在早产婴儿中预防腹腔内出血的护理包:一个最佳实践项目实施项目
Álvaro Solaz García1,2,3, Rosario Ros Navarret2, Marta Aguar Carrascosa1,2
1Neonatal Research Unit, Health Research Institute La Fe, Valencia, Spain.
JBI evidence implementation
|September 18, 2024
概括
在早产婴儿中预防腹腔内出血对于更好的新生儿结果至关重要. 这项研究通过审计和教育改善了新生儿重症监护室 (NICU) 的护理实践.
科学领域:
- 新生儿科学 新生儿科学
- 基于证据的实践实践.
- 临床审计 临床审计
背景情况:
- 腹腔内出血 (IVH) 显著影响新生儿发病率,死亡率和长期神经发育结果.
- 在早产婴儿中预防IVH是新生儿重症监护室 (NICU) 的一个关键挑战.
研究的目的:
- 实施和评估在早产婴儿生命的第一天内预防腹腔内出血的策略.
- 加强在新生儿重症监护室 (NICU) 遵守基于证据的,以家庭为中心的护理协议.
主要方法:
- 在西班牙第三级NICU中使用JBI证据实施框架进行实施前后临床审计.
- 基线和后续审计评估了13个标准,这些标准是根据最好的可用证据得出的.
- 实施涉及护理包,医疗保健专业教育和改善护理记录.
主要成果:
- 后续审计表明,睡眠安全和降噪标准 (标准2,3,6,7) 得到了100%的改善.
- 在带紧和婴儿定位方面 (标准12和13) 发现了25.99%的改善.
- 在产前使用皮质类固醇时,观察到5.56%的适度改善 (标准9).
结论:
- 该研究成功地提高了对预防腹腔内出血的基于证据的实践的遵守.
- 这项干预,包括审计和教育,改善了新生儿重症监护室中早产婴儿的护理.
- 建议进行进一步的研究,以评估长期有效性和神经发育结果.
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