循证支持的安全管理方法在新生儿游泳中心中的应用

目的探讨循证支持的安全管理方法在新生儿游泳中心中的应用价值。方法该组研究纳入在该院产科分娩的80例新生儿,病例资料选取时间在2018年4月-2019年4月,将所有新生儿按照随机数字表法分成两组。对照组40例新生儿实施常规安全护理,而研究组40例新生儿则在对照组的基础上实施循证支持安全管理,记录并比较两组新生儿出生时和出生6 d后的进奶量和体重,比较两组新生儿在出生后7 d、14 d以及28 d的20项行为神经评分,对比两组新生儿家长对循证管理工作的满意度评价。结果研究组在出生后7 d、14 d以及28 d的20项新生儿行为神经评分均明显大于对照组(P<0.05)。两组新生儿在出生时的进奶量和体重相比较差异无统计学意义(P>0.05)。两组新生儿在出生6 d后的进奶量和体重均明显大于出生时(P<0.05),且研究组新生儿在出生6 d后的进奶量和体重均明显大于对照组(P<0.05)。研究组新生儿家长中的护理满意度为97.50%,明显高于对照组的满意度80.00%,两组间数据对比,差异有统计学意义(χ~2=4.000,P=0.045<0.05)。结论循证支持的安全管理方法应用于新生儿游泳中心中效果显著,能够增加新生儿进奶量和体重,提高大脑神经发育,同时也可提高患儿家长对护理工作的满意度,值得在临床上进行深入研究和推广。

Application of Evidence-based Safety Management Method in Neonatal Swimming Center

Objective To explore the application value of evidence-based safety management methods in neonatal swimming centers. Methods This group of studies included 80 newborns who were delivered in the obstetric department of the hospital. The case data were selected from April 2018 to April 2019. All newborns were divided into 2 groups according to the random number table method. Forty newborns in the control group were given routine safety care, while 40 newborns in the study group were given evidence-based support for safety management on the basis of the control group, 20 behavioral nerve scores were compared at 7 d, 14 d, and 28 d after birth in the two groups of newborns, and the satisfaction evaluation of evidence-based management by parents of the two groups of newborns was compared. Results The neurobehavioral scores of 20 newborns in the study group at 7 d, 14 d and 28 d after birth were significantly higher than those in the control group(P<0.05). There was no statistically significant difference in milk intake and body weight between the two groups of newborns at birth(P>0.05). After 6 d of birth, the milk intake and body weight of the two groups of newborns were significantly larger than at birth(P<0.05), and the milk intake and body weight of the newborns in the study group after 6 days were significantly larger than those in the control group(P<0.05). The nursing satisfaction among the newborn parents in the study group was 97.50%, which was significantly higher than the satisfaction rate in the control group, which was 80.00%. The data comparison between the two groups, and the difference was statistically significant(χ~2=4.000, P=0.045<0.05). Conclusion The evidence-based safety management method has a significant effect in the neonatal swimming center. It can increase the milk intake and weight of the newborn, improve the neurological development of the brain, and also increase the satisfaction of the parents of the children in nursing work. It is worthy of clinical application and in-depth research and promotion.