护理专案降低新生儿医源性皮肤损伤的作用  

Effect of Nursing Project on Reducing Iatrogenic Skin Injury in Neonatal Patients

作　　者：张萍[1] 邹珊 ZHANG Ping;ZOU Shan(Neonatal Department,Xiaogan Central Hospital of Hubei Province,Xiaogan Hubei 432100,China)

机构地区：[1]湖北省孝感市中心医院新生儿科,湖北孝感432100

出　　处：《中国继续医学教育》2020年第11期172-173,共2页China Continuing Medical Education

摘　　要：目的探讨对新生儿采用护理专案进行护理对降低其医源性皮肤损伤发生率的作用。方法选择本院2018年6月-2018年12月收治新生儿计866例,随机分为采用常规护理方案对照组(n=433)与采用护理专案进行护理的实验组(n=433),对比护理后新生儿各项医源性皮肤损伤的发生率差异。结果实验组医源性皮肤损伤包括粘贴伤计18例,划伤/割伤/擦伤/压伤计16例,药物渗漏3例,总发生率为8.55%(37/433),对照组医源性皮肤损伤包括粘贴伤计61例,划伤/割伤/擦伤/压伤计55例,药物渗漏6例,感染性损伤6例,总发生率为29.56%(128/433),实验组医源性皮肤损伤发生率低于对照组,P<0.05。结论在新生儿护理的过程中采用护理专案能够有效降低新生儿医源性皮肤损伤的发生率。Objective To investigate the effect of nursing care on the incidence of iatrogenic skin lesions in neonates. Methods A total of 866 neonates were enrolled in our hospital from June 2018 to December 2018. They were randomly divided into the control group(n = 433) and the nursing group(n = 433). Compare the incidence of iatrogenic skin lesions in neonates after nursing. Results The iatrogenic skin lesions in the experimental group included 18 cases of adhesive injury, 16 cases of scratch/cut/scratch/crush injury, and 3 cases of drug leakage. The total incidence was 8.55%(37/433). Group of iatrogenic skin lesions included 61 cases of stick injury, 55 cases of scratch/cut/scratch/crush injury, 6 cases of drug leakage, and 6 cases of infectious injury. The total incidence was 29.56%(128/433). The incidence of iatrogenic skin injury in the experimental group was lower than that in the control group, P < 0.05. Conclusion The use of nursing programs in the process of neonatal care can effectively reduce the incidence of neonatal iatrogenic skin injury.

关 键 词：专案 新生儿 粘贴伤 药物渗漏 医源性皮肤损伤 感染 

分 类 号：R722[医药卫生—儿科]