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防抓伤综合性护理方案在新生儿科的应用研究*

作者:徐友岚 王雪芬 周秋红

所属单位:广东省东莞市妇幼保健院儿科 (广东 东莞 523002)

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摘要

目的 探究防抓伤综合性护理方案在新生儿科的应用效果。方法 选取2018年3月-2018年6月于我院住院护理的新生 儿180例,随机分为实验组(综合护理方案)和对照组(常规护理)各90例,对照组新生儿采取常规护理方法,实验组 在此基础上采取防抓伤综合性护理措施。观察对比干预前和干预10天后两组新生儿皮肤抓伤发生率、管道脱落发 生率、疼痛评分、日均睡眠时长、体温波动幅度。结果 实验组新生儿干预10天时皮肤抓伤发生率、管道脱落发生 率、疼痛评分、体温波动幅度均低于对照组(P<0.05),实验组新生儿日均睡眠时长高于对照组(P<0.05)。结论 综合性干预措施能够有效降低新生儿皮肤抓伤和管道脱落发生率,降低新生儿疼痛评分,改善睡眠质量,减少体温 波动。

Objective To explore the application effect of comprehensive anti-scratch nursing program in New pediatric. Methods A total of 180 neonates who were hospitalized in our hospital from March 2018 to June 2018 were randomly divided into experimental group (integrated nursing program) and control group (conventional nursing), 90 cases in each group. Methods, the experimental group took comprehensive anti-scratch care measures on this basis. The incidence of skin scratches, the incidence of tube shedding, the pain score, the average daily sleep duration, and the fluctuation of body temperature were compared between the two groups before and after 10 days of intervention. Results The incidence of skin scratching, tube peeling, pain score and body temperature fluctuation in the experimental group were lower than those in the control group (P<0.05). The average daily sleep time of the newborn group was higher than that of the control group. (P<0.05). Conclusion Comprehensive interventions can effectively reduce the incidence of skin scratches and tube loss in newborns, reduce neonatal pain scores, improve sleep quality, and reduce body temperature fluctuations.

【关键词】新生儿;防抓伤;综合性护理方案;

【中图分类号】R722

【文献标识码】A

【DOI】10.3969/j.issn.1009-3257.2019.03.031

前言

新生儿是指从母体分娩不足28d的婴儿,该阶段 是人体生长发育的关键阶段,也是人一生中身体最脆 弱的阶段。由于大脑尚未发育完全,新生儿常出现 自我抓伤皮肤、抓脱管道等事件,影响其生长发育 甚至对其造成严重伤害[1]。由于皮肤抓伤表露于外, 易引起家长的负面情绪导致医疗纠纷的发生。随着新 生儿专科技术的不断发展提高,人们对新生儿的护理 服务质量也提出了更高的要求,研究发现高质量的护 理工作能够有效降低新生儿发生皮肤抓伤的风险[2]。 为了进一步提高新生儿护理质量,满足人民对美好生 活的需求,降低皮肤抓伤等事件发生率,对2018年3 月~2018年6月期间于我院住院护理的180例新生儿进行防抓伤综合性护理方案干预研究,现报道如下。