Impact of multidimensional nursing mode on ventilation duration and nasal septum pressure injury in neonates with pneumonia receiving non-invasive ventilation

doi:10.19983/j.issn.2096-8493.20250202

Abstract

Abstract:

Objective: To analyze the clinical effects of multidimensional nursing mode on shortening ventilation duration and reducing the incidence of nasal septum pressure injuries in neonates with pneumonia receiving non-invasive ventilation (NIV). Methods: A retrospective study was conducted. Based on the inclusion criteria, 61 neonates with pneumonia who received routine NIV nursing at Putian Children’s Hospital from June to November 2024 were enrolled as the Routine Nursing Group, and another 59 neonates with pneumonia who received routine nursing combined with a multidimensional nursing mode from December 2024 to July 2025 were enrolled as the Multidimensional Nursing Group. The two groups were compared in terms of NIV duration, incidence of pressure injuries to the nasal septum skin, length of hospital stay, and improvements in blood gas analysis indicators (including arterial partial pressure of oxygen (PaO₂), oxygenation index (PaO₂/FiO₂), and arterial partial pressure of carbon dioxide (PaCO₂)). Results: After nursing intervention, the total NIV duration (68.00 (52.00, 89.50) h) and length of hospital stay ((13.92±3.15) d) in the Multidimensional Group was significantly shorter than those in the Routine Nursing Group (98.50 (72.00, 124.30) h and (16.45±3.82) d, respectively), and the incidence of nasal septum pressure injuries was significantly lower in the Multidimensional Group (3.39% (2/59) vs. 21.31% (13/61)), the differences were statistically significant (Z=-3.825, P<0.001; t=3.951, P<0.001; χ²=8.807, P=0.003). Furthermore, the levels of PaO₂ and PaO₂/FiO₂ in the Multidimensional Nursing Group ((81.46±9.02) mmHg and (268.92±32.40) mmHg, respectively) were significantly higher than those in the Routine Nursing Group ((72.35±8.54) mmHg and (235.68±30.15) mmHg), while the PaCO₂ level ((40.05±4.87) mmHg) was significantly lower than that in the Routine Nursing Group ((45.18±5.23) mmHg). All differences were statistically significant (t=5.683, 5.820, 5.556, respectively; all P<0.001). Conclusion: Implementing a multidimensional nursing mode in neonates with pneumonia undergoing NIV can effectively shorten ventilation duration, significantly reduce the risk of nasal septum pressure injuries, and better improve oxygenation function. Therefore, it is recommanded as an effective clinical nursing strategy.

Key words: Neonatal nursing, Pneumonia, Soft tissue injuries, Holistic nursing, Nursing methodology research

CLC Number:

R473.72

Xu Qing, Ma Hanying, Qiu Yue. Impact of multidimensional nursing mode on ventilation duration and nasal septum pressure injury in neonates with pneumonia receiving non-invasive ventilation[J]. Journal of Tuberculosis and Lung Disease , 2026, 7(2): 239-243. doi: 10.19983/j.issn.2096-8493.20250202

Figures/Tables 3

References 13

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组别	性别[例(构成比,%)]		胎龄 (周,$\overline{x}$±s)	出生体质量 (g,$\overline{x}$±s)	入院时出生日龄 (d,$\overline{x}$±s)	C-反应蛋白 (mg/L,$\overline{x}$±s)
组别	男婴	女婴	胎龄 (周,$\overline{x}$±s)	出生体质量 (g,$\overline{x}$±s)	入院时出生日龄 (d,$\overline{x}$±s)	C-反应蛋白 (mg/L,$\overline{x}$±s)
常规组(61例)	33(54.10)	28(45.90)	36.52±1.85	2856.45±512.33	5.82±3.15	12.61±5.32
多维度组(59例)	34(57.63)	25(42.37)	36.81±1.90	2910.20±498.76	5.51±2.94	11.95±4.84
统计检验值	χ²=0.151		t=0.847	t=0.581	t=0.557	t=0.710
P值	0.697		0.399	0.562	0.579	0.479

组别	无创通气总时长 [h,M(Q₁,Q₃)]	鼻中隔皮肤压力性损伤 [例(发生率,%)]	住院时间 (d,$\overline{x}$±s)
常规组(61例)	98.50(72.00,124.30)	13(21.31)	16.45±3.82
多维度组(59例)	68.00(52.00,89.50)	2(3.39)	13.92±3.15
统计检验值	Z=-3.825	χ²=8.807	t=3.951
P值	<0.001	0.003	<0.001

组别	PaO₂		PaO₂/FiO₂		PaCO₂
组别	治疗前	治疗后	治疗前	治疗后	治疗前	治疗后
常规组(61例)	52.18±7.25	72.35±8.54	156.35±25.41	235.68±30.15	55.62±8.17	45.18±5.23
多维度组(59例)	53.02±6.88	81.46±9.02	159.80±23.96	268.92±32.40	54.33±7.85	40.05±4.87
t值	0.651	5.683	0.765	5.820	0.882	5.556
P值	0.517	<0.001	0.446	<0.001	0.380	<0.001

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