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| Influence of comprehensive nursing model based on evidence-based theory on complications related to invasive mechanical ventilation in premature infants |
| HAN Lijuan JI Yanjie YANG Shaohua |
| Department of Pediatrics, Fuyang People’s Hospital, Anhui Province, Fuyang 236000, China |
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Abstract Objective To investigate the influence of comprehensive nursing model based on evidence-based theory on complications related to invasive mechanical ventilation in premature infants. Methods A total of 80 premature infants who received invasive mechanical ventilation in Fuyang People’s Hospital, Anhui Province from January 2019 to October 2021 were selected, 35 cases in the control group received conventional nursing, and 45 cases in the study group received comprehensive nursing based on evidence-based theory, invasive mechanical ventilation indexes, blood gas indexes within 24 h after removal of the machine and the incidence of invasive mechanical ventilation-related complications were compared between the two groups; at discharge, the growth and development of the two groups were compared. Results Invasive mechanical ventilation time, total ventilation time, and offline time in the study group were shorter than those in the control group, and the differences were statistically significant (P＜0.05); the arterial carbon dioxide content in the study group was lower than that in the control group within 24 h after withdrawal, and the arterial oxygen partial pressure and arterial oxygen saturation were higher than that in the control group, the differences were statistically significant (P＜0.05); the complication rate of invasive mechanical ventilation in the study group was lower than that in the control group, and the difference was statistically significant (P＜0.05). At the time of discharge, the body length was larger than the control group, weight was heavier than the control group and head circumference was larger than the study group, and the differences were statistically significant (P＜0.05). Conclusion The comprehensive nursing model based on evidence-based theory can shorten the invasive mechanical ventilation time of premature infants, improve the oxygenation ability of premature infants, reduce the risk of complications, and benefit the growth and development of premature infants.
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[1] 蒲荣玲，罗树荣，陈娟，等.不同剂量咖啡因治疗早产儿呼吸暂停疗效及安全性分析[J].中国医药科学，2021，11（11）：102-105.
[2] 李莉，易慧，李文芳.集束-延续护理模式在早产儿护理管理中的应用研究[J].中国社会医学杂志，2020，37（1）：109-112.
[3] 郎丽刚，王吉梅，潘存钧，等.有创机械通气患儿的康复治疗策略[J].中国康复医学杂志，2020，35（5）：635-639.
[4] 王帆，文革生，蒋琦.早产儿高流量鼻导管通气在机械通气撤机中的效果及对血气分析的影响[J].中国医师进修杂志，2020，43（5）：444-447.
[5] 丁芸，陈艳，王莲英，等.基于循证的集束化护理措施预防呼吸机相关性肺炎的效果研究[J].中国医学装备，2020， 17（7）：114-117.
[6] Brown AM，Madsen EC，Leonard CP，et al. Continuous versus bolus gastric feeding in children receiving mechanical ventilation：a systematic review [J]. Am J Crit Care，2020，29（1）：33-45.
[7] 王文超，沈菊，沈伟杰，等.危重症患儿有创机械通气的循证护理实践[J].中国护理管理，2021，21（7）：1038-1043.
[8] Ervin JN，Rentes VC，Dibble ER，et al. Evidence-based practices for acute respiratory failure and acute respiratory distress syndrome：a systematic review of reviews [J]. Chest，2020，158（6）：2381-2393.
[9] 谭敏，高玉梅.临床护理路径在小儿支气管肺炎患者中的效果及对凝血功能的影响[J].血栓与止血学，2022，28（4）：695-696.
[10] 朱明丽，杨湘英，林瑶，等.循证护理在重症脑卒中患者呼吸机相关性肺炎中的应用[J].中华医院感染学杂志，2020，30（14）：2231-2235.
[11] Turner S，Lang ES，Brown K，et al. Systematic review of evidence-based guidelines for prehospital care [J]. Prehosp Emerg Care，2021，25（2）：221-234.
[12] 纪春红.循证护理在老年髋部骨折合并糖尿病行内固定术患者中的应用[J].中国医药科学，2018，8（2）：101-103.
[13] 张春霞.循证护理在重症监护病房预防呼吸机相关性肺炎中的应用价值[J].现代消化及介入诊疗，2019，6（24）：503.
[14] 王娟.循证护理在神经外科重症患者气管切开术后呼吸道护理中的应用研究[J].现代消化及介入诊疗，2019，6（24）：1842.
[15] 姚丽，杨琳，杨丽平，等.机械通气患者吸气肌训练效果的meta分析[J].中华护理杂志，2020，55（1）：141-147.
[16] 么颖，陈琪，祝鹏英，等.机械通气呼吸机相关性肺炎患者病原菌分析及循证干预对不良事件发生的影响[J].中华医院感染学杂志，2018，28（7）：994-997.
[17] 裘艳梅，侯洪涛，王炜，等.血清髓鞘碱性蛋白、S100B及血气分析在早产儿脑损伤早期诊断中的价值[J].实用医学杂志，2017，33（8）：1306-1309.
[18] Borges LF，Saraiva MS，Saraiva MAS，et al. Expiratory rib cage compression in mechanically ventilated adults：systematic review with meta-analysis [J]. Rev Bras Ter Intensiva，2017，29（1）：96-104.
[19] 徐薇薇，易宗艳，彭登发.乌司他丁联合机械通气对社区获得性肺炎重症患儿动脉血气指标和炎症因子的影响[J].中南医学科学杂志，2022，50（2）：276-278，301.
[20] Jensen EA，Dysart K，Gantz MG，et al. The diagnosis of bronchopulmonary dysplasia in very preterm infants，an evidence-based approach [J]. Am J Respir Crit Care Med，2019，200（6）：751-759.
[21] 刘笑艺，童笑梅.早产儿有创机械通气初次撤机失败相关危险因素分析[J].中国当代儿科杂志，2021，23（6）：569-574.
[22] 张扬，刘娟，黄萍，等.袋鼠式延续性护理对早产儿生理指标及体格发育的影响[J].护理管理杂志，2020，20（2）：112-116.
[23] Yuan X，Lu X，Chao Y，et al. Neurally adjusted ventilatory assist as a weaning mode for adults with invasive mechanical ventilation：a systematic review and meta-analysis [J]. Crit Care，2021，25（1）：222.
[24] 米元元，明耀辉，朱丽群，等.基于循证构建ICU机械通气肠内营养患者误吸查检单及应用效果评价[J].护士进修杂志，2021，36（11）：988-993.
[25] 王林香，单礼旦，吴坤坤，等.循证护理对机械通气患者呼吸机相关性肺炎发生的影响[J].中华现代护理杂志，2014，20（13）：1532-1535. |
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