在II级新生儿重症监护室出院时改善直接母乳养
Katrina Wakeman1, Jessica Grant2, Maudie Demshki3
1School of Medicine, Oregon Health and Science University, Portland, OR, USA.
概括
在质量改进项目后,新生儿重症监护室 (NICU) 的直接母乳养 (DBF) 显著增加. 这支持早产婴儿在医院出院时哺乳的可行性.
科学领域:
- 新生儿护理 新生儿护理
- 提高质量 提高科学 提高质量
- 哺乳研究研究 哺乳研究
背景情况:
- 直接母乳养 (DBF) 为婴儿提供了许多好处,特别是那些被录入新生儿重症监护室 (NICU) 的婴儿.
- 在新生儿重症监护室优化养实践对于婴儿健康结果至关重要.
- 质量改善 (QI) 计划可以提高新生儿护理的临床实践.
研究的目的:
- 实施和评估一项旨在提高直接母乳养率的质量改进项目.
- 评估在社区医院II级NICU中支持早产婴儿母乳养的可行性.
主要方法:
- 一个单中心,时间序列的QI研究,使用连续计划-做-研究-行动 (PDSA) 周期超过12个月.
- 数据收集了超过3.5年的时间,主要的结果是成功的母乳转移在出院后48小时内.
- 均衡措施包括提供自己的母乳和分娩时的妊娠年龄.
主要成果:
- 经过QI干预后,直接母乳养 (DBF) 在出院时从34%增加到79% (p < 0.01).
- 在排放时自己母乳的整体供应中没有观察到任何显著的变化.
- 出院时的妊娠年龄略有增加,从37.2周增加到37.7周 (p = 0.05).
结论:
- QI干预有效地提高了新生儿重症监护室环境中的直接母乳养 (DBF) 率.
- 这些发现支持在NICU出院前促进和实现早产婴儿母乳养的可行性.
- 这项研究强调了有针对性的QI努力在改善新生儿护理中的婴儿养实践方面取得的成功.
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