精因诺策略与新生儿死亡相关指标：一项横断面研究。
Qualineo Strategy Indicators Associated with Neonatal Death: A Cross-Sectional Study.
机构信息
Nursing Graduate School, Universidade Federal do Piauí, Teresina 64049-550, Brazil.
Instituto Federal do Piauí, Teresina 64000-040, Brazil.
出版信息
Int J Environ Res Public Health. 2024 Aug 19;21(8):1096. doi: 10.3390/ijerph21081096.
CONTEXT
The Qualineo Strategy is an effective measure for reducing neonatal mortality in regions with the highest death rates. In addition, it is a relevant Brazilian tool for strengthening teamwork and neonatal assistance. This study aims to analyze the predictors of neonatal death in the indicators of care provided by the Qualineo Strategy at a reference maternity hospital in Piauí, in the years 2021 to 2022.
METHODS
This is a retrospective study of 1856 newborn records. Pearson's chi-squared test was used to assess the association between the variables; a predictive regression model was used to identify the variables that predict neonatal mortality.
RESULTS
There was a significant association between all neonatal variables and the outcome of death ( < 0.05). The predictor variables for death in term newborns were the use of drugs by the mother and admission to the Neonatal Intensive Care Unit. For premature newborns, the predictor variables were, as follows: the use of cannula ventilation, an Apgar score in the 1st minute <7; and admission to the Neonatal Intensive Care Unit.
CONCLUSIONS
The results will make it possible to visualize better strategies for the reality analyzed and reinforce the importance of prenatal care.
背景
Qualineo 策略是降低高死亡率地区新生儿死亡率的有效措施。此外，它还是巴西加强团队合作和新生儿救助的一个相关工具。本研究旨在分析 2021 年至 2022 年在皮奥伊州一家参考妇产医院提供的 Qualineo 策略护理指标中预测新生儿死亡的因素。
方法
这是一项对 1856 例新生儿记录的回顾性研究。采用皮尔逊卡方检验评估变量之间的关联；采用预测回归模型确定预测新生儿死亡的变量。
结果
所有新生儿变量与死亡结局均存在显著关联（<0.05）。足月新生儿死亡的预测变量为母亲使用药物和入住新生儿重症监护病房。对于早产儿，预测变量如下：使用插管通气、第 1 分钟 Apgar 评分<7 分；和入住新生儿重症监护病房。
结论
研究结果将使人们能够更好地了解所分析的现实情况，并加强产前保健的重要性。
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