Fang Li, Pei Jiaoru, Jiang Siqiong
Department of Pediatrics, Shanghai Jiao Tong University Affiliated Six People's Hospital, Shanghai 200233, China.
Evid Based Complement Alternat Med. 2022 Jul 13;2022:8250655. doi: 10.1155/2022/8250655. eCollection 2022.
Analysis of the effectiveness of in-hospital transfer care based on the STABLE (sugar and safe care, temperature, airway, blood pressure, lab work, emotional support) technique in critically ill neonates.
Retrospective analysis of the case data of 180 critically ill neonates transferred to the NICU (neonatal intensive care unit) via the delivery room (operating room) in our hospital from April 2020 to December 2021. Of which, 88 newborns from April 2020 to February 2021 were resuscitated by conventional resuscitation and then transferred to the NICU by the nurses in the delivery room (operating room) through the green channel, and they were recorded as the control group; and 92 newborns from March to December 2021 were transferred to the NICU by the NICU transfer nurses who arrived at the delivery room (operating room) earlier and used the in-hospital transfer care based on STABLE technology, and they were recorded as the intervention group. The indicators to be assessed were the execution pass rate in the simulated assessment of the transfer emergency procedure for both groups of transporters, execution times of the various subprocesses during the transfer procedure for both groups of transporters, accidents in transit, and blood glucose, blood pressure, body temperature, respiration, blood gas indicators, and family satisfaction of children in both groups after transfer.
The total execution pass rate for transporters was higher in the intervention group than in the control group ( < 0.05). The execution times of the various subprocesses during the transfer procedure of transporters were shorter in the intervention group than in the control group ( < 0.05). The incidence of accidents in transit was lower in the intervention group than in the control group ( < 0.05). After transfer, the blood glucose, blood pressure, body temperature, respiratory, and blood gas indicators of the children in the intervention group were all more stable than those in the control group ( < 0.05). The satisfaction of the families of the children in the intervention group was higher than that of the control group ( < 0.05).
The implementation of transfer care based on STABLE technology for newborns in urgent need of in-hospital transfer can effectively improve the comprehensive quality and emergency response ability of transfer nurses and shorten the in-hospital transfer time, and the incidence of adverse reactions during the transfer of children is less, the vital signs are stable, and the satisfaction of family members is high, which is of promotion value.
分析基于STABLE（血糖与安全护理、体温、气道、血压、实验室检查、情感支持）技术的院内转运护理在危重新生儿中的有效性。
回顾性分析2020年4月至2021年12月我院经产房（手术室）转入新生儿重症监护病房（NICU）的180例危重新生儿的病例资料。其中，2020年4月至2021年2月的88例新生儿采用传统复苏方法进行复苏，然后由产房（手术室）护士通过绿色通道转入NICU，记录为对照组；2021年3月至12月的92例新生儿由提前到达产房（手术室）的NICU转运护士采用基于STABLE技术的院内转运护理后转入NICU，记录为干预组。评估指标为两组转运人员转运应急程序模拟考核的执行合格率、转运过程中各子流程的执行时间、转运途中的意外情况，以及两组患儿转运后的血糖、血压、体温、呼吸、血气指标和家属满意度。
干预组转运人员的总执行合格率高于对照组（<0.05）。干预组转运人员转运过程中各子流程的执行时间短于对照组（<0.05）。干预组转运途中意外情况的发生率低于对照组（<0.05）。转运后，干预组患儿的血糖、血压、体温、呼吸及血气指标均比对照组更稳定（<0.05）。干预组患儿家属的满意度高于对照组（<0.05）。
对急需院内转运新生儿实施基于STABLE技术的转运护理，可有效提高转运护士的综合素质和应急反应能力，缩短院内转运时间，患儿转运过程中不良反应发生率低，生命体征稳定，家属满意度高，具有推广价值。
