提高护士对换血新生儿高胆红素血症的护理水平:一项教育计划

Dalia Zaghloul El Sayed, Khadiga Mohamed Said, Reda Mohamed Abdullah
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摘要

背景:换血是治疗严重高胆红素血症的二线疗法。换血是指抽取新生儿血液中的等量成分,换入供血,以清除异常血液成分和循环毒素,同时保持足够的循环血量。研究目的旨在提高护士护理接受换血的高胆红素血症新生儿的能力。研究设计:采用准实验设计。研究地点本哈大学医院和本哈儿科专科医院的新生儿重症监护病房:方便取样:80 名在上述机构工作的护士和 43 名接受换血的高胆红素血症新生儿。工具工具 I:结构化访谈问卷表,包括以下部分: 第(1)部分:被调查护士的个人特征。第(2)部分:新生儿的个人特征:新生儿的个人特征。第(3)部分:护士知识评估表:护士知识评估表。工具 II:观察核对表。结果在实施教育计划前后,被研究护士的知识总分和实践总分之间存在高度正相关的统计关系。结论该教育计划能有效提高护士对高胆红素血症新生儿换血护理的知识水平,并增强其实践能力。建议:定期跟进护士对换血期高胆红素血症新生儿护理知识和实践的掌握情况,以发现优势和不足,并采取相应措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Improving Nurses' Performance Regarding Care of Neonates with Hyperbilirubinemia Undergoing Blood Exchange: An Educational Program
Background: Blood exchange is the second-line treatment for sever hyperbilirubinemia. It involves removing aliquots of the neonate blood and replacing with donor blood in order to remove abnormal blood components and circulate toxins whilst maintaining adequate circulating blood volume. Aim of the study: Was to improve nurses' performance regarding caring of neonates with hyperbilirubinemia undergoing blood exchange . Research design: A quasi-experimental design was utilized. Settings: Neonatal Intensive Care Units at Benha University Hospital and Benha Specialized Pediatric Hospital Sample: A convenient sample of 80 nurses working in the previously mentioned settings and a purposive sample (43) of neonates with hyperbilirubinemia undergoing blood exchange. Tools: Tool I: A structured interviewing questionnaire sheet including the following parts; Part (1): Personal characteristics of the studied nurses. Part (2): Personal characteristics of neonates. Part (3): Nurses' knowledge assessment sheet. Tool II: Observational checklists. Results: There was a highly positive statistical correlation between total knowledge and total practices scores of the studied nurses pre and post-implementation of the educational program. Conclusion: The educational program was effective in improving nurses' knowledge and enhancing their practices regarding care of neonates with hyperbilirubinemia undergoing blood exchange. Recommendation : Periodical follow-up of nurses' knowledge and practices regarding care of neonates with hyperbilirubinemia undergoing blood exchange to detect the points of strength and weakness to act on.
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