The Effective of Nursing Care Guidelines for Patients’ Respiratory Failure Treated with Nasal High-Flow Oxygen Concentrator on Reducing Complications in Pediatric Patients with Lower Respiratory Tract Infection at Yasothon Hospital
Keywords:
Effective, Clinical Nursing Practice, Children with lower respiratory tract infectionAbstract
The research is quasi-experimental provide good outcome of care. The aim of this study was the effective of development in clinical nursing practice guidelines to use of high-flow nasal cannula therapy in children with lower respiratory tract infection and
respiratory distress. The sample comprised of 63 patients aged between 1 and 5 years old who admitted in pediatric intensive care unit Yasothon hospital, all patients were diagnosed with lower respiratory tract infection and those with dyspnea and who treated with high flow nasal cannula (HFNC) according to the inclusion-exclusion criteria and received parental consent to participate in the research project from 1 January - 30 June 2024. The data were collected consists of the record general information about pediatric patients with lower respiratory tract infections and breathing difficulties, the data recorded treatment results using High Flow Nasal Cannula (HFNC). In addition, descriptive statistic, independent t-test and Mann-Whitney tests were performed at p-value 0.05.
Result: This study found, that the clinical respiratory score (CRS) in pediatric patients with dyspnea after receiving high flow nasal cannula oxygen therapy can reduce the severity of respiratory clinical features more than in pediatric patients with respiratory tract infections lower breathing were significantly. Moreover, these factors affecting the effectiveness of treatment with HFNC were found to be age, patients with a history of difficulty breathing, wheezing and crepitations were significantly different effects on HFNC treatment among the groups at p-value < 0.05.
Conclusion: In patients with respiratory distress, there were evidence of escalating respiratory support among those receiving HFNC therapy. Therefore, HFNC treatment can improve reduce respiratory rate, heart rate and enhance healthcare satisfaction.
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