不同护理干预对新生儿脐部皮肤感染的影响

The effect of different nursing intervention on umbilical skin infection of newborn infant

目的探讨产房新生儿脐部皮肤护理的最佳方法。方法采用历史回顾对照法将1550例母婴同室新生儿分为两组,2000年1-6月的800例新生儿采用常规护理为常规护理组,2004年1-6月出生的新生儿750例采用改进护理方法为改进护理组,改进护理组用0.3%碘伏作脐部皮肤消毒,加强产房沐浴室监控,对产妇、家属进行脐部护理宣教和指导。常规护理组产房沐浴室人员与病区护士一起轮班、接产、洗婴,用75%酒精脐部皮肤消毒,浴后扑粉。结果两组新生儿脐部感染经字2检验,有显著性差异(P<0.01),说明改进护理组的护理方法优于常规护理组。结论加强产房新生儿沐浴室消毒隔离的监控,脐部皮肤用0.3%碘伏消毒,能有效减少新生儿脐部皮肤感染。

Objective To explore the best method for the umbilicus skin nursing of newborn infant in delivery room. Methods According to retrospective method, 1 550 newborn infants who were delivered in mother-infant ward were divided into observation group(consisted of 800 babies born from January to June in 2000) and control group(consisted of 750 babies born from January to June in 2004). In the observation group, the umbilical skin of newborn infant were disinfected with 0.3% iodine, the bathing room for newborn infant were monitored intensively, and the mothers and their families were given health education and guidance about the umbilicus nursing. In the control group, the nurses in newborn infant bathroom and ward nurses shift in turn, delivered and bathed infant together. The umbilicus of newborn infant were disinfected with 75% alcohol and bepowdered after bath. Results There was significant difference between the two groups in umbilical skin infection (tested by ?字2, P<0.01), which indicated that method applied in the observation group was better than that of the controlling group. Conclusion Intensifying monitoring disinfection and segregation of the bathroom for newborn infant and disinfecting the umbilical skin with 0.3% iodine can reduce the newborn infant umbilical infection effectively.