摘要
目的 研究母婴同室优化流程干预对新生儿临床结局的影响。方法 选取2019年1月—2020年10月于医院产科出生的2884例新生儿为研究对象,按照组间基线资料可比的原则分为观察组1433例和对照组1451例。对照组开展常规流程管理,观察组在对照组基础上开展母婴同室优化流程干预。比较两组新生儿窒息情况及黄疸情况,安全管理指标,新生儿出生后不同时期的神经行为评分。结果 母婴同室标准化流程干预后,观察组新生儿窒息总发生率低于对照组(P<0.05),观察组重度高胆红素血症率以及因高胆红素血症再入院率均低于对照组(P<0.05),观察组护理不良反应、安全意外事件以及医疗纠纷发生率均低于对照组(P<0.05),观察组新生儿出生后第14天、第28天的神经行为评分均高于对照组(P<0.05)。结论 母婴同室优化流程干预应用于新生儿管理中的效果较佳,可显著降低新生儿窒息以及高胆红素血症的发生风险,促进医患关系。
Objective To study the effect of rooming-in optimization procedure intervention on neonatal clinical outcome. Methods A total of 2884 neonates delivered in the department of obstetrics from January 2019 to October 2020 were selected as the study subjects and divided into an observation group(n=1433) and a control group(n =1451) according to the principle of comparison of baseline data between groups. Routine process management was carried out in the control group, optimization process intervention was carried out in the observation group based on the control group. Neonatal asphyxia and jaundice, safety management indexes, and neurobehavioral scores were compared between two groups. Results The total incidence of neonatal asphyxia in the observation group was lower than the control group(P <0.05), the rate of severe hyperbilirubinemia and readmission due to hyperbilirubinemia in the observation group were lower than the control group(P <0.05). The incidence of nursing adverse reactions, safety accidents and medical disputes in the observation group were lower than the control group(P<0.05), the neurobehavioral scores of the newborn in the observation group were higher than the control group on the 14 th and 28 th day after delivery(P <0.05). Conclusion The intervention of standardized procedure was effective in neonatal management, which could significantly reduce the risk of neonatal asphyxia and hyperbilirubinemia, promote the relationship between doctors and patients.
作者
李海燕
魏硕华
刘静
LI Haiyan;WEI Shuohua;LIU Jing(Huazhong University of Science and Technology Union Shenzhen Hospital,Shenzhen,518052,China)
出处
《护理实践与研究》
2022年第7期1043-1046,共4页
Nursing Practice and Research
关键词
母婴同室
优化流程
新生儿管理
临床结局
高胆红素血症
Rooming-in
Optimization process
Neonatal management
Clinical outcome
Hyperbilirubinemia