目的:了解新生儿重症监护病房护士对早产儿低体温预防全过程的知识水平和临床实践。
方法:在山东省23家医院进行了多中心描述性横断面研究,涉及254名新生儿重症监护病房护士。
方法:采用基于循证知识和临床实践的早产儿低体温预防问卷和一般资料问卷收集数据。采用SPSS和EXCEL24.0数据库进行数据统计和分析。
结果:近三分之一的护士不清楚在分娩管理和复苏过程中亚低温和保温措施的定义。羊水蒸发正确率知识较低。医院级别和护士文化程度越高,职称,工作经验,和位置,知识水平越高。护士的临床实践在体温评估工具方面有所不同,测量地点,和早产儿的测量频率。
结论:新生儿重症监护病房的护士需要运用循证知识并进行实践干预,以确保早产儿从分娩室安全过渡到新生儿重症监护病房。
结论:很少有研究评估新生儿护士关于预防早产儿从分娩室到新生儿重症监护病房的低体温的知识和实践。该研究发现了温度管理中的不足和问题,这些不足和问题可以归因于护士的知识水平。这些发现将有助于改善目前的课程,教学策略,和护士的知识水平,预防婴儿过早的低体温。
■本研究坚持STROBE观察性研究声明,并获得山东大学第二医院伦理委员会的批准(KYLL-2023LW045)。另外22家三级和二级医院,作为我们的联盟成员,承认我们在联盟中的主席地位,并愿意加入我们的学术活动。联盟单位之间道德备案的相互责任。
■从山东省23所三级和二级公立医院招募了254名护士。没有公众或患者参与。课题组成员利用问卷之星平台编制电子问卷,包括获得知情同意,采取预防措施完成问卷,并使用上述测量工具。项目研究小组联系了山东省23个新生儿重症监护室的护士长。在获得护士长的同意后,他们被要求将电子问卷的要求和链接发送到他们的微信管理群。护士通过每个问题,并做出选择,其中有两个选项\'同意\'或\'不同意。\'根据他们的回答,护士被评估为“掌握”或“未掌握”每个项目。每个“掌握”项目(正确答案)得分为4分;一个“未掌握”项目(错误答案)得分为0分。总分范围从0到100。
OBJECTIVE: To investigate the knowledge level and clinical practice of neonatal intensive care unit nurses on the whole process of
hypothermia prevention in preterm infants.
METHODS: A polycentric descriptive cross-sectional study was conducted in 23 hospitals in Shandong province involving 254 neonatal intensive care unit nurses.
METHODS: An evidence-based knowledge and clinical practice questionnaire on
hypothermia prevention in preterm infants and a general information questionnaire were used to collect data. SPSS and EXCEL 24.0 database were used for data statistics and analysis.
RESULTS: Nearly one-third of nurses were unclear about the definition of mild
hypothermia and heat preservation measures during labour management and resuscitation. Knowledge about the correct rate of amniotic fluid evaporation was low. The higher the hospital level and nurses\' education level, professional title, work experience, and position, the higher the knowledge level. The clinical practice of nurses differed in terms of body temperature assessment tools, measurement sites, and measurement frequency for premature infants.
CONCLUSIONS: Nurses in neonatal intensive care units need to apply evidence-based knowledge and carry out practice interventions to ensure preterm infants\' safe transition from the delivery room to the neonatal intensive care unit.
CONCLUSIONS: There have been few studies evaluating neonatal nurses\' knowledge and practices with regards to the preventing
hypothermia of premature infants from delivery room to neonatal intensive care unit. The study identifies the deficiencies and problems in temperature management that can be attributed to the knowledge level of nurses. The findings will help improve the current curriculum, teaching strategies, and the nurses\' knowledge levels, preventing premature
hypothermia in infants.
UNASSIGNED: This study adhered to the STROBE statement for observational studies and obtained approval (KYLL-2023LW045) from the ethics committee of The Second Hospital of Shandong University. The other 22 third- and second-level hospitals, as our alliance members, recognized our chairperson status within the alliance and were willing to join our academic activities. Mutual responsibility for ethical filing between alliance units.
UNASSIGNED: 254 nurses were recruited from 23 tertiary and secondary public hospitals in Shandong province. No public or patient involvement. Members of the research group used the Questionnaire Star platform to prepare the electronic questionnaire, including obtaining informed consent, taking precautions for questionnaire completion, and using the aforementioned measurement tools. The project research team contacted the head nurses of 23 neonatal intensive care units in Shandong Province. After obtaining consent from the head nurses, they were asked to send the requirements and link of the electronic questionnaire to their WeChat management group. The nurses go through each question and make a choice which has two options of \'agree\' or \'disagree.\' Based on their answers, nurses were evaluated as having \'mastered\' or \'not mastered\' each item. Each \'mastered\' item (correct answer) was given a score of 4; an item \'not mastered\' (incorrect answer) was given a score of 0. The total score ranged from 0 to 100.