杨美君 罗丹

[摘要]目的 探讨系统护理在继发性腹泻患儿中的应用效果。方法 选择我院2016年1月～2017年12月收治的84例肺炎继发腹泻新生儿作为研究对象，并随机分为对照组和观察组，每组各42例。对照组给予常规护理，观察组给予系统护理。比较两组的临床治疗效果、临床症状（发热、呕吐、腹泻）消失时间以及家长对护理质量的总满意度。结果 观察组治疗总有效率为97.73%，对照组为84.09%，差异有统计学意义（P<0.05）；观察组发热、呕吐、腹泻等症状消失时间显著短于对照组，差异有统计学意义（P<0.05）；观察组家长对护理质量的总满意度为95.45%，对照组为79.55%，差异有统计学意义（P<0.05）。结论 系统护理在继发性腹泻患儿中的应用效果理想，可有效缩短新生儿临床症状消失时间，增加新生儿家长对护理质量的满意度。

[关键词]肺炎继发性腹泻；系统护理；新生儿；护理效果

[中图分类号] R473.72 [文献标识码] A [文章编号] 1674-4721（2018）11（a）-0204-03

Application effect of systematic nursing on newborn with secondary diarrhea

YANG Mei-jun LUO Dan

Department of Neonatology， Ji′an Maternal and Child Health Care Hospital， Jiangxi Province， Ji′an 343000， China

[Abstract] Objective To explore the application effect of systematic nursing on with secondary diarrhea. Methods A total of 84 cases of secondary pneumonia secondary to pneumonia in our hospital from January 2016 to December 2017 were selected and randomly divided into the control group and the observation group random， 42 cases in each group. Newborns in control group were given routine nursing， and newborns in observation group were given systematic nursing. The clinical effect， clinical symptoms （fever， vomiting， diarrhea） disappearance time and the satisfaction of parents to nursing quality of the two groups were compared. Results The total effective rate of the observation group was 97.73%， while the 84.09% in control group， the difference was statistically significant （P<0.05）. The disappearance time of fever， vomiting and diarrhea in the observation group was significantly shorter than those in control group， and the differences were statistically significant （P<0.05）. The satisfaction of the parents in observation group on the quality of nursing was 95.45%， and 79.55% in control group， the difference was statistically significant （P<0.05）. Conclusion Secondary diarrhea neonates with systematic nursing effect is ideal， can effectively shorten the disappearance time of clinical symptoms of newborns， and increase the satisfaction of the parents of the newborns on the quality of nursing.

[Key words] Secondary diarrhea of pneumonia； Systematic nursing； Neonatal； Nursing effect

＼肺炎为新生儿科常见病，其发病率已高居新生儿感染性疾病首位，同时也是导致新生儿死亡的主要原因之一。据相关报道统计[1]，全球每年有75～120万新生儿因感染肺炎而死，约占儿童死亡率的10%。除此之外，新生儿肺炎还会引起其他许多继发病症，如继发性腹泻等。调查显示，25%～53%的新生儿肺炎会发生继发性腹泻[2]。新生儿消化系统发育不完善以及消化酶活性不强是致使肺炎新生兒继发腹泻的重要原因，继发性腹泻后极易造成新生儿脱水，胃肠道严重受累，增加感染控制难度和新生儿身体负荷，从而加重病情，延长病程[3]。肺炎继发腹泻新生儿给予及时有效的治疗非常重要，同时结合系统全面的护理干预措施也有重要意义[4]。本研究就系统护理对继发性腹泻新生儿治疗效果、临床症状和护理质量的影响进行了分析，现报道如下。

1资料与方法

1.1一般资料

选取我院2016年1月～2017年12月收治的新生儿肺炎继发腹泻患儿84例作为研究对象。……