The application of oropharyngeal nursing based on evidence-based concepts in the prevention of neonatal ventilator-associated pneumonia
基于循证理念的口咽部护理在预防新生儿呼吸机相关肺炎中的应用

摘要

目的 分析基于循证理念的口咽部护理在预防新生儿呼吸机相关肺炎中的应用效果。方法 将我院新生儿科于2023年1月-2024年12月出生的120例新生儿呼吸机相关肺炎作为研究对象，随机数字表法分为观察组（基于循证理念的口咽部护理）与对照组（常规护理），对比两组新生儿呼吸机相关肺炎改善率、血气指标、神经行为及智力发育情况。结果 观察组呼吸机相关肺炎改善率高于对照组，血气指标、神经行为及智力发育情况均优于对照组（P＜0.05）。结论 基于循证理念的口咽部护理在预防新生儿呼吸机相关肺炎中的应用效果良好，可有效改善新生儿血气指标，提升其神经行为及智力发育情况。

Abstract

Objective To analyze the application effect of evidence-based oral and pharyngeal nursing in preventing neonatal ventilator-associated pneumonia.
Methods 120 newborns with ventilator-associated pneumonia born between January 2023 and December 2024 in our neonatal department were selected as the research subjects. They were randomly divided into an observation group (based on evidence-based oral and pharyngeal care) and a control group (conventional care) using a random number table method. The improvement rate, blood gas indicators, neurobehavioral and intellectual development of the two groups of newborns with ventilator-associated pneumonia were compared.
Results The improvement rate of ventilator-associated pneumonia in the observation group was higher than that in the control group, and blood gas indicators, neurobehavioral and intellectual development were all better than those in the control group (P<0.05).
Conclusion   Evidence based oral and pharyngeal care has shown good efficacy in preventing ventilator-associated pneumonia in newborns, effectively improving their blood gas indicators and enhancing their neurobehavioral and intellectual development.