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埃塞俄比亚贡德尔一家三级医院新生儿低体温的患病率及影响因素:一项横断面研究

Prevalence and determinants of neonatal hypothermia in a tertiary hospital, Gondar Ethiopia: a cross-sectional study.

作者信息

Alemu Mehretie Kokeb, Genet Geta Bayu, Dubie Addisu Ginbu

机构信息

Departemnt of Pediatrics and Child Health, School of Medicine, University of Gondar, P.O.Box: 196, Gondar, Ethiopia.

出版信息

Sci Rep. 2024 Dec 28;14(1):30691. doi: 10.1038/s41598-024-79068-w.

Abstract

Neonatal hypothermia is a significant global problem of neonates with huge contribution of neonatal morbidity and mortality. Recognizing major contributors of neonatal hypothermia is very important in designing preventing methods which was the objective of our study. This was an institution-based cross-sectional study conducted on 339 neonates admitted to Neonatal Intensive Care Unit of University of Gondar Comprehensive Specialized Hospital over 6months. Study participants were selected using systematic random sampling techniques and both bivariate and multivariate logistic regression analyses were used to identify contributors and p-value of < 0.05 was considered statistically significant. In our study, the prevalence of neonatal hypothermia was 70.05%. Low birth weight (AOR = 8.35, 95%CI: 2.34, 29.80), bathing within 24 h (AOR = 3.96, 95%CI: 1.06, 14.78), absence of head cover (AOR = 3.11, 95%CI: 1.16, 8.38), C/S delivery ( AOR = 8.54, 95%CI: 2.01, 36.39), night time delivery (AOR = 2.92, 95%CI: 1.29, 6.61) and being out born (AOR = 6.84, 95%CI: 2.12, 22.13) were having significant association with neonatal hypothermia. In this study, the prevalence of neonatal hypothermia was significantly high. Factors having significant association with neonatal hypothermia were low birth weight, bathing within 24 h, absence of head cover, C/S delivery, delivery at night and being out born were having.

摘要

新生儿低体温是一个严重的全球性新生儿问题,对新生儿发病率和死亡率有巨大影响。识别新生儿低体温的主要促成因素对于设计预防方法非常重要,这也是我们研究的目标。这是一项基于机构的横断面研究,对贡德尔大学综合专科医院新生儿重症监护病房6个月内收治的339名新生儿进行了研究。研究参与者采用系统随机抽样技术选取,双变量和多变量逻辑回归分析均用于识别促成因素,p值<0.05被认为具有统计学意义。在我们的研究中,新生儿低体温的患病率为70.05%。低出生体重(调整后比值比[AOR]=8.35,95%置信区间[CI]:2.34,29.80)、24小时内洗澡(AOR=3.96,95%CI:1.06,14.78)、未戴头部覆盖物(AOR=

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