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ABCDE 集束化护理对小儿呼吸窘迫综合征经鼻持续气道正压通气治疗的影响

Impact of ABCDE bundle nursing on pediatric respiratory distress syndrome under nasal continuous positive airway pressure therapy.

作者信息

Wei Wenya, Wang Weiyue, Du Yanna, Liu Jianhua, Cui Yuhui

机构信息

Wenya Wei Department of Respiratory, Children's Hospital of Hebei Province, Hebei Provincial Clinical Research Center for Child Health and Disease, Hebei Provincial Medical Key Discipline, Shijiazhuang, Hebei Province 050000, P.R. China.

Weiyue Wang Department of Cardiology, Heibei General Hospital, Shijiazhuang, Hebei Province 050000, P.R. China.

出版信息

Pak J Med Sci. 2025 Jul;41(7):1962-1967. doi: 10.12669/pjms.41.7.12275.

DOI:10.12669/pjms.41.7.12275
PMID:40735555
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12302121/
Abstract

OBJECTIVE

This study aimed to evaluate the effect of ABCDE nursing on children with respiratory distress syndrome (RDS) receiving nasal continuous positive airway pressure (nCPAP).

METHODS

This retrospective cohort study was conducted at Hebei Children's Hospital and included records of 200 children with RDS who received nCPAP from January 2021 to December 2022. Among them, 100 patients who received ABCDE bundled care (ABCDE group) were matched with the cohort receiving standardized care (control group) in a 1:1 ratio. The primary outcome of interest was hospitalization time, and the secondary outcomes included oxygen therapy duration, blood gas status, incidence of complications, and satisfaction with care provided by the patient's family.

RESULTS

The oxygen therapy time and hospitalization duration in the ABCDE group were shorter than those in the control group (P<0.05). After intervention, the blood gas status of both groups improved and was considerably better in the ABCDE group than the control group (P<0.05). The total incidence of complications in the ABCDE group was lower (P<0.05), and the satisfaction of family members with the nursing care was higher than in the control group (P<0.05).

CONCLUSIONS

ABCDE-based nursing intervention for RDS children receiving nCPAP can improve blood gas status, shorten hospitalization time, reduce the risk of complications, and increase family satisfaction with the nursing care.

摘要

目的

本研究旨在评估ABCDE护理对接受鼻持续气道正压通气（nCPAP）的呼吸窘迫综合征（RDS）患儿的影响。

方法

本回顾性队列研究在河北儿童医院开展，纳入了2021年1月至2022年12月期间接受nCPAP治疗的200例RDS患儿的记录。其中，100例接受ABCDE捆绑式护理的患者（ABCDE组）与接受标准化护理的队列（对照组）以1:1的比例进行匹配。主要关注的结局指标是住院时间，次要结局指标包括氧疗持续时间、血气状态、并发症发生率以及患儿家属对所提供护理的满意度。

结果

ABCDE组的氧疗时间和住院时间均短于对照组（P<0.05）。干预后，两组的血气状态均有所改善，且ABCDE组明显优于对照组（P<0.05）。ABCDE组并发症的总发生率较低（P<0.05），家属对护理的满意度高于对照组（P<0.05）。

结论

对接受nCPAP治疗的RDS患儿实施基于ABCDE的护理干预可改善血气状态，缩短住院时间，降低并发症风险，并提高家属对护理的满意度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86ec/12302121/bb421eb0a96b/PJMS-41-1962-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86ec/12302121/bb421eb0a96b/PJMS-41-1962-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86ec/12302121/bb421eb0a96b/PJMS-41-1962-g001.jpg

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