我们的第一步:一个QI项目来减少NAS婴儿的NICU入院
Allison Zara Kelly1, Gail A Bagwell, Penni Coates-Huffman
1Author Affiliations: Nationwide Children's Hospital, Columbus, Ohio(Drs Kelly and Bagwell); OhioHealth Grant Medical Center(Dr Kelly); and University of South Alabama(Drs Kelly and Coates-Huffman).
概括
吃,睡,安慰 (ESC) 模型有效地管理新生儿禁食综合征 (NAS),减少NICU入院. 这种方法为新生儿的非药物干预提供了一种有价值的替代品芬尼根尺度.
科学领域:
- 新生儿护理 新生儿护理
- 儿科药理学 儿科药理学
- 质量改善举措 质量改善举措
背景情况:
- 新生儿戒断综合征 (NAS) 影响每1000名美国新生儿中有6.3名,使NICU资源受到压力.
- 俄俄州报告说,在2020年,每1000名新生儿中有9.5名新生儿的NAS率更高.
- 现有的护理模式被NAS日益增长的发病率所压倒.
研究的目的:
- 评估"吃,睡,安慰" (ESC) 模式在治疗新生儿纳斯病的有效性.
- 为了确定ESC是否减少新生儿重症监护室 (NICU) 的入院,与芬尼根尺度相比.
- 评估ESC在指导NAS管理和减少药物治疗方面的潜力.
主要方法:
- 一个质量改进试点项目使用了计划-做-研究-行动 (PDSA) 方法.
- 工作人员接受了关于ESC护理模式的全面教育.
- 母婴单位 (MIU) 提供了持续的支持和资源,以执行ESC.
主要成果:
- 使用ESC模型管理15名新生儿.
- 根据芬尼根尺度,每五名新生儿中,有两名新生儿需要接受NICU的治疗,他们通过ESC成功管理并送回家.
- 该ESC模型显示了减少NAS的NICU入院的潜力.
结论:
- 吃,睡,安慰 (ESC) 模型是评估和管理新生儿的宝贵工具.
- 优化非药物干预需要仔细评估NAS护理的资源配置.
- 需要进一步研究ESC对资源利用和患者治疗结果的影响.
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