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新生儿体温调节决策支持网络应用程序的开发、实施和评估。

Development, implementation, and evaluation of neonatal thermoregulation decision support web application.

机构信息

Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.

Clinical Research Development Center, Mahdiyeh Educational Hospital, Shahid Beheshti University of Medical Science, Tehran, Iran.

出版信息

BMC Med Inform Decis Mak. 2023 Oct 18;23(1):227. doi: 10.1186/s12911-023-02302-4.

DOI:10.1186/s12911-023-02302-4
PMID:37853355
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10585747/
Abstract

OBJECTIVES

Thermoregulation is important for all age groups, and in neonates, it is considered a crucial event to adapt to extrauterine life. Therefore, using systems that provide frequent reminders in different ways in the field of thermoregulation can help thermal stability in neonates. The present study aimed to develop, implement, and evaluate a neonatal thermoregulation decision support system (DSS) as a web application.

METHODS

The present research was a multi-method study because it included the three phases of development, implementation, and evaluation of the neonatal thermoregulation decision support web application. In the system designing phase, the waterfall model is used. The second and third phases of the study, implementation, and evaluation, were conducted as a quasi-experimental study.

RESULTS

The results of this study were presented in two parts: the developed web application, and the results of the evaluation of the web application. The results of the statistical tests revealed that the use of the web application had a positive and significant effect on both the adjustment of the temperature of the incubator (maintaining the neutral temperature) and the maintenance of the temperature of the neonate's body (p = 0.000).

CONCLUSIONS

These results indicate that a nurse's sensitization and guidance with a neonatal thermoregulation decision support system can help to effectively neonate thermoregulation and the nurse has brought the temperature care close to the standard care based on the conditions of each neonate.

摘要

目的

体温调节对所有年龄段都很重要，而在新生儿中，适应宫外生活被认为是至关重要的事件。因此，在体温调节领域使用以不同方式提供频繁提醒的系统可以帮助新生儿保持热稳定性。本研究旨在开发、实施和评估一种作为网络应用程序的新生儿体温调节决策支持系统（DSS）。

方法

本研究是一项多方法研究，因为它包括新生儿体温调节决策支持网络应用程序的开发、实施和评估三个阶段。在系统设计阶段，使用了瀑布模型。研究的第二和第三阶段，即实施和评估阶段，作为准实验研究进行。

结果

本研究的结果分为两部分呈现：开发的网络应用程序和网络应用程序评估的结果。统计测试的结果表明，网络应用程序的使用对培养箱温度的调节（保持中性温度）和新生儿体温的维持（p=0.000）都有积极和显著的影响。

结论

这些结果表明，护士使用新生儿体温调节决策支持系统进行敏感性指导，可以帮助有效调节新生儿体温，并且护士可以根据每个新生儿的情况，将体温护理接近标准护理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e008/10585747/18179cc1797c/12911_2023_2302_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e008/10585747/b3358c3efd83/12911_2023_2302_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e008/10585747/774dfec6df4f/12911_2023_2302_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e008/10585747/00a8226d1f88/12911_2023_2302_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e008/10585747/aea25d1756cc/12911_2023_2302_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e008/10585747/0b6bda512e7e/12911_2023_2302_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e008/10585747/18179cc1797c/12911_2023_2302_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e008/10585747/b3358c3efd83/12911_2023_2302_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e008/10585747/774dfec6df4f/12911_2023_2302_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e008/10585747/00a8226d1f88/12911_2023_2302_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e008/10585747/aea25d1756cc/12911_2023_2302_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e008/10585747/0b6bda512e7e/12911_2023_2302_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e008/10585747/18179cc1797c/12911_2023_2302_Fig6_HTML.jpg

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