护理服务缺失与极低出生体重儿预后的关系。

IF 2.4 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Medical Care Research and Review Pub Date : 2023-06-01 Epub Date: 2023-01-24 DOI:10.1177/10775587221150950
Eileen T Lake, Douglas Staiger, Jessica G Smith, Jeannette A Rogowski
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引用次数: 0

摘要

新生儿重症监护室(NICU)中超低出生体重儿(VLBW)的健康状况可能会因为错过所需的护理而受到影响。本相关性研究首次在美国新生儿重症监护病房样本中考察了护理缺失与超低出生体重儿死亡率、发病率和住院时间(LOS)之间的关联。我们使用了 2016 年 VLBW 新生儿的医院行政出院摘要(n = 7595)和来自国家护理质量指标数据库的 NICU 注册护士调查回复(n = 6963)。190 家样本医院来自 19 个州的所有地区。临床护理缺失与较高的血流感染几率和较长的住院时间明显相关,但与死亡率或严重脑室内出血无关。随着研究的深入,这些结果可能会促进干预措施的发展,以减少新生儿重症监护室临床护理的遗漏。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Association of Missed Nursing Care With Very Low Birthweight Infant Outcomes.

The health outcomes of very low birthweight (VLBW) infants in neonatal intensive care units (NICUs) may be jeopardized when required nursing care is missed. This correlational study is the first to look at the association between missed nursing care and mortality, morbidity, and length of stay (LOS) for VLBW infants in a U.S. NICU sample. We used 2016 hospital administrative discharge abstracts for VLBW newborns (n = 7,595) and NICU registered nurse survey responses (n = 6,963) from the National Database of Nursing Quality Indicators. The 190 sample hospitals were from 19 states in all regions. Missed clinical nursing care was significantly associated with higher odds of bloodstream infection and longer LOS, but not mortality or severe intraventricular hemorrhage. With further research, these results may motivate the development of interventions to reduce missed clinical nursing care in the NICU.

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来源期刊
Medical Care Research and Review
Medical Care Research and Review 医学-卫生保健
CiteScore
6.00
自引率
4.00%
发文量
36
审稿时长
>12 weeks
期刊介绍: Medical Care Research and Review (MCRR) is a peer-reviewed bi-monthly journal containing critical reviews of literature on organizational structure, economics, and the financing of health and medical care systems. MCRR also includes original empirical and theoretical research and trends to enable policy makers to make informed decisions, as well as to identify health care trends. This journal is a member of the Committee on Publication Ethics (COPE). Average time from submission to first decision: 25 days
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