制定和实施一项专门护理计划，为晚期早产儿和孕龄较小的新生儿提供服务

Q2 Nursing

Journal of Neonatal Nursing Pub Date : 2025-02-01 DOI:10.1016/j.jnn.2024.09.004

Alannah L. Cooper , Siobhan P. Eccles , Suzanne Kelly , Janie A. Brown

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引用次数: 0

摘要

虽然认识到晚早产（LP）和小胎龄（SGA）新生儿有复杂的需求，但在实践中优化这些婴儿护理的实用方法的报告是有限的。目的实施和评估一项专门的护理计划，以支持为产科病房收治的低出生点和低出生点新生儿提供最佳护理。方法采用介入前、介入后专门护理方案。收集新生儿特征、低血糖事件和低血糖导致新生儿重症监护入院的数据。结果干预前后出生的新生儿中约有10%为LP或SGA。新生儿低血糖事件从干预前的6例减少到干预后的3例。导致新生儿重症监护入院的新生儿低血糖病例从干预前的3例减少到干预后的1例。结论专科护理方案是优化LP和SGA新生儿护理的有效方法。

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The development and implementation of a specialised care plan for late preterm and small for gestational age neonates admitted in maternity settings

Introduction

While there is recognition that Late preterm (LP) and small for gestational age (SGA) neonates have complex needs, reports on pragmatic approaches to optimise the care of these infants in practice are limited.

Aim

To implement and evaluate a specialised care plan to support the provision of optimal care to LP and SGA neonates admitted on maternity wards.

Methods

A specialised care plan was implemented in a pre-post interventional study. Data were collected on neonates’ characteristics, hypoglycaemic incidents, and hypoglycaemia that led to a Neonatal Intensive Care admission.

Results

Approximately 10% of neonates born in the pre and post intervention periods were LP or SGA. Neonatal hypoglycaemic events reduced from six pre-intervention to three events post-intervention. Instances of neonatal hypoglycaemia that led to Neonatal Intensive Care admission reduced from three pre-intervention to one post-intervention.

Conclusion

The specialised care plan was effective in optimising care for LP and SGA neonates.

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来源期刊

Journal of Neonatal Nursing Nursing-Pediatrics

CiteScore

2.00

自引率

0.00%

发文量

143

期刊介绍： Aims & Scope: This is the practical, bimonthly, research-based journal for all professionals concerned with the care of neonates and their families, both in hospital and the community. It aims to support the development of the essential practice, management, education and health promotion skills required by these professionals. The JNN will provide a forum for the exchange of ideas and information between the range of professionals working in this field; promote cooperation between these professionals; facilitate partnership care with families; provide information and informed opinion; promote innovation and change in the care of neonates and their families; and provide an education resource for this important rapidly developing field.