影响新生儿听力筛查质量的相关因素及针对性护理干预

Relevant factors influencing newborns hearing screening quali- ty and oriented nursing interventions

目的探讨影响新生儿听力筛查质量的相关因素及针对性护理干预效果。方法将180例新生儿根据是否通过听力筛查（通过标准：双耳耳声发射短爪信息为Pass）分为A组（筛查通过）和B组（筛查未通过）各90例，分析影响新生儿听力筛查质量的相关因素；采用随机数字表法将B组患儿分为观察组和对照组各45例，两组患儿均接受常规护理，观察组患儿在此丛础上给予针对性护理干预，比较两组听力筛查假阳性率及家属对护理的满意率。结果A组耳道内有残留物、中耳内存留积液、筛查时间不合理、筛查状态不佳、筛查操作不规范发生率均娃著低于B组，差异均有极显著性（P〈0．01）；B组中观察组在采取针对性护理措施后，听力筛食假阳性率为6．7％、家属对护理工作满意率为93．3％，对照组分别为22．2％、71．1％，观察组似阳性率显著低于对照组，家属对护理工作满意率显著高于对照组（P〈0．05）。结论新生儿听力筛查质量受多种因素的影响，临床上采取有针对性的护理干预，能显著提高听力筛查质量。

Objective To explore the relevant fac tors influencing newborns hearing screening quality and the effects of oriented nursing interventions. Methods A total of 180 newborns were assigned to group A （pass） and B （un-pass） of 90 ones each according to whether they passed hearing screening and relevant factors influencing newborns hearing screening quality analyzed; group B was assigned to observa- tion and control group of 45 ones each according to random number table, both groups received routine nursing, on this basis observation group was plus oriented nursing interventions, and group false positive rates of hearing screening and relative＇s satisfaction to nursing compared. Results The incidences of residuum in meatus auditorius, hydrops in middle ear, unreasonable screening time, poor screening state and non-standard operation of screening were all significantly lower in group A than in B （P〈0.05） and differences were very significant （P〈0. 01）; after oriented nursing interventions false positive rate of hearing screening was significantly lower （6. 7% vs. 22. 2G） and relatives＇ satisfaction rate higher （93.3G vs. 71.1%） in observation than in control group （P 〈0. 05）. Conclusion Newborns hearing screening qualities are influenced by multiple factors and oriented nursing interventions could notably improve hearing screening [Keywords]