新生儿重症监护期间的护理
Handling during neonatal intensive care.
作者信息
Murdoch D R, Darlow B A
出版信息
Arch Dis Child. 1984 Oct;59(10):957-61. doi: 10.1136/adc.59.10.957.
The handling received by very low birthweight newborns undergoing intensive care in the first few days of life and the effects of this were studied. Infants were handled an average of 4.3 hours (18%) of the total 24 hour observation time and received a mean 234 handling procedures. Parental handling contributed 35% of the total time but was usually benign except in that it could interfere with the infant's rest. Many procedures were associated with undesirable consequences. Endotracheal suctioning was invariably associated with hypoxaemia and was often carried out more frequently, or took longer, than was optimal. Transcutaneous oxygen monitoring, although considered routine for all intensive care infants, was only carried out for 50% of the observation time and often did not accompany periods of likely intensive handling. Increasing technology in neonatal intensive care often results in increased handling of sick infants. Each new innovation, as well as routine procedures, should be viewed in the light of the continuum of neonatal intensive care events, and handling kept to a minimum.
对极低出生体重的新生儿在出生后最初几天接受重症监护时的护理情况及其影响进行了研究。在24小时的总观察时间里，婴儿平均接受护理4.3小时（占18%），平均接受234次护理操作。父母的护理占总时间的35%，但通常是良性的，只是可能会干扰婴儿休息。许多操作都伴有不良后果。气管内抽吸总是会导致低氧血症，而且其实施频率往往更高，或耗时更长，超出了最佳范围。经皮氧监测虽被认为是所有重症监护婴儿的常规操作，但在观察时间中仅进行了50%，而且在可能进行密集护理的时段往往并未实施。新生儿重症监护技术的不断进步常常导致对患病婴儿的护理增加。每一项新的创新举措以及常规操作，都应从新生儿重症监护事件的连续性角度加以审视，并将护理操作减至最少。
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