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医护人员关于新生儿沐浴的知识与态度及其影响因素:一项横断面研究

Health Professionals' Knowledge and Attitudes About Neonatal Bathing and Factors Affecting Them: A Cross-Sectional Study.

作者信息

Simsek Aysegul, Özdemir Serap, Özdemir Suzi

机构信息

Department of Pediatric Nursing, Faculty of Health Sciences, Marmara University, Istanbul, Turkey.

Department of Pediatric Nursing, Faculty of Health Sciences, Gaziantep University, Gaziantep, Turkey.

出版信息

J Nurs Manag. 2025 Apr 10;2025:9970368. doi: 10.1155/jonm/9970368. eCollection 2025.

Abstract

In pediatrics, the knowledge and approach of health professionals in bathing, which are one of the first care of the newborn, are important in the initiation and continuation of care by transferring it to parents. The aim of the study was to determine the knowledge, attitudes, and influencing factors of health professionals about newborn bathing. This descriptive and cross-sectional study was conducted with 140 health professionals working in neonatology between March and June 2023. Data were collected and analyzed using the "Participant description form" and "Knowledge and Attitudes Form on Newborn Bathing." Since there is no equivalent measurement tool in the literature, the Knowledge and Attitude Form on Newborn Bathing was designed and submitted for expert assessment. A final version with 21 items questioning knowledge (15 items) and attitude (6 items) was completed. The cutoff point in the form was determined as the correct response of 16 items (12 items or more for the knowledge and 4 items or more for the attitude section). Descriptive and comparative analyses were performed on the data. Significance was evaluated at 95% confidence interval. A total of 140 health professionals with a mean age of 31.4 years participated in the study. The first bath of the newborn was reported to be a wipe/sponge bath with 80% and 68.6% reported that the first bath should be with water only. About 70% reported that there were clues indicating that the newborn was ready for bathing and the first clues were absorption of vernix caseosa (22.6%) and umbilical cord shedding (11.9%). According to the answers of the Knowledge and Attitudes Form on Newborn Bathing, 74.3% of the participants had sufficient knowledge about bathing. A statistically significant difference was found between gender, occupation, education, institution, clinic, working time, and knowledge adequacy ( < 0.05). Although bathing seems harmless, it is ill-advised when it comes to newborns. The study determined that health professionals possess sufficient knowledge about newborn bathing. We recommend studies be conducted on how health professionals transfer their knowledge to mothers with new babies and how mothers apply their instructions and advice.

摘要

在儿科学中,新生儿护理的首要内容之一是医护人员为新生儿洗澡的知识和方法,将其传授给家长对护理的起始和持续至关重要。本研究的目的是确定医护人员关于新生儿洗澡的知识、态度及影响因素。这项描述性横断面研究于2023年3月至6月对140名从事新生儿学工作的医护人员进行。使用“参与者描述表”和“新生儿洗澡知识与态度表”收集并分析数据。由于文献中没有等效的测量工具,因此设计了新生儿洗澡知识与态度表并提交专家评估。最终版本包含21个项目,用于询问知识(15项)和态度(6项)。该表格的截止点确定为16项正确回答(知识部分12项及以上,态度部分4项及以上)。对数据进行描述性和比较性分析。在95%置信区间评估显著性。共有140名平均年龄为31.4岁的医护人员参与了该研究。据报告,80%的新生儿首次洗澡是擦拭/海绵浴,68.6%的人表示首次洗澡应只用清水。约70%的人报告说有迹象表明新生儿准备好洗澡了,首要迹象是胎脂吸收(22.6%)和脐带脱落(11.9%)。根据新生儿洗澡知识与态度表的回答,74.3%的参与者对洗澡有足够的知识。在性别、职业、教育程度、机构、科室、工作时间和知识充足程度之间发现了统计学上的显著差异(<0.05)。尽管洗澡看似无害,但对于新生儿来说并非明智之举。该研究确定医护人员对新生儿洗澡拥有足够的知识。我们建议开展研究,了解医护人员如何将知识传授给初为人母者,以及母亲们如何应用她们的指导和建议。

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