Analysis of the role of goal-oriented refined nursing intervention in neonatal asphyxia resuscitation
目标导向下精细化护理干预在新生儿窒息复苏中的作用分析

摘要

目的 将目标导向下精细化护理用于新生儿窒息（AN）复苏中，对其应用作用进行分析。方法 选取2024年2月-2025年3月本院收治的102例接受复苏的AN患儿，随机分组，对照组51例行常规护理，观察组51例实施 目标导向下精细化护理，比较两组干预结果差异。结果 干预前，两组各项血气分析指标比较，无显著差异（P>0.05），干预后，观察组PaO2、SaO2水平更高、PaCO2水平更低（P<0.05）；干预前，两组SNAPⅡ评分比较无显著差异（P>0.05），干预后，观察组该评分更低（P<0.05）；两组并发症发生率比较，观察组3.92%更低（P<0.05）。结论 对行复苏治疗的AN患儿来说，应用目标导向下精细化护理可较好改善患儿血气分析指标，促进生理状态转归，还可减少并发症发生，具有推广价值。

Abstract

Objective To apply goal-oriented refined nursing in the resuscitation of neonatal asphyxia (AN) and analyze its application effect.
Methods A total of 102 children with AN who received resuscitation and were admitted to our hospital from April 2, 2022 to March 5, 2022 were selected and randomly divided into groups. 51 cases in the control group received routine care, and 51 cases in the observation group received goal-oriented refined care. The differences in intervention results between the two groups were compared.
Results Before the intervention, there was no significant difference in each blood gas analysis index between the two groups (P>0.05). After the intervention, the levels of PaO2 and SaO2 in the observation group were higher, and the level of PaCO2 was lower (P<0.05). Before the intervention, there was no significant difference in the SNAPⅡ score between the two groups (P>0.05). After the intervention, the score of the observation group was lower (P<0.05). The comparison of the incidence of complications between the two groups showed that 3.92% in the observation group was lower (P<0.05).
Conclusion   For children with AN who undergo resuscitation treatment, the application of goal-oriented refined nursing can better improve the blood gas analysis indicators of the children, promote the transformation of physiological states, and also reduce the occurrence of complications. It has promotion value.