早产儿视网膜病变筛查网络建设及其护理管理

Establishment of screening network for retinopathy of prematurity and its nursing supervision

目的探讨早产儿视网膜病变筛查网络建设及其护理管理的应用效果及价值。方法通过资料分析、实地观察、问卷调查等调研方法对河源市五县一区人民医院及妇幼保健院进行调研,了解河源地区早产儿视网膜筛查现状及网络建设可行性,建立网络平台,以微信平台为主,通过到各县区宣教,使各县区医院儿科、眼科的医生及管理者均关注该微信平台,及时发布有早产儿视网膜病变筛查需求的患儿情况,及时请求或转院会诊筛查,并给予其相应护理管理。结果早产儿视网膜病变筛查网络建设以后,其病变筛查率由5%上升到30%,其中确诊12例,转诊26例。结论早产儿视网膜病变筛查网络建设及其护理管理促进了疾病筛查工作的进行,有效提升了病变筛查率,值得使用与推广。

Objective To investigate establishment of screening network for retinopathy of prematurity and application effect and value of its nursing supervision.Methods Data analysis, field observation, and questionnaire were applied to research people’s hospitals and maternal and child health care hospitals in 5 countries and 1 district of Heyuan city, in order to know current condition of screening network for retinopathy of prematurity and feasibility of network construction. Network platform was made mainly through Wechat for doctors and managers in departments of pediatrics and ophthalmology, with timely distribution of children in need of screening, requirement of transfer screening, and application of corresponding nursing supervision. Results Screening rate of retinopathy of prematurity increased from 5% to 30% after establishment of screening network, with 12 diagnosed cases and 26 transferred cases.Conclusion Establishment of screening network for retinopathy of prematurity and nursing supervision accelerate screening work, and effectively improve screening rate. It is worth applying and promoting.