张明颖

【摘 要】目的：讨论环境干预护理在新生儿重症监护中的应用效果。方法：入选60例重症监护新生儿主要于2018年8月至2020年9月接受病情诊疗，将其随机分为对照组30例与研究组30例，对照组实施常规护理，研究组则在对照组基础上采取环境干预护理，观察指标：体征指标；体重增长及住院时间；并发症发生率。结果：研究组心率、舒张压指标明显低于对照组（P<0.05）；研究组血氧饱和度指标明显高于对照组（P<0.05）；研究组及对照组收缩压指标无统计学意义（P>0.05）；研究组体重日增长及体重周增长均明显高于对照组（P<0.05）；研究组住院时间明显低于对照组（P<0.05）；研究组并发症发生率为6.67%明显低于对照组的33.33%（P<0.05）。结论：在新生儿重症监护中采取环境干预护理措施利于维护患儿体征稳定性，提高其体重，减少不良并发症，缩短住院时间。

【关键词】新生儿；重症监护；环境；护理

The application effect of environmental intervention nursing in neonatal intensive care

Zhang Mingying

Linyi Maternal and Child Health Hospital， Shandong Linyi 276000， China

【Abstract】Objective： To discuss the application effect of environmental intervention nursing in neonatal intensive care. Methods： 60 neonates in intensive care were selected from August 2018 to September 2020， and were randomly divided into control group（30 cases）and research group（30 cases）. The control group received routine nursing， while the research group received environmental intervention nursing on the basis of the control group. Observation indicators： physical indicators；Weight gain and length of hospital stay； Complication rate. Results： The indexes of heart rate and diastolic blood pressure in the research group were significantly lower than those in the control group（P<0.05）The blood oxygen saturation index of the research group was significantly higher than that of the control group（P<0.05）；While the systolic blood pressure index of the research group and the control group was not statistically significant（P>0.05）； The daily weight gain and weekly weight gain in the research group were significantly higher than those in the control group（P<0.05）； The length of hospital stay in the research group was significantly lower than that in the control group（P<0.05）；The complication rate of 6.67% in the research group was significantly lower than that of 33.33% in the control group（P<0.05）.Conclusion： Adopting environmental intervention nursing measures in neonatal intensive care is beneficial to maintaining the stability of children’s physical signs， increasing their weight， reducing adverse complications and shortening hospital stay..

【Key？Words】Newborn； Intensive care； The environment； Nursing

新生兒重症监护是指对存在危重且复杂疾病的早产儿或新生儿进行无陪护护理的一种管理模式[1]。此类患儿由于刚出生不久，加之器官组织尚未发育成熟，在重症监护过程中对外界环境相对较为敏感，例如受到外界环境下病毒及细菌感染、不良光照、刺激噪音等因素时，将影响其病情康复效果，甚至会对以后生长发育造成不良影响[2]。所以，应加强对新生儿的重症监护环境管理，积极规避不良环境因素对患儿疾病康复及生长发育所造成的不良影响。为进一步证实环境对重症监护新生儿的重要性，本次研究中对重症监护新生儿实施常规护理与在此基础上采取环境干预护理后的效果进行了研究分析。……