对于满期健康的新生儿来说,帽子脱了:对温度调节没有好处
Jessica Lazzeri1, Nicholas A Giordano, Lori Christ
1Hospital of the University of Pennsylvania, Philadelphia (Ms Lazzeri and Drs Christ and Stringer); Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia (Dr Giordano); Division of Neonatology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania (Dr Christ); and School of Nursing (Drs Polomano and Stringer) and Perelman School of Medicine (Drs Polomano and Stringer), University of Pennsylvania, Philadelphia.
The Journal of perinatal & neonatal nursing
|September 29, 2023
概括
在出生时取消帽子并没有显著影响新生儿温度调节. 这项研究发现,在头24小时内,带帽子或没有帽子的婴儿的低温率没有可测量的差异.
科学领域:
- 新生儿护理 新生儿护理
- 婴儿温度调节 婴儿温度调节
- 儿科卫生保健 儿科卫生保健
背景情况:
- 超热症带来了婴儿突然意外死亡的风险.
- 在出生时常规使用帽子以防止低温可能导致产后高温.
- 需要证据来支持帽子对于新生儿温度调节的必要性.
研究的目的:
- 评估出生时停止戴帽子对新生儿温度调节的影响.
- 在消除日常帽子使用后,在出生后24小时内评估满期婴儿中低温的发生率.
- 为了确定消除帽子是否会影响健康新生儿的低温风险.
主要方法:
- 2018年的一项机构指导方针改变取消了新生儿在出生时常规使用帽子的做法.
- 新生儿的体温被追溯地从电子健康记录中收集.
- 从482名婴儿的数据 (257名指南前,225名指南后) 进行了比较,以测量温度调节的结果.
主要成果:
- 在带帽子 (23.7%) 和没有帽子 (31.1%) 的婴儿之间,没有观察到低温率的统计学上显著差异.
- 经过对共变量进行调整后,经历低温的几率没有显著变化 (OR=1.44,P=.14).
- 该研究没有发现帽子使用对新生儿温度调节的可测量影响.
结论:
- 婴儿出生时使用帽子对新生儿温度调节没有显著影响.
- 研究结果表明,在健康的新生儿中,日常使用帽子可能不必维持正常热量.
- 进一步的研究可能会探索婴儿出生后最佳的热管理实践.
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