延续护理对糖尿病母亲新生儿出院后皮肤情况的效果  

Effects of continous nursing on skin condition of neonates of diabetic mothers after discharging from hospital

作　　者：张迪[1] 马金红[1] 张艳玲[1] 赵秀艳[1] ZHANG Di;MA Jinhong;ZHANG Yanling;ZHAO Xiuyan(Department of Neonates,The First Hospital of Qinhuangdao City,Hebei,Qinhuangdao 066000,China)

机构地区：[1]河北省秦皇岛市第一医院新生儿科,066000

出　　处：《河北医药》2018年第21期3355-3357,共3页Hebei Medical Journal

基　　金：秦皇岛市市级科技计划项目(编号:201401A272)

摘　　要：目的探讨延续护理对糖尿病母亲新生儿出院后皮肤情况的影响。方法选取2015年11月至2017年11月就诊于新生儿科的糖尿病母亲新生儿110例,随机分为观察组和对照组,每组55例。2组新生儿出院时均对其母亲进行常规的出院指导。观察组出院后的第7天、14天、21天、28天由科室的健康教育护士电话指导糖尿病母亲对新生儿皮肤护理的工作,并于每日利用微信群平台与其分享新生儿的日常护理。比较2组新生儿出院后1个月皮肤情况、家属满意度、因皮肤问题就诊情况。结果观察组新生儿皮肤出现尿布疹、湿疹、脂溢性皮炎的发生率低于对照组(P <0. 05),观察组新生儿家属满意度高于对照组(P <0. 05),观察组新生儿因皮肤问题就诊率低于对照组(P <0. 05)。结论院外延续护理模式可减少糖尿病母亲新生儿出院后皮肤出现问题的发生率,提高新生儿家属的满意度,降低因皮肤问题的就诊率,减少家庭支出。Objective To investigate the effects of continous nursing on skin condition of neonates of diabetic mothers after discharging from hospital.Methods A total of 110 neonates of diabetic mothers who visited doctor in our hospital from November 2015 to November 2017 were randomly divided into observation group(n=55)and control group(n=55).The mothers in both groups were given discharging guidance when discharging from hospital.On 7d,14d,21d,and 28d after discharging from hospital,the health education nurses of the department telephoned the diabetes mothers to direct nursing on the skin of neonates,and shared the daily care for the meonates by means of WeChat platform.The skin condition,nursing satisfaction degre and incidence rate of skin problems were observed and compared between the two groups after one month.Results The incidence rate of diaper rash,eczema and seborrheic dermatitis in neonates in observation group was significantly lower than that in control group(P<0.05).The satisfaction degree of neonatal family members in observation group was significantly higher than that in control group,moreover,the visiting rate due to skin preblems in observation group was significantly lower than that in control group(P<0.05).Conclusion The continous nursing can reduce the incidence of skin problems in neonates of diabetic mothers after discharging from hospital,improve the satisfaction degree of neonatal family members,reduce the visiting rate due to skin problems,and reduce household expenditures.

关 键 词：婴儿 糖尿病母亲 延续护理 健康教育 

分 类 号：R473.72[医药卫生—护理学]