小婴儿,头部位置形,发育定位和新生儿护理实践
Vicki Bradfield1, Leslie McKeon
1Author Affiliations: Neonatal Intensive Care, University of Tennessee Medical Center, Knoxville, Tennessee, (Mrs Bradfield); and Division of Nursing, University of Tennessee Medical Center, Knoxville, Tennessee (Dr McKeon).
概括
位置头部形 (PHD) 在早产婴儿中很常见,但在临床笔记中通常没有报告. 改进的文档对于跟踪婴儿头部形状和确保适当的发育支持至关重要.
科学领域:
- 新生儿护理 新生儿护理
- 发育儿科 发育儿科
- 医疗器械工程 医疗器械工程
背景情况:
- 低出生体重的婴儿面临神经发育风险.
- 长时间的通风和内内输管可以导致位置头部形 (PHD).
- 报告的PHD患病率在22%-66%之间,但内部审计表明报告不足.
研究的目的:
- 确定新生儿重症监护室 (NICU) 中早产婴儿中PHD的流行率.
- 评估NICU当前的神经发育定位实践.
主要方法:
- 在50名NICU早产婴儿 (≥72小时) 的样本中,在出院时对PHD进行了评估.
- 使用婴儿定位评估工具 (IPAT) 观察婴儿的定位.
- 收集的数据包括妊娠年龄,出生体重,停留时间和头部形状评估.
主要成果:
- PHD患病率为12%,与临床医生笔记中的正常发现形成鲜明对比.
- 患有PHD的婴儿有较低的妊娠年龄,在出院时头部周长较小,NICU停留时间更长.
- 在572个观察结果中,治疗定位在84%被观察到,手的定位得分最低.
结论:
- 低出生体重婴儿的PHD患病率可能被低估.
- 对于出生时体重极低的婴儿,IPAT的手部定位部件可能需要验证.
- 为了准确的婴儿头部形状跟踪和趋势分析,需要加强文档结构.
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