Application of nursing intervention in newborn infant with nasal continuous positive airway pressure ventilation

Abstract

Objective To observe the application value of nursing intervention to decrease the complications of nasal continuous positive airway pressure ventilation （ CPAP） in newborn infant so as to provide the reference for clinical nursing .Methods One hundred and forty-two critically ill newborn infants from March 2010 to September 2011 were chosen as the control group , and 185 critically ill newborn infants from October 2011 to May 2013 were chosen as the observation group .The control group received the routine nursing , and the observation group received the nursing intervention according the complications of nasal CPAP on the basis of the conventional nursing .The ventilation time , blood gas analysis （ the average at 12 , 24 h of ventilation ） , the incidence of complications including nasal injury , abdominal distension, intraventricular hemorrhage （ IVH）, patent ductus arteriosus （ PDA） , necrotizing enterocolitis （ NEC） , ventilator-associated pneumonia （ VAP） and so on were observed and compared between two groups .Results No difference was found in the blood gas analysis between two groups before the intervention （P>0.05）.The ventilation time, the levels of PO2, PCO2 and pH in the observation group after the intervention were respectively （64.7 ±177;18.4） h, （90.8 ±177;35.2）mmHg, （48.4 ±177;4.5）mmHg, （7.26 ±177;0.06）, and were （89.4 ±177;35.8） h, （96.5 ±177;38.7） mmHg, （39.8 ±177; 8.7） mmHg, （7.40 ±177;0.09） in the control group, and the differences were statistically significant （t=2.476, 2.085, 2.240, 2.377, respectively;P<0.05）.The incidence rates of complications including nasal injury , abdominal distension, IVH, PDA, NEC, VAP in the observation group were respectively 14.05%, 12.43%, 8.11%, 5.95%, 4.86%, 7.57%, and were 40.85%, 31.69%, 14.79%, 12.68%, 9.15%, 11.27% in the control group, and the differences were statistically significant （χ2 =9.683, 8.475, 5.148, 5.676, 5.334, 4.827, respectively;P<0.05）.Conclusions The careful, meticulous, considerate nursing intervention can effectively reduce and prevent the complications of nasal CPAP in newborn infant , and is beneficial to the improvement of the cure rate . Key words: Newborn infant; Respiratory distress syndrome; Nursing intervention; Nasal continuous positive airway pressure