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体温过低与新生儿出生后最初几小时的沐浴

Hypothermia and the newborn's bath in the first hours of life.

作者信息

Ruschel Luma Maiara, Pedrini Diane Bressan, Cunha Maria Luzia Chollopetz da

机构信息

Universidade Federal do Rio Grande do Sul (UFRGS). Escola de Enfermagem. Porto Alegre, Rio Grande do Sul, Brasil.

Universidade Federal do Rio Grande do Sul (UFRGS). Programa de Pós-graduação em Enfermagem. Porto Alegre, Rio Grande do Sul, Brasil.

出版信息

Rev Gaucha Enferm. 2018 Oct 22;39:e20170263. doi: 10.1590/1983-1447.2018.20170263.

DOI:10.1590/1983-1447.2018.20170263
PMID:30365754
Abstract

OBJECTIVE

to analyze the occurrence of hypothermia in neonates before and after bathing in the first hours of life.

METHOD

a cross-sectional study in which the axillary temperature of newborns before bathing, after bathing, 30 and 60 minutes after bathing was verified at an Obstetric Center. In the statistical analysis, the Chi-Square, Student's t and Mann-Whitney tests were used, with α = 0.05.

RESULTS

A total of 149 newborns were included in the study, showing the prevalence of neonatal hypothermia in 40.3% of the cases, with a statistically significant association (p <0.001) between the occurrence of neonatal hypothermia at all axillary temperature assessments. A statistically significant correlation was found between the variables: room temperature and temperature verification 60 minutes after bath (p = 0.032).

CONCLUSIONS

It is concluded that the first bath can be postponed to favor the adaptation of the neonate to the extrauterine environment, preventing the occurrence of neonatal hypothermia.

摘要

目的

分析新生儿出生后最初几小时内沐浴前后体温过低的发生情况。

方法

在一家产科中心进行的横断面研究,对新生儿沐浴前、沐浴后、沐浴后30分钟和60分钟的腋温进行核实。在统计分析中,使用了卡方检验、学生t检验和曼-惠特尼检验,α = 0.05。

结果

本研究共纳入149名新生儿,40.3%的病例存在新生儿体温过低的情况,在所有腋温评估中新生儿体温过低的发生之间存在统计学显著关联(p <0.001)。在变量之间发现了统计学显著相关性:室温与沐浴后60分钟的体温核实(p = 0.032)。

结论

得出的结论是,可以推迟首次沐浴,以利于新生儿适应宫外环境,预防新生儿体温过低的发生。

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