新生儿缓和护理的袋鼠拥抱运输:服务评估
Jacqueline Plazina1,2,3, Melissa Melville1, Li-An Collie1
1NeoRESQ, Royal Brisbane and Women's Hospital, Herston, Queensland, Australia.
Nursing in critical care
|September 2, 2025
概括
新生儿可以安全地被转移到临终息治疗中使用袋鼠拥抱方法. 这种创新的运输模式为家庭提供了有意义的选择,确保婴儿在运输过程中的舒适性和安全性.
科学领域:
- 新生儿护理
- 缓解性护理
- 运输医学
背景情况:
- 超过60%的儿童死亡发生在新生儿身上,大多数的终身护理是在医院.
- 与成人和儿童不同, 新生儿缺乏专门的缓解护理环境.
- 一个新生儿回收服务开发了一个袋鼠拥抱运输模型来支持家庭选择在家或临终关怀.
研究的目的:
- 评估袋鼠拥抱运输的服务工作流程.
- 评估接受这种运输的新生儿的临床特征.
- 确定这种护理模式的安全性,有效性以及所需的流程和人员.
主要方法:
- 使用计划-做-研究-行动 (PDSA) 循环进行服务评估.
- 在五个领域评估结果:工作流程,人口,安全,工艺/设备和人员.
- 通过PDSA循环和使用可接受性评估的安全措施.
主要成果:
- 21个家庭中的13个选择了袋鼠拥抱运输.
- 大多数新生儿的孕期和体重>1200g.
- 没有发生任何不良事件;工作人员的反是积极的;准备时间中位数为0. 5小时,运输时间为4小时.
结论:
- 袋鼠拥抱运输是一种安全有效的新生儿终身息护理方法.
- 这种模式为新生儿提供了有意义的服务.
- 由于可能的复杂性,需要对早产儿进行进一步的评估.
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