Jourabian Atefeh, Jafari-Mianaei Soheila, Ajoodanian Najmeh D
Department of Pediatric and Neonatal Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Department of Pediatric and Neonatal Nursing, School of Nursing and Midwifery, Nursing and Midwifery Care Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
J Educ Health Promot. 2021 Oct 29;10:373. doi: 10.4103/jehp.jehp_53_21. eCollection 2021.
The main reason of newborn mortalities in low- and middle-income countries is due to the lack of skilled caregivers in providing essential care for babies. The aim of the present study was to evaluate the implementation of helping babies survive (HBS) program to improve newborn care condition in Isfahan, Iran.
This quasi-experimental study was conducted in the labor and midwifery wards of Shahid Beheshti Hospital in Isfahan. Convenience sampling method was used for all healthy newborns who weighed >1500 g. First, the samples were selected for the control group. Then, the Helping Babies Breathe and Essential Care for Every Baby training courses were held over for ward nurses and midwives. Then, the samples of the intervention group were selected. The research tools consisted of demographic characteristic questionnaire, caregiver performance evaluation checklist, and breastfeeding registration checklist. SPSS software version 16 was used for data analysis.
A total of 130 newborns were divided into control ( = 65) and intervention groups ( = 65). The average time of umbilical cord clamping increased from 13.85 to 61.48 s, and the average duration of skin-to-skin contact between mother and baby increased from 11.75 to 60.47 min. The mean of early initiation of breastfeeding improved during the 1 h and the 1 day of the birth. The rate of neonatal hypothermia in the intervention group decreased sharply.
The implementation of the HBS program can positively impact newborn care condition.
低收入和中等收入国家新生儿死亡的主要原因是缺乏熟练的护理人员为婴儿提供基本护理。本研究的目的是评估“帮助婴儿存活”（HBS）项目在伊朗伊斯法罕改善新生儿护理状况的实施情况。
本准实验研究在伊斯法罕的沙希德·贝赫什提医院的产科和助产病房进行。对所有体重>1500克的健康新生儿采用便利抽样法。首先，选取样本作为对照组。然后，为病房护士和助产士举办了“帮助婴儿呼吸”和“为每个婴儿提供基本护理”培训课程。之后，选取干预组样本。研究工具包括人口统计学特征问卷、护理人员绩效评估清单和母乳喂养登记清单。使用SPSS 16版软件进行数据分析。
共130名新生儿被分为对照组（n = 65）和干预组（n = 65）。脐带夹紧的平均时间从13.85秒增加到61.48秒，母婴皮肤接触的平均时长从11.75分钟增加到60.47分钟。出生后1小时和1天内纯母乳喂养的平均情况有所改善。干预组新生儿体温过低的发生率大幅下降。
HBS项目的实施可对新生儿护理状况产生积极影响。
