早产儿视网膜病变筛查189例的护理配合

目的:观察早产儿视网膜病变的发生情况,做好眼底检查前后的护理配合。方法:在本院新生儿科住院的出生胎龄低于34周、出生体重低于2 500 g、且有吸氧史或曾行机械通气的早产儿,待病情相对平稳后给予早产儿视网膜病变(ROP)筛查。结果:所有受检患儿检查过程顺利,检查后均未发生感染及其他病情变化。结论:做好ROP筛查前后的护理配合工作,能防止受检查患儿眼部及身体其他部位的伤害。

发展性照顾对早产儿护理应用价值及生存质量的影响

目的研究发展性照顾对新生儿重症监护室(NICU)早产儿护理应用价值及生存质量的影响。方法选取我科NICU的76例早产儿作为研究对象,随机分为对照组和研究组,各38例。对照组采用常规护理。研究组在常规护理的基础上采用发展性照顾模式。比较两组护理效果及生存质量。结果研究组每日睡眠时间、每日喂奶量、达正常体重时间、住院时间显著优于对照组(P<0.05)。出生后第7d,两组MDI、PDI评分比较无显著差异(P>0.05),第14d、30d研究组MDI、PDI评分显著优于对照组(P<0.05)。结论早产儿施行发展性照顾,能为患儿提供舒适、安全的环境,促进体格及智力的正常发育,显著改善早产儿预后及生存质量,可作为一种有效的护理模式应用于临床。

早产儿视网膜病变筛查的护理

目的探讨早产儿视网膜病变(ROP)发生的相关因素,做好筛查前后的护理。方法选择2009年1月～2012年12月482例早产儿使用双目间接检眼镜进行ROP筛查,且进行实施筛查前、中、后的全面护理措施。结果 482例早产儿均安全、顺利地完成视网膜的眼底检查,其中39例发生ROP,发生率为8.09%,特别是体重越低、孕周越短,ROP的发生率越高(P<0.01)。结论 ROP发病率高,应加强宣教、及时筛查、早期发现、早期治疗。筛查前、中、后有效的护理配合对ROP的筛查及随访具有重要意义。

改良鸟巢体位包在早产儿护理中的应用及效果观察

目的探讨改良鸟巢体位包在早产儿护理中的应用及效果。方法选取200例早产儿,按随机数字表法分为观察组和对照组,每组100例。对照组给予传统鸟巢体位包。观察组给予改良鸟巢体位包。比较两组住院期间呼吸暂停、肛温<36℃、SPO2<85%、心率>160次/min发生率。结果观察组呼吸暂停、肛温<36℃、SPO2<85%、心率>160次/min发生率分别为5%、4%、9%、3%,对照组分别为13%、17%、27%、15%,两组比较有显著性差异(P<0.05)。结论采用改良鸟巢体位包进行早产儿护理,可有效维持早产儿体温,提高血氧饱和度,调节心率和呼吸,其效果优于传统鸟巢体位包。

早产儿视网膜病变的早期护理干预

目的探讨早产儿视网膜病变(ROP)发病的有效护理干预措施。方法对116例完成整个诊疗随访过程的早产儿例行眼底检查,对ROP发病的相关因素进行临床分析并提出具体的护理干预措施。结果 116例早产儿中,首检为正常视网膜者105例,发生ROP 11例,占9.48%,其中ROPⅠ期9例,ROPⅡ期2例。结论早产儿低体重、低胎龄是ROP发病的根本原因,氧疗与ROP密切相关,早期实施护理干预,对降低ROP的发生率和致盲率有着极其重要意义。

Nurses’experiences of caring for preterm infants in pain:A metaethnography

Objective:Preterm infants are subjected to numerous painful procedures during their neonatal intensive care unit(NICU)hospitalization.Despite advancements in pain alleviation,nurses remain challenged to provide timely and effective pain management for preterm infants.Greater understanding of the lived experience of nurses caring for preterm infants in pain could provide novel insights to improve pain management for this vulnerable population.The aim of this meta-ethnography was to synthesize and interpret qualitative findings of nurses’experiences of taking care of preterm infants in pain.Methods:An extensive literature search in PubMed,CINAHL,PsycINFO,Scopus,BIOSIS and ProQuest Dissertation and Theses Database was conducted,including studies within the past 10 years.Two nursing researchers conducted data extraction and analysis independently.Inclusion criteria were applied to search for qualitative studies of nurse participants who worked in the NICU taking care of preterm infants.Studies published in a language other than English,articles that did not include qualitative data and qualitative data that could not be extracted from the findings or did not discuss nurses’experiences were excluded.Critical Appraisal Skills Programme was used for literature quality evaluation.Results:Eight studies remained after further screening according to inclusion and exclusion criteria.These eight studies were conducted from 2013 to 2018 and totally enrolled 205 nurses from Iran,Canada,the United States,Finland,Sweden,Switzerland,and Australia.Five themes emerged on the nurses’perspectives of taking care of preterm infants in pain:1)They sense the neonatal pain;2)Adverse consequences of unrelieved pain;3)Barriers of managing pain;4)Concerns of available approaches for pain relief;5)Failure to work with parents.Conclusions:This meta-ethnography identified nurses’understanding of pain in preterm infants that can be assessed,and they acknowledged that unrelieved pain could cause developmental deficits in infants.The barriers are lack of training and support on pain assessment and intervention in preterm infants.Optimizing workload and environment,developing age-specified pain assessment and intervention,receiving emotional support and training,and building up a rapport with parents are urgent needs for nurses to provide better care to infants having pain.

Application of FICare mode in premature infants of NICU:A meta-analysis

infants.Methods:Systematic searches in PubMed,EMBASE,The Cochrane Library,Web of Science,Chinese biomedical literature database,China National Knowledge Infrastructure,Wanfang medical and VIP database were performed for randomized controlled trials(RCTs)or quasi-RCTs which explored the effects of FICare mode on growth and development of premature infants in neonatal intensive care unit.Then,meta-analysis was performed by RevMan 5.3 after two independent investigators screened the literature,extracted the data and evaluated the risk of bias of all included studies.Results:A total of 14 articles were included,including 3120 preterm infants and their families.Meta-analysis showed that compared with the traditional management mode,FICare mode can effectively improve the growth rate of premature infants'weight[Weight mean difference(WMD)=4.02,95%CI(2.47,5.56),P<0.001],increase sleep time[WMD=3.25,95%CI(2.05,4.44),P<0.001],improve breastfeeding rate[RR=1.38,95%CI(1.15,1.64),P<0.001],reduce readmission rate[Relative risk(RR)=0.49,95%CI(0.33,0.71),P<0.001],promote the development of the nervous system[WMD=3.96,95%CI(3.18,4.74),P<0.001],improve nursing skills of Premature infants'parents[WMD=17.40,95%CI(13.64,21.1),P<0.001],reduce the influence of maternal and infant separation on parents'emotions.Conclusion:FICare mode can effectively promote the growth and development of premature infants and alleviate the harm caused by the separation of mother and infants.Limited by the quality and region of the included studies,the appeal conclusion still needs to be tested by more high-quality studies.