多专科协作护理专案预防早产儿低体温

Preventing hypothermia of preterm infants through a nursing project based on multidisciplinary cooperation

目的加强早产儿出生后的体温管理,有效降低早产儿入住NICU时低体温发生率。方法成立早产儿体温管理护理专案管理小组,构建以NICU为中心的多专科协作护理模式,制定标准化干预措施,编写《早产儿体温管理工作指引》,建立电子化早产儿体温管理质量追踪表并确定关键监测指标,开展全员参与型标准化培训等护理专案管理。结果实施护理专案管理后,早产儿入住NICU时低体温发生率由47.76%下降至19.51%(P<0.01)。结论多专科协作的护理专案针对导致早产儿低体温发生的关键节点实施管理,可有效降低早产儿低体温发生率。

Objective To strengthen temperature management for preterm infants after birth,and to effectively reduce the rate of hypothermia for preterm infants in NICU.Methods A nursing project management team for temperature management of preterm infants was set up,a NICU centered multidisciplinary cooperation nursing model was constructed,and the standardized interventions were formulated,the working instruction on temperature management for preterm infants was compiled,then an electronic quality tracking table for temperature management of preterm infants was established,and the key monitoring indicators were identified,lastly the nursing project management was conducted including all staff participated standardized training,etc.Results After the nursing project management,the hypothermia rate of preterm infants in NICU decreased from 47.76%to 19.51%(P<0.01).Conclusion The nursing project based on multidisciplinary cooperation controls hypothermia for preterm infants according to its key nodes,thus it could reduce the rate of hypothermia for premature infants effectively.