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目的进一步明确不同的护理方式在预防新生儿脐部感染中的作用。方法选取2015年7月-2016年7月在广州市番禺区何贤纪念医院住院的60例新生儿作为本次的研究对象,按照随机数字的原则分为观察组和对照组,每组各30例,对照组患儿进行常规护理措施,包含对新生儿脐带的日常护理以及新生儿的沐浴更衣、喂养等日常护理,观察组患儿在对照组的基础上进行针对性的护理干预措施,比较两组患儿脐部感染的发生率以及脐带脱落的时间。结果本研究发现,观察组的新生儿经过护理干预以后,共有2例新生儿出现了脐部感染,感染率为6.67%;而对照组有13例新生儿出现了不同程度的脐部感染,感染率为43.33%,两组比较差异有统计学意义(χ~2=10.760,P<0.05)。观察组新生儿脐带自行脱落时间5~11 d,平均(6.45±0.54)d,对照组新生儿脐带自行脱落时间11~20 d,平均(11.23±1.35)d,两组比较差异有统计学意义(t=5.247,P<0.05)。结论护理干预对新生儿脐部感染具有良好的预防效果,值得临床护理中进一步推广及运用。
Objective To further clarify the role of different nursing methods in preventing neonatal umbilical infection. Methods From July 2015 to July 2016, 60 newborns hospitalized in He Xian Memorial Hospital, Panyu District, Guangzhou City were selected as the study subjects according to the principle of random number. Each group consisted of 30 Cases, the control group of children with routine care, including the daily care of the newborn umbilical cord and bathing, feeding and other newborn daily care, observation group of children in the control group based on the nursing interventions, compare Two groups of children with umbilical infection incidence and umbilical cord off time. Results The study found that after the intervention group of neonates in the observation group, two newborns had umbilical infection with the infection rate of 6.67%. In the control group, 13 newborns showed different degrees of umbilical infection and infection The rate was 43.33%, the difference between the two groups was statistically significant (χ ~ 2 = 10.760, P <0.05). The neonatal umbilical cord detachment time in the observation group was 5 to 11 days (6.45 ± 0.54) d on average, and the spontaneous detachment time of the umbilical cord in the control group was 11 to 20 days (11.23 ± 1.35 days), with significant difference between the two groups (t = 5.247, P <0.05). Conclusion Nursing intervention has a good preventive effect on neonatal umbilical infection and deserves further promotion and application in clinical nursing.