住院新生儿早期头部转向偏好及医源性影响因素分析

Analysis of head turning preference and iatrogenic factors in the early stage of newborn in hospital

[目的]探讨住院新生儿早期头部转向偏好的发生情况及影响因素。[方法]选取住院新生儿456例,在入院、住院3 d、住院1周时判断转向偏好的发生情况,采用单因素分析及多因素Logistic回归分析头部转向偏好的影响因素。[结果]新生儿病房住院患儿的头部转向偏好发生率较高,右转偏向高于左转偏向;多因素分析显示,日龄、是否早产、是否入住新生儿重症监护室(NICU)、喂奶方式、是否辅助通气与头部转向偏好相关。[结论]新生儿头部转向偏好受日龄、喂养方式、有创管道、环境等医疗因素的影响,应制定有效固定新生儿头部、改善环境等干预措施,以减少头部转向偏好的发生率。

Objective:To investigate the occurrence and influencing factors of head turning preference in the early stage of newborn in hospital.Methods:A total of 456 newborn infants in hospital were selected,and the occurrence of head turning preference was determined at admission,3 days of hospitalization and 1 week of hospitalization.Univariate analysis and multivariate logistic regression were used to analyze the influencing factors of head turning preference.Results:The incidence of head turning preference was high in neonatal ward,and the right turn bias was higher than left‐turn.Multivariate analysis showed that days after birth,preterm delivery,admission to NICU,feeding method,and assisted ventilation were associated with head turning preference.Conclusions:Neonatal head turning preference was affected by days after birth,feeding style,invasive pipeline,environment and other medical factors,and the effective intervention measures,such as fixing neonatal head and improving environment,should be formulated to reduce the incidence of head turning preference.