Effect of pediatric early warning score-based nursing intervention on blood gas parameters, rehabilitation progress, and prognosis in neonates with respiratory distress syndrome

doi:10.19983/j.issn.2096-8493.20260138

Abstract

Abstract:

Objective: To investigate the effect of nursing intervention guided by the pediatric early warning score (PEWS) in neonates with neonatal respiratory distress syndrome (NRDS), and to provide new evidence for the clinical nursing of NRDS. Methods: A retrospective analysis was conducted on 98 children with NRDS admitted to Putian University Affiliated Hospital from October 2023 to October 2025. According to different nursing methods, they were divided into two groups: a control group of 49 children received routine nursing intervention, and an observation group of 49 children received PEWS based nursing. Both groups received continuous nursing for 2 weeks. Evaluate and compare the levels of various blood gas indicators, rehabilitation process, incidence of complications, and family satisfaction with nursing services between two groups of pediatric patients. Results: After nursing, the arterial partial pressure of carbon dioxide (PaCO₂) in the observation group was (40.28±3.20) mmHg (1 mmHg=0.133 kPa), which was lower than that in the control group (44.76±3.23) mmHg; The arterial partial pressure of oxygen (PaO₂) and arterial oxygen saturation (SaO₂) were (83.39±5.90) mmHg and (95.14±3.56) %, respectively, both higher than the control group’s (75.54±5.88) mmHg and (92.29±3.31) %, the differences were statistically significant (t=6.897, 6.597, 4.104, all P values <0.001); The mechanical ventilation time and hospitalization time of the observation group were (125.19±10.10) hours and (8.93±1.79) days, respectively, which were shorter than those of the control group (160.06±10.13) hours and (11.69±1.85) days, the differences were statistically significant (t=17.064, 7.505, P values <0.001); The total incidence of complications in the observation group was 8.2% (4/49), which was lower than that in the control group (28.6%, 14/49), the differences were statistically significant (χ²=6.806, P=0.009); The satisfaction rate of the family members of the observation group was 95.9% (47/49), which was higher than that in the control group (83.7%, 41/49), the differences were statistically significant (χ²=4.009, P=0.045). Conclusion: PEWS-based nursing intervention can effectively improve blood gas parameters, accelerate rehabilitation, reduce the incidence of complications such as pneumonia and hypoxic-ischemic encephalopathy, and improve the prognosis of neonates with NRDS, thereby increasing their families’ satisfaction with nursing care.

Key words: Respiratory distress syndrome, newborn, Neonatal nursing, Blood gas analysis, Rehabilitation, Prognosis

CLC Number:

R473.72

Wang Linlin, Li Hong, Zhang Yan. Effect of pediatric early warning score-based nursing intervention on blood gas parameters, rehabilitation progress, and prognosis in neonates with respiratory distress syndrome[J]. Journal of Tuberculosis and Lung Disease, 2026, 7(5): 630-634. doi: 10.19983/j.issn.2096-8493.20260138

Figures/Tables 5

References 12

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组别	例数	性别[例(构成比,%)]		胎龄 (周,$\bar{x}±s$)	年龄 (d,$\bar{x}±s$)	体质量 (g,$\bar{x}±s$)
组别	例数	男性	女性	胎龄 (周,$\bar{x}±s$)	年龄 (d,$\bar{x}±s$)	体质量 (g,$\bar{x}±s$)
对照组	49	28(57.1)	21(42.9)	34.56±1.01	5.56±1.01	1425.83±10.07
观察组	49	25(51.0)	24(49.0)	34.59±1.03	5.59±1.04	1425.89±10.10
统计检验值		χ²=0.370		t=0.146	t=0.145	t=0.029
P值		0.543		0.885	0.885	0.977

组别	例数	PaCO₂(mmHg)		t值	P值	PaO₂(mmHg)		t值	P值	SaO₂(%)		t值	P值
组别	例数	护理前	护理后	t值	P值	护理前	护理后	t值	P值	护理前	护理后	t值	P值
对照组	49	61.18± 3.57	44.76± 3.23	23.875	<0.001	56.29± 5.71	75.54± 5.88	16.440	<0.001	82.09± 5.51	92.29± 3.31	11.108	<0.001
观察组	49	61.10± 3.49	40.28± 3.20	30.779	<0.001	56.34± 5.79	83.39± 5.90	22.906	<0.001	82.14± 5.73	95.14± 3.56	13.499	<0.001
t值		0.112	6.897			0.043	6.597			0.044	4.104
P值		0.911	<0.001			0.966	<0.001			0.965	<0.001

组别	例数	气胸	肺炎	肺出血	缺氧缺血性脑病	合计
对照组	49	4(8.2)	4(8.2)	3(6.1)	3(6.1)	14(28.6)
观察组	49	1(2.0)	1(2.0)	1(2.0)	1(2.0)	4(8.2)
χ²值		0.843	0.843	0.261	0.261	6.806
P值		0.168	0.168	0.307	0.307	0.009

组别	例数	非常满意	满意	不满意	总满意度
对照组	49	23(46.9)	18(36.8)	8(16.3)	41(83.7)
观察组	49	37(75.5)	10(20.4)	2(4.1)	47(95.9)
χ²值					4.009
P值					0.045

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