管理家用氧气和鼻胃养NICU后排放:PCP实践和前景
Lauren A Beard1, Blair W Weikel1, Kathleen E Hannan1
1Division of Neonatology, Department of Pediatrics, University of Colorado School of Medicine, Aurora, Colorado.
American journal of perinatology
|January 24, 2025
概括
初级保健提供者对大多数NICU毕业生的家庭氧气管理感到舒适,但与非常早产婴儿和鼻管养扎. 这凸显了出院后对技术依赖婴儿的护理方面的差距.
科学领域:
- 新生儿医学 新生儿医学
- 儿科护理 儿科护理
- 医疗保健管理的管理
背景情况:
- 新生儿重症监护室 (NICU) 的毕业生通常需要持续的技术支持,包括家庭氧气,脉冲氧计和鼻胃 (NG) 养.
- 了解初级保健提供者 (PCP) 对管理这些依赖技术的婴儿的看法至关重要,特别是在高海拔环境中.
研究的目的:
- 评估PCP舒适度在管理技术依赖的NICU毕业生.
- 确定当前的做法,并确定在高海拔地区PCP在照顾这些婴儿时所面临的障碍.
主要方法:
- 对科罗拉多州和怀俄明州的PCP进行了横截面调查.
- 收集了关于PCP对家庭技术的NICU毕业生的看法和做法的数据.
- 使用双变量和后勤回归分析来探索诊所高度,位置,提供者经验和舒适度之间的关系.
主要成果:
- 大多数受访者 (82%) 是儿科医生,主要在城市/郊区执业.
- PCP报告说,与非常/极度早产婴儿 (52%) 相比,在满期 (92%) 和中度早产 (82%) 婴儿中,在家庭管理氧气时的舒适度更高.
- 尽管婴儿接受这些料 (69%),但在管理鼻胃食时 (61%) 发现了显著的不适.
结论:
- 对于中度早产婴儿来说,PCP表现出家庭氧气的足够舒适性,但在非常早产婴儿方面面临挑战.
- 关于家庭鼻胃养的管理存在广泛的不适.
- 这些发现强调了关键的出院前护理缺口和改善对高风险,依赖技术的婴儿的支持的机会.
相关概念视频
01:29Administering Oxygen by Nasal Cannula
355
Oxygen therapy is critical to patient care, especially for those struggling with respiratory issues. This intervention increases the oxygen concentration in the lungs, enhancing the amount of oxygen transported to the body's tissues. One standard method of delivering supplemental oxygen is through a nasal cannula, a non-invasive device that provides low to medium oxygen concentrations.
Nasal Cannulas
A nasal cannula is a lightweight tube split into two prongs placed in the nostrils,...
Nasal Cannulas
A nasal cannula is a lightweight tube split into two prongs placed in the nostrils,...
355
01:26Enteral Nutrition I: Orogastric and Nasogastric Feeding
190
Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
190
01:30Administering Oxygen by Mask
232
Administering Oxygen by Mask
Administering oxygen by mask is a common nursing intervention that provides supplemental oxygen to patients with respiratory distress or chronic lung conditions. This procedure involves delivering oxygen at a specified rate through a face mask connected to an oxygen source.
Equipment
The equipment necessary for this procedure includes:
Administering oxygen by mask is a common nursing intervention that provides supplemental oxygen to patients with respiratory distress or chronic lung conditions. This procedure involves delivering oxygen at a specified rate through a face mask connected to an oxygen source.
Equipment
The equipment necessary for this procedure includes:
232
01:30Pneumonia V: Nursing management and Prevention
1.8K
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
1.8K
01:15Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
73
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
73
01:16Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen
292
Oxygen therapy is a pivotal aspect of medical care, particularly for patients with respiratory ailments. Two prominent oxygen-delivering systems include the Venturi mask and the transtracheal oxygen catheter.
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...
292