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2013 - 2014年克尔曼选定医院中对药物滥用母亲所生婴儿护理情况的评估及其与标准的比较

Evaluation of nursing care associated with infants born to mothers with drugs abuse and its comparison with the standards in selected hospitals in Kerman 2013-2014.

作者信息

Mahdavi Khaki Z, AbbasZadeh A, Rassoli M, Zayeri F

机构信息

Neonatal Intensive Care Nursing, Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Department of Medical Surgical Nursing, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

J Med Life. 2015;8(Spec Iss 4):295-300.

Abstract

Pregnancy of women addicted to drugs is a public health problem in most countries, leading to various problems in the mother, the fetus, and the newborn. Since these babies are at risk of various complications and even death, competent and appropriate care of these children is needed. The present study aimed to assess the quality of nursing care provided to newborns and its comparison with the existing standards in infants and neonatal intensive care units of the selected Hospitals in Kerman. In this descriptive conducted study, 400 nursing cares, provided to infants born to mothers with drugs abuse, observed and were compared to standard checklists provided by the latest resources and the world's scientific papers. The checklist provided was based on the evaluation of infants and included two distinct categories: non-drug therapy and drug treatment. Finally, the data were analyzed. The consistency quality of the nursing cares provided to infants born to mothers with drugs abuse was evaluated with the existing standards in children, 73% receiving non-drug therapy and 81% of the infants receiving drug treatment. Compared to standards in the normal state, nursing care was associated with babies born to mothers with drugs abuse. The reduction in the incidence of morbidity and mortality in this group of infants was expected in the case of familiarity and training of nursing and the use of caring standards, particularly when applying non-drug therapy.

摘要

在大多数国家,吸毒成瘾女性的怀孕是一个公共卫生问题,会给母亲、胎儿和新生儿带来各种问题。由于这些婴儿有出现各种并发症甚至死亡的风险,因此需要对这些儿童进行妥善且适当的护理。本研究旨在评估克尔曼选定医院的婴儿和新生儿重症监护病房为新生儿提供的护理质量,并将其与现有标准进行比较。在这项描述性研究中,观察了为药物滥用母亲所生婴儿提供的400项护理,并与最新资源和世界科学论文提供的标准清单进行比较。所提供的清单基于对婴儿的评估,包括两个不同类别:非药物治疗和药物治疗。最后,对数据进行了分析。根据儿童现有标准评估了为药物滥用母亲所生婴儿提供的护理的一致性质量,73%的婴儿接受非药物治疗,81%的婴儿接受药物治疗。与正常状态下的标准相比,护理与药物滥用母亲所生的婴儿相关。如果护理人员熟悉并接受培训并使用护理标准,特别是在应用非药物治疗时,预计这组婴儿的发病率和死亡率会降低。

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1
Prenatal exposure to substance of abuse: a worldwide problem.产前暴露于物质滥用:全球性问题。
Environ Int. 2013 Apr;54:141-63. doi: 10.1016/j.envint.2013.01.011. Epub 2013 Feb 27.
3
Neonatal abstinence syndrome: treatment and pediatric outcomes.新生儿戒断综合征:治疗与儿科结局
Clin Obstet Gynecol. 2013 Mar;56(1):186-92. doi: 10.1097/GRF.0b013e31827feea4.
7
Opioid dependency in pregnancy and length of stay for neonatal abstinence syndrome.孕期阿片类药物依赖与新生儿戒断综合征的住院时间
J Obstet Gynecol Neonatal Nurs. 2012 Mar;41(2):180-190. doi: 10.1111/j.1552-6909.2011.01330.x. Epub 2012 Feb 29.

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