摘要
目的 探讨多学科协作集束化管理在降低剖宫早产儿入住NICU低体温中的应用效果。方法 选取2023年6月-2023年12月本院收治的符合纳入标准的低出生体重儿进行临床研究，按照随机的原则将患儿分为两组，对照组采用实施常规护理，观察组采用实施多学科协作集束化管理护理干预，对比两组患儿的低体温发生率。结果 观察组低体温儿发生率为20.33%，显著低于对照组的66.67%（P<0.05）；观察组新生儿科即测体温为36.5±0.2℃，显著高于对照组的35.0±0.35℃（P<0.05）。结论 多学科协作集束化管理能有效降低剖宫早产儿入住NICU低体温发生率及减少相关并发症，提高早产儿救治率及改善远期生存质量，减轻早产儿家庭经济负担，保障早产儿及其家庭的利益，增强团队的凝聚力，发挥各自专科特点与优势，提升护理品质。
关键词： 多学科协作；集束化管理；剖宫产；早产儿；低体温
Abstract
Objective To investigate the effect of multidisciplinary collaborative cluster management in reducing hypothermia of premature infants admitted to NICU. Methods Low birth weight infants who met the inclusion criteria admitted to our hospital from June 2023 to December 2023 were selected for clinical study. According to the principle of randomization, the children were divided into two groups, the control group received routine nursing, and the observation group received multidisciplinary collaborative cluster management nursing intervention, and the incidence of hypothermia was compared between the two groups. Results The incidence of hypothermia in observation group was 20.33%, which was significantly lower than 66.67% in the control group (P<0.05). The neonatal body temperature of observation group was 36.5±0.2℃, which was significantly higher than that of control group (35.0±0.35℃, P<0.05). Conclusion Multi-disciplinary collaboration and cluster management can effectively reduce the incidence of hypothermia and related complications of premature infants admitted to NICU, improve the treatment rate of premature infants and improve the long-term quality of life, reduce the economic burden of families of premature infants, protect the interests of premature infants and their families, enhance the cohesion of the team, give play to their respective specialty characteristics and advantages, and improve the quality of nursing.
Key words： Multidisciplinary collaboration; Cluster management; Caesarean section; Premature infants; Hypothermia
参考文献 References
[1] Asakura H. Fet al and neonat al thermoregulation [J]. J Nippon Med Sch, 2004,71(6):360-370.
[2] 山东省新生儿重症监护病房低体温质量改进临床研究协作组.山东省多中心极/超低出生体重儿入院低体温现状调查[J]. 中华围产医学杂志.2019,22(8).553-559.
[3] Lunzed.Blom DZ, Jamison DT.etal.The global bunden of neonatal hypothermia: systematic review of a major challenge for mewbom surviva.
[4] Vermont Oxford Nrtwork Vermont Oxford Network Database of Very Low Bith Weight Infants Bon in 2016 Burlington VT:Vermont Oxford Network.2017.
[5] 柳艳丽,周薇,威震海,等.塑料薄膜包裹对极低出生体重儿入院体温的影响[J].中华围产医学杂志,2014,17(4): 244-248.
[6] 王勤,赵敏慧,庄薇,等.早产儿低体温发生情况的调查[J],解放军护理杂志,2015,32(14):22-24.
[7] ALEBACHEW BAYIH W,ASSEFA N,DHERDSA M, et al. Neonatal hypothermia and associated factors within six hours of delivery in eastern part of Ethiopia: a crosssectional study [J]. BMC Pediatr, 2019,19(1): 252.
[8] Tay VY,Bolisetty S,Bajuk B,et al.Admission timperature and hospital outcomes in extremely pretem infants[J]. Psediatr Child Health, 2019,55(2):216-223.
[9] 丁玲莉,余艮珍,叶天惠,等.多专科协作护理专案预防早产儿低体温[J]. 护理学杂志,2020,35(10):11-13.
[10] 李丽霞,张春华,金月琴,等.入院低体温对早产儿并发症影响研究[J].中国现代医生,2020,58(27):83-87.