Milligan D W
Newcastle Neonatal Service, Royal Victoria Infirmary, Newcastle upon Tyne.
Arch Dis Child Fetal Neonatal Ed. 1997 May;76(3):F197-200. doi: 10.1136/fn.76.3.f197.
Medical neonatal units in the United Kingdom were surveyed in 1994 to determine for 1992-3 the number of cots, medical and nursing staff, workload, the ability of units to retrieve data and to assess any changes that might have occurred since the NHS reforms. There was an 84% response rate. Many units were unable to provide workload and birthweight specific information. Cot occupancy, and there-fore the exposure of individual neonatal nurses to babies requiring intensive care, increased in direct proportion to unit workload. In spite of this a third of all neonatal intensive care, even for babies of < 100 g, is provided by units with ventilator workloads of 50 or fewer babies a year. There was a 25% increase in intensive care level 1 (ICL1) cot provision between 1989 and 1993, but no change in the total number of cots. Consistent maintenance of a common dataset by all units undertaking neonatal intensive care would do much to assist future planning.
1994年,英国对各新生儿医疗单位进行了调查,以确定1992 - 1993年期间的婴儿床数量、医护人员数量、工作量、各单位检索数据的能力,并评估自英国国家医疗服务体系(NHS)改革以来可能发生的任何变化。回应率为84%。许多单位无法提供工作量和出生体重的具体信息。婴儿床占用情况,以及由此导致的新生儿护士接触需要重症监护婴儿的情况,与单位工作量成正比增加。尽管如此,所有新生儿重症监护病例的三分之一,甚至是体重不足100克的婴儿的重症监护,是由每年呼吸机工作量为50例或更少婴儿的单位提供的。1989年至1993年间,一级重症监护(ICL1)婴儿床的配备增加了25%,但婴儿床总数没有变化。所有进行新生儿重症监护的单位持续维护一个通用数据集,将对未来的规划有很大帮助。