助产士或医生领导实施国家指南在产后病房的婴儿 (设计):一个集群随机,受控,试验
Jane M Alsweiler1, Caroline A Crowther2, Jane E Harding2
1Department of Paediatrics: Child and Youth Health, University of Auckland, Auckland, New Zealand.
PloS one
|September 28, 2023
概括
助产士或医生领导同样有效地实施了临床实践指南,用于口服德克斯特凝治疗新生儿低血糖症. 该指南的实施显著增加了低血糖婴儿口服德克斯特凝的使用.
科学领域:
- 新生儿医学 新生儿医学
- 临床实践指南 临床实践指南
- 医疗保健服务研究 医疗服务研究
背景情况:
- 新生儿低血糖是一个常见的问题,需要有效的治疗指南.
- 口服德克斯特凝是新生儿低血糖症的公认干预措施.
- 实施临床实践指南可以改善婴儿护理,但需要有效的领导.
研究的目的:
- 为了比较助产士与医生领导者在实施临床实践指南中对新生儿低血糖症口服德克斯特凝治疗的有效性.
- 评估指南实施对接受口服德克斯特凝治疗的低血糖婴儿比例的影响.
主要方法:
- 集群随机对照试验涉及新西兰分娩医院.
- 随机分配的医院执行由助产士或医生领导的指导方针.
- 主要结局:在实施前和实施后三个月用乳糖凝治疗的低血糖婴儿比例的变化.
主要成果:
- 在助产士领导的实施组和医生领导的实施组之间,主要结果没有显著差异.
- 在指南实施后,接受口服乳糖凝治疗的符合条件的婴儿比例显著增加 (80%至88%).
- 该指导方针的实施本身导致了治疗接受率的提高,无论领导者的职业是什么.
结论:
- 助产士和医生领导者在实施新生儿低血糖治疗临床实践指南方面同样有效.
- 临床实践指南的实施成功地改善了新生儿低血糖症的口服德克斯特凝的吸收.
- 进一步的研究可能会探索影响成功采用指南的因素,超出领导类型.
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