Ceará State University, Fortaleza, Ceará, Brazil (Mss Ferreira and Girão; and Drs e Silva, Chaves, de Almeida, and de Carvalho), University for International Integration of the Afro-Brazilian Lusophony, Redenção, Ceará, Brazil (Dr Freire).
J Perinat Neonatal Nurs. 2020 Apr/Jun;34(2):E5-E11. doi: 10.1097/JPN.0000000000000482.
The purpose of this study was to evaluate the impact of implementing a care bundle for preventing peri-intraventricular hemorrhage (PIVH) in preterm newborns. A longitudinal, quantitative, quasi-experimental study was conducted with preterm newborns from a neonatal unit. The study was divided into 2 stages: the first consisted of a retrospective cohort of newborns (control group) not exposed to the bundle, and the second consisted of 5 practical steps of implementing a care bundle for preventing PIVH in eligible newborns. The results show that a significant reduction in PIVH occurred, from 34.8% before the intervention to 26.3% after application of the bundle. Also, after implementation of the bundle, there was a reduction in the severe forms of PIVH in the newborns who presented with hemorrhage compared with the control group. The study shows how the use of a low-cost and easy operationalization tool can contribute to the health of preterm newborns. It was found that the bundle is directly related to the decrease in the incidence of PIVH. The results may contribute to the improvement in care quality, thus promoting safe care for premature newborns.
本研究旨在评估在预防早产儿脑室内出血（PIVH）中实施护理包的影响。采用纵向、定量、准实验研究方法，对新生儿单元的早产儿进行研究。研究分为两个阶段：第一阶段为未暴露于护理包的新生儿回顾性队列（对照组），第二阶段为在符合条件的新生儿中实施预防 PIVH 的护理包的 5 个实际步骤。结果表明，PIVH 的发生率显著降低，从干预前的 34.8%降至干预后的 26.3%。此外，与对照组相比，在实施护理包后，伴有出血的新生儿中 PIVH 的严重程度也有所降低。该研究表明，使用低成本且易于操作的工具如何为早产儿的健康做出贡献。结果表明，护理包与 PIVH 发生率的降低直接相关。结果可能有助于提高护理质量，从而为早产儿提供安全的护理。
