不同护理干预对预防新生儿脐部皮肤感染的影响

Different Nursing Intervention on the Prevention of Neonatal Umbilical Skin Infection

目的观察不同护理干预措施对预防新生儿脐部皮肤感染的影响。方法采用历史回顾对照法将4290例母婴同室新生儿分为两组,2007年1—10月的2300例新生儿采用常规护理为常规护理组,2008年1—10月出生的新生儿2290例采用早期护理于预方法为早期护理干预组,早期护理干预组用0.5%碘伏作脐部皮肤消毒,加强产房沐浴室监护,对产妇、家属进行脐部护理知识宣教和指导。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%乙醇脐部皮肤消毒。结果早期干预护理组2290例中感染8例,常规护理组2300例中感染42例,两组新生儿脐部皮肤感染率间差异有统计学意义(χ2=13.16,P<0.01)。结论加强产房、新生儿沐浴室消毒隔离的监测,脐部皮肤用0.5%碘伏消毒,能有效减少新生儿脐部皮肤感染。

Objective To observe the different nursing intervention measures on the prevention of neonatal umbilical skin infection. Methods 4290 cases of the control law will Rooming newborns divided into two groups, in 2007 January - October of 2300 cases of neonatal conventional care for the conventional group, born in 2008 January - October of 2290 cases of the use of newborn Early in the pre - nursing care method for the early intervention group, early nursing intervention group was 0. 5% iodophor disinfection for umbilical skin, strengthening the delivery room shower room guardianship of maternal, umbilical families missionary nursing knowledge and guidance. Conventional group shower room staff in the delivery room nurses and ward shift together, births attended washing infants, with 75% alcohol umbilical skin disinfection. Results The results of two groups of neonatal umbilical infection by χ2 test, the difference was significant （P 〈0. 01 ）, that early intervention care group care is superior to conventional care group. Conclusion To strengthen the delivery room, neonatal shower room disinfection and isolation of the monitoring, umbilical skin with 0. 5% iodophor disinfection, are effective in reducing neonatal umbilical skin infections.