# Impact of ABCDE bundle nursing on pediatric respiratory distress syndrome under nasal continuous positive airway pressure therapy

## TL;DR

This study shows that ABCDE nursing improves outcomes for children with respiratory distress syndrome on nasal CPAP therapy.

## Contribution

The study demonstrates the effectiveness of ABCDE bundled nursing in reducing hospitalization time and complications in pediatric RDS patients.

## Key findings

- The ABCDE group had shorter oxygen therapy and hospitalization durations compared to the control group.
- Blood gas status improved more significantly in the ABCDE group.
- Family satisfaction was higher and complications were less frequent in the ABCDE group.

## Abstract

This study aimed to evaluate the effect of ABCDE nursing on children with respiratory distress syndrome (RDS) receiving nasal continuous positive airway pressure (nCPAP).

This retrospective cohort study was conducted at Hebei Children’s Hospital and included records of 200 children with RDS who received nCPAP from January 2021 to December 2022. Among them, 100 patients who received ABCDE bundled care (ABCDE group) were matched with the cohort receiving standardized care (control group) in a 1:1 ratio. The primary outcome of interest was hospitalization time, and the secondary outcomes included oxygen therapy duration, blood gas status, incidence of complications, and satisfaction with care provided by the patient’s family.

The oxygen therapy time and hospitalization duration in the ABCDE group were shorter than those in the control group (P<0.05). After intervention, the blood gas status of both groups improved and was considerably better in the ABCDE group than the control group (P<0.05). The total incidence of complications in the ABCDE group was lower (P<0.05), and the satisfaction of family members with the nursing care was higher than in the control group (P<0.05).

ABCDE-based nursing intervention for RDS children receiving nCPAP can improve blood gas status, shorten hospitalization time, reduce the risk of complications, and increase family satisfaction with the nursing care.