KẾT QUẢ CHĂM SÓC TRẺ SƠ SINH NON THÁNG SUY HÔ HẤP VÀ MỘT SỐ YẾU TỐ LIÊN QUAN TẠI TRUNG TÂM NHI KHOA BỆNH VIỆN BẠCH MAI NĂM 2023

Abstract

Objectives: Describe the characteristics of premature newborns with respiratory failure treated at the Pediatric Center of Bach Mai Hospital in 2023. Analyze the results of nursing care for pediatric patients and some related factors. Material and Methods: Description of prospective combined qualitative research on 192 premature infants <37 weeks with respiratory failure hospitalized at the Pediatric Center - Bach Mai Hospital. Results: 77.1 % of children have SpO2 index less than 90% in room air, 54.7% of children having tachypnea over 60 time/minute and 21.4% of children having bradypnea less than 40 times/ minute, 9.9% of children having good weak reflexes or not, 81.8% of children have signs of cyanosis, 84.9% of children have signs of indentation of the cage. chest, 31.8% of babies had apnea lasting more than 10 seconds, and 87.5% of babies had to be resuscitated after birth. Regarding treatment methods for premature infants, 54.7% of infants received oxygen, 27.6% received CPAP, 17.7% received mechanical ventilation, and 19.27% used Surfactant. The results of treatment and care showed that 92.7% of children recovered from the disease without complications, 7.3% of children died. Group discussion results show accompanying diseases, causes of disease, family economic circumstances, geography and culture, caregivers, equipment, hospital policies and regulations, and awareness. Nursing responsibilities, communication skills, educational level, practical skills, work pressure, and income are factors related to nursing care outcomes. Conclusion: It is necessary to develop a model of linking Obstetrics & Pediatrics in all fields of health; Closely coordinate with other specialties in the general hospital to manage pregnant women with medical and surgical diseases; Strengthen nursing training, inspection, and supervision to ensure good care practices for premature newborns in particular and patients in general; Organize continuous training on resuscitation and neonatal care, especially premature newborns, for doctors and nurses specializing in pediatrics to update new knowledge and skills both domestically and internationally. All will contribute to reducing mortality rates, reducing sequelae for premature babies, and helping reduce stress for the child's family.