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早产儿早期出院研究:新加坡总医院

Early discharge study for premature infants: singapore general hospital.

作者信息

Lian Yeo Cheo, Ying Selina Ho Kah, Peng Cheong Chiu, Yann Tay Yih

出版信息

Perm J. 2008 Fall;12(4):15-8. doi: 10.7812/TPP/08-040.

Abstract

INTRODUCTION

At Singapore General Hospital, approximately 240 infants of the 1500 deliveries per annum are delivered preterm, many of very low birth weight-median of 1210 g-often have extended hospital stays, even after they are declared medically fit.

METHODS

To better understand the discharge patterns of the preterm infants in the department, a team of two neonatologists and two nurses performed a retrospective review of 36 premature infants. The underlying causes leading to and the root causes of discharge delays were identified as: Required goal weight of 2 kg, even when medically fitDelivery of discharge plan to parents delayedDischarge planning delayedNo ownership in discharge planning.

RESULTS/CONCLUSION: The length of hospital stay was reduced 59.8%, primarily by improved discharge planning, revised guidelines (mean discharge at 1915 g), and nurses' active preparation of parents psychologically and mentally for care of their babies at home.

摘要

引言

在新加坡总医院,每年1500例分娩中约有240例婴儿早产,其中许多出生体重极低——中位数为1210克——即使在宣布医学上健康后,住院时间往往也会延长。

方法

为了更好地了解该科室早产儿的出院模式,由两名新生儿科医生和两名护士组成的团队对36例早产儿进行了回顾性研究。导致出院延迟的潜在原因和根本原因被确定为:即使医学上健康,也要求达到2千克的目标体重;向父母传达出院计划的时间延迟;出院计划延迟;在出院计划方面缺乏主人翁意识。

结果/结论:住院时间缩短了59.8%,主要是通过改进出院计划、修订指南(平均出院体重为1915克)以及护士积极帮助父母在心理和精神上为在家照顾婴儿做好准备。

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