Application of rapid rehabilitation nursing model in preventing pulmonary infection after cardiac surgery inchildren in ICU
快速康复护理模式在 ICU 小儿心脏术后预防肺部感染中的应用

摘要

目的 实验将针对 ICU 小儿心脏手术患者实施快速康复护理模式，进一步做好围术期护理指导， 加强预防术后并发症，提升手术治疗治安全和疗效。方法 2019 年 1 月-2021 年 12 月期间，我院收治了 53 例 ICU 小儿心脏术患者为对象，分组以随机方式划分，快速康复护理模式（观察组 n=33），常规护理（对 照组 n=20）。对比治疗成果。结果 从数据可见，观察组患者的手术基础情况优于对照组，即在拔管时间、 住院时间等方面用时短，对比具有统计学意义（P＜0.05）。与此同时，在肺部感染发生率上，观察组患者 为 6.01%，明显低于对照组的 20.00%，差异具有统计学意义（P＜0.05）。最后，在家属满意度的调研中， 观察组给予了更高的评分，（P＜0.05）。结论 采用快速康复护理模式对于 ICU 小儿心脏术患者的康复治 疗效果显著，有助于防控并发症，并可推进手术的顺利开展，具有推广价值。

Abstract

Objective This experiment will implement the fast track nursing model for pediatric cardiac surgery patients in ICU, further do a good job in perioperative nursing guidance, strengthen the prevention of postoperative complications, and improve the safety and efficacy of surgical treatment.
Methods From January 2019 to December 2021, 53 pediatric cardiac surgery patients in ICU were treated in our hospital. The patients were randomly divided into fast-track nursing mode (observation group, n=33) and routine nursing (control group, n=20). Compare treatment outcomes.
Results From the data, it can be seen that the observation group was better than the control group in terms of the basic situation of surgery, that is, the extubation time and hospital stay time were shorter, the comparison was statistically significant (P < 0.05). At the same time, the incidence of pulmonary infection in the observation group was 6.01%, which was significantly lower than 20.00% in the control group, and the difference was statistically significant (P < 0.05). Finally, in the survey of family satisfaction, the observation group gave a higher score (P < 0.05).
Conclusion   The rapid rehabilitation nursing model has a significant effect on the rehabilitation of pediatric cardiac surgery patients in ICU, which is helpful to prevent and control complications and promote the smooth development of surgery, and has the value of promotion.