Nelson Laura, Doering Jennifer J, Anderson Megan, Kelly Lucy
Meriter Hospital Newborn Intensive Care Unit, 202 S Park St, Madison, WI 53715, USA.
Clin Nurse Spec. 2012 May-Jun;26(3):164-8. doi: 10.1097/NUR.0b013e3182506ad6.
PURPOSE/OBJECTIVE: The purpose of this project was to implement universal screening of all late preterm newborns for hyperbilirubinemia in a level I newborn nursery. RATIONALE/BACKGROUND: Late preterm newborns have traditionally received the same level of care and monitoring as term newborns despite being at increased risk for morbidity and mortality.
An interdisciplinary clinical nurse specialist-led team guided by the Iowa Model of Evidence-Based Practice developed, piloted, and evaluated a standardized, coordinated approach to universal screening, assessment, and management of hyperbilirubinemia for late preterm newborns.
The readmission rate of late preterm newborns with hyperbilirubinemia in the 30 days after birth was reduced to zero, providing evidence of programmatic effectiveness.
INTERPRETATION/CONCLUSION: Universal screening of late preterm newborns for hyperbilirubinemia significantly improved outcomes in this vulnerable population.
Detection of hyperbilirubinemia through universal screening of late preterm newborns is recommended in newborn nurseries.
目的/目标：本项目的目的是在一级新生儿重症监护室对所有晚期早产儿进行高胆红素血症的普遍筛查。理论依据/背景：传统上，晚期早产儿尽管发病和死亡风险增加，但接受的护理和监测水平与足月儿相同。
一个由跨学科临床护理专家领导的团队，以爱荷华州循证实践模式为指导，开发、试点并评估了一种标准化、协调一致的方法，用于对晚期早产儿进行高胆红素血症的普遍筛查、评估和管理。
出生后30天内晚期早产儿高胆红素血症的再入院率降至零，证明了该项目的有效性。
解读/结论：对晚期早产儿进行高胆红素血症的普遍筛查显著改善了这一脆弱人群的预后。
建议在新生儿重症监护室通过对晚期早产儿进行普遍筛查来检测高胆红素血症。
