Application of individualized care combined with alveolar lavage in children with severe pneumonia undergoing tracheal intubation

  • ZHOU Xuyan ,
  • JIAO Honghong ,
  • YANG Xin
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  • Nanyang Second People's Hospita(PICUl), Nanyang 473000, China

Received date: 2023-03-27

  Online published: 2024-03-22

Abstract

Objective: To analyze the effect of individualized care combined with alveolar lavage based on Pediatric critical illness score (PCIS) in children with severe pneumonia (SP) undergoing tracheal intubation. Methods: A total of 94 SP children undergoing endotracheal intubation in our hospital from January 2020 to September 2021 were selected as the study subjects and divided into the study group and control group using random number table method, with 47 cases in each group. Alveolar lavage was performed on all the 94 SP children. The control group was given the routine nursing intervention, and the research group received individualized care based on the PCIS. The rehabilitation effect (mechanical ventilation time, length of hospital stay), complication rate, nursing satisfaction of family members and quality of life before and after intervention (SF-36), blood gas index (PaCO2, PaO2) were statistically analyzed and compared between the two groups. Results: The times of hospitalization and mechanical ventilation in the study group were shorter than those in the control group (P<0.05). The incidence of complications in the study group was lower than that in the control group (2.13% vs 21.28%)(P<0.05). After intervention, PaO2 in the study group was higher than that in the control group, and PaCO2 was lower than that in the control group(P<0.05). The SF-36 score of the two groups after intervention was higher than that before intervention, and it was higher in the study group than the control group(P<0.05). The nursing satisfaction of family members in the study group was higher than that in the control group (97.87% vs 76.60%) (P<0.05). Conclusion: Individualized care combined with alveolar lavage based on PCIS could shorten the time of mechanical ventilation and hospitalization, improve blood gas index, reduce complications, optimize the quality of life, and improve the nursing satisfaction of family members.

Cite this article

ZHOU Xuyan , JIAO Honghong , YANG Xin . Application of individualized care combined with alveolar lavage in children with severe pneumonia undergoing tracheal intubation[J]. Journal of Baotou Medical College, 2024 , 40(3) : 84 -87,96 . DOI: 10.16833/j.cnki.jbmc.2024.03.016

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