未提供护理与极低出生体重儿结局的关系。
The Association of Missed Nursing Care With Very Low Birthweight Infant Outcomes.
机构信息
University of Pennsylvania School of Nursing, Philadelphia, USA.
Dartmouth College, Hanover, NH, USA.
出版信息
Med Care Res Rev. 2023 Jun;80(3):293-302. doi: 10.1177/10775587221150950. Epub 2023 Jan 24.
The health outcomes of very low birthweight (VLBW) infants in neonatal intensive care units (NICUs) may be jeopardized when required nursing care is missed. This correlational study is the first to look at the association between missed nursing care and mortality, morbidity, and length of stay (LOS) for VLBW infants in a U.S. NICU sample. We used 2016 hospital administrative discharge abstracts for VLBW newborns ( = 7,595) and NICU registered nurse survey responses ( = 6,963) from the National Database of Nursing Quality Indicators. The 190 sample hospitals were from 19 states in all regions. Missed clinical nursing care was significantly associated with higher odds of bloodstream infection and longer LOS, but not mortality or severe intraventricular hemorrhage. With further research, these results may motivate the development of interventions to reduce missed clinical nursing care in the NICU.
当需要的护理被忽视时，新生儿重症监护病房（NICU）中极低出生体重（VLBW）婴儿的健康结果可能会受到威胁。这项相关性研究首次在美国 NICU 样本中观察到忽视护理与 VLBW 婴儿的死亡率、发病率和住院时间（LOS）之间的关联。我们使用了来自国家护理质量指标数据库的 2016 年医院行政出院摘要（VLBW 新生儿=7595）和 NICU 注册护士调查回复（=6963）。190 家样本医院来自全美 19 个州。错过临床护理与更高的血流感染和更长的 LOS 几率显著相关，但与死亡率或严重的脑室出血无关。通过进一步研究，这些结果可能会促使开发干预措施，以减少 NICU 中错过的临床护理。
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