80.77±6.15) mm Hg] (p < 0.05). The PaCO2 value in the personalized care intervention group was lower [(37.11 ± 3.03) mmHg compared with (46.58 ± 4.28) mmHg in the usual care group] (p <0.05). FEV 1 levels and FEV 1 / FVC levels were higher in the personalized care intervention group [(1.99 ± 0.41) L, (63.45 ± 3.37)%, compared with (1.61 ± 0.25) L, (54.67 ± 2.13)% in the usual care group] (p <0.05). Higher nursing satisfaction rate [96.00%, compared with 80.00% in the usual care group) (p <0.05).
Conclusion   For children with severe pneumonia, the nasal high flow oxygen therapy can achieve better results.