新生儿尿布性皮炎结构化管理方案的构建与应用
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女,硕士,主管护师

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上海市护理学会优秀青年人才育苗基金沪护会[(2020)-29号];上海卫生计生系统重要薄弱学科建设项目[沪卫计科教(2015)-46号]


Construction and application of structured management scheme for neonatal diaper dermatitis
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    摘要:

    目的 探讨结构化管理对新生儿尿布性皮炎的防护效果,为制订标准护理流程提供依据。方法 选取新生儿外科监护室88例住院患儿作为研究对象,将2020年10月8日至2021年1月31日收治的患儿纳入对照组(44例),2021年2月4日至2021年5月30日收治的患儿纳入观察组(44例)。对照组给予常规护理;观察组采用结构化皮肤管理方案进行护理,包括高风险人群评估、尿布性皮炎的预防和对症处理等。护士每日观察记录尿布性皮炎发生情况,出院前评价尿布性皮炎发生情况及其严重程度、尿布性皮炎评分、治愈时间、住院时间和疼痛评分等。结果 观察组尿布性皮炎发生率、尿布性皮炎得分、治愈时间、住院时间和疼痛评分显著低于对照组(P<0.05,P<0.01)。结论 结构化皮肤管理方案能有效降低新生儿尿布性皮炎的发生率,减轻患儿痛苦。

    Abstract:

    Objective To explore the effects of a structured skin care regimen for neonatal patients′ diaper dermatitis, and to provide refe-rences for establishing standardized nursing process. Methods A total of 88 hospitalized children in neonatal surgery department were recruited, those admitted from October 8th, 2020 to January 31st, 2021 were regarded as a control group (n=44), and others admitted from February 4th to May 30th, 2021, were assigned to an experimental group(n=44). The control group received routine nursing care, while a structured skin care regimen was developed and implemented in the experimental group,including high-risk population assessment, prevention and symptomatic management of diaper dermatitis, etc. Nurses observed diaper dermatitis for the children every day, and assessed incidence of diaper dermatitis and its severity, score, duration of cure, length of hospital stay, and pain score. Results The incidence of diaper dermatitis, its severity score and duration of cure, the length of hospital stay and pain score of the experimental group were significantly lower or shorter than those of the control group (P<0.05,P<0.01). Conclusion The structured skin care regimen can effectively reduce the incidence of neonatal diaper dermatitis, and alleviate neonates′ pain.

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任平,马丽丽,顾莺.新生儿尿布性皮炎结构化管理方案的构建与应用[J].护理学杂志,2021,36(24):1-4

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  • 收稿日期:2021-07-12
  • 最后修改日期:2021-09-20
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  • 在线发布日期: 2022-09-16