NICU患儿再入院原因分析及护理干预

Analysis of the causes to lead to rehospitalization of infant patients in NICU and nursing intervention

目的:分析新生儿重症监护病房(NICU)患儿再入院原因,并提出针对性护理干预措施。方法:回顾性分析239例NICU再入院患儿的临床资料及护理措施,对其再入院原因、出院至再入院间隔时间进行描述性分析,并提出针对性护理干预措施。结果:本组患儿再入院原因包括喂养(48.95%)、感染(34.31%)及其他(16.74%);本组患儿出院至再入院间隔时间为(5.370±5.028)d,其中0～24 h再入院91例(38.08%),0～3 d再入院132例(55.23%),4～10 d再入院64例(26.78%),11～19 d再入院43例(17.99%)。结论:NICU患儿转出后实行母婴同室,早期加强新生儿喂养指导、预防感染、适当保暖等护理干预措施有助于降低再入院率。

Objective ： To analyze the causes to lead to rehospitalization of infant patients in neonatal intensive care units （ NICU ） and put forward corresponding nursing intervention measures. Methods： The clinical data of 239 rehospitalized infant patients who were once treated in NICU and nursing measures were retrospectively analyzed. The causes for re - admission and the interval from discharge to readmission were descriptively analyzed and the pertinent nursing intervention measures were raised. Results： The causes for readmission included feeding （ 48.95 % ） , infection （ 34.31% ） and other problems （ 16.74% ） ; the interval from discharge to readmission was （ 5. 370 ± 5. 028 ） days,0 - 24 hours readmission in 91 cases （ 38.08 % ）,0 - 3 days readmission in 132 cases （ 55.23 % ） ,4 - 10 days readmission in 64 cases （ 26.78% ） , 11 -19 days readmission in 43 cases （ 17.99% ）. Conclusion ： The comprehensive nursing intervention measures such as using rooming - in ward, early guidance on neonatal feeding, prevention of infection and appropriately keeping warm are conducive to decreasing readmission rates.