CAJ | 학술논문

目的：探讨护理干预预防新生儿皮肤抓伤和管道脱落的效果。方法选取2011年1月~2014年1月本院收治的140例新生儿作为研究对象，采用随机数字表法将所选患儿分为研究组和对照组，各70例，研究组用纱布包小手，输氧管采用蝶翼式固定，胃管用3M透明敷料固定，对照组不包小手，吸氧鼻导管、胃管均按照常规方法固定，比较两组患儿皮肤抓伤和管道脱落发生率、护理满意度。结果研究组无一例皮肤抓伤，对照组皮肤抓伤为5例（7.14%），组间比较差异有统计学意义（P<0.05）；研究组输氧管、胃管、留置针脱管率分别为11.43%、5.71%、2.86%，均低于对照组（37.14%、31.43%、10.00%），差异有统计学意义（P<0.05）；研究组护理满意度优于对照组（P<0.05）。结论护理干预应用于预防新生儿皮肤抓伤和管道脱落效果确切，可减少新生儿皮肤抓伤，降低管道脱落发生率，提高护理满意度，值得临床推广使用。
목적：탐토호리간예예방신생인피부조상화관도탈락적효과。방법선취2011년1월~2014년1월본원수치적140례신생인작위연구대상，채용수궤수자표법장소선환인분위연구조화대조조，각70례，연구조용사포포소수，수양관채용접익식고정，위관용3M투명부료고정，대조조불포소수，흡양비도관、위관균안조상규방법고정，비교량조환인피부조상화관도탈락발생솔、호리만의도。결과연구조무일례피부조상，대조조피부조상위5례（7.14%），조간비교차이유통계학의의（P<0.05）；연구조수양관、위관、류치침탈관솔분별위11.43%、5.71%、2.86%，균저우대조조（37.14%、31.43%、10.00%），차이유통계학의의（P<0.05）；연구조호리만의도우우대조조（P<0.05）。결론호리간예응용우예방신생인피부조상화관도탈락효과학절，가감소신생인피부조상，강저관도탈락발생솔，제고호리만의도，치득림상추엄사용。
Objective To investigate the effects of nursing intervention on preventing neonatal skin scratches and pipeline off. Methods 140 cases of newborn in our hospital were randomly divided into research group (hands wrapped with gauze,oxygen tube with butterfly wings-mounted,stomach tube with 3M transparent dressing fixation), and control group (do not pack hands,oxygen tube and stomach tube are fixed as conventional method),each were 70 cases.The skin scratch and pipeline off rate and nursing satisfaction rate were compared. Results The skin scratch was 0 case (0.0%), which was better than 5 cases (7.14%) of control group (P<0.05).The pipeline off rate of oxygen tube,stomach tube and indwelling needle was respectively 11.43%,5.71%,2.86%,which was lower than 37.14%,31.43%,10.0% of control group (P<0.05).The nursing satisfaction rate of research group was better than that of control group (P<0.05). Conclusion Nursing intervention can effectively reduce neonatal skin scratch,reduce pipeline from falling out and improve nursing satisfaction.It is worthy of clinical widely used.