评估新生儿执业护士在早产儿出生时复苏中的作用。
Evaluation of the role of the neonatal nurse practitioner in resuscitation of preterm infants at birth.
作者信息
Aubrey W R, Yoxall C W
机构信息
Liverpool Women's Hospital, Crown Street, Liverpool L8 7SS, UK.
出版信息
Arch Dis Child Fetal Neonatal Ed. 2001 Sep;85(2):F96-9. doi: 10.1136/fn.85.2.f96.
BACKGROUND
Changes in the work patterns and numbers of medical staff in training grades pose a significant challenge to those responsible for the provision of an effective clinical neonatal service. Advanced neonatal nurse practitioners (ANNPs) may have a role in this changing neonatal service. The effectiveness of the ANNP has been established in North America but has not been properly evaluated in the United Kingdom.
AIM
To evaluate the effectiveness of ANNPs in resuscitation of preterm babies at birth against the standard set by junior medical staff.
SETTING
Regional neonatal intensive care unit.
METHOD
Retrospective analysis of resuscitation details, other basic data, and clinical outcomes of 245 preterm (< 33 weeks gestation) babies born in Liverpool Women's Hospital between January 1998 and April 1999.
RESULTS
Resuscitation teams led by ANNPs provided the same resuscitation interventions as those provided by medically led teams. Although babies resuscitated by ANNP led teams were no more likely to be intubated, they were intubated more quickly and received surfactant sooner (p = 0.0001) than babies resuscitated by medically led teams. Babies attended by ANNP led teams were less likely to be hypothermic on admission to the neonatal unit (p = 0.013).
CONCLUSION
ANNPs are effective in the resuscitation of preterm babies at birth.
背景
实习阶段医护人员工作模式和数量的变化，给负责提供高效临床新生儿服务的人员带来了重大挑战。高级新生儿护理从业者（ANNPs）在这一不断变化的新生儿服务中可能发挥作用。ANNPs的有效性在北美已得到证实，但在英国尚未得到充分评估。
目的
对照初级医务人员设定的标准，评估ANNPs在出生时对早产婴儿进行复苏的有效性。
地点
地区新生儿重症监护病房。
方法
回顾性分析1998年1月至1999年4月在利物浦妇女医院出生的245例早产（妊娠<33周）婴儿的复苏细节、其他基本数据和临床结局。
结果
由ANNPs领导的复苏团队提供的复苏干预措施与由医务人员领导的团队相同。尽管由ANNPs领导的团队复苏的婴儿插管的可能性并不更高，但与由医务人员领导的团队复苏的婴儿相比，他们插管更快，更早接受表面活性剂治疗（p = 0.0001）。由ANNPs领导的团队护理的婴儿在进入新生儿病房时体温过低的可能性较小（p = 0.013）。
结论
ANNPs在出生时对早产婴儿进行复苏是有效的。
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