提升早產兒築巢擺位正確率

Improving the Accuracy of Nesting and Positioning in Preterm Infants

陳曉詩(Shiau-Shr Chen) ； 廖姿嵐(Tzu-Lan Liao) ； 倪淑蕙(Shu-Hui Ni)

《榮總護理》 29卷3期 (2012/09) Pp. 301-309

https://doi.org/10.6142/VGHN.29.3.301

摘要

「早產兒築巢擺位」是早產兒個別化發展性照護方案之一，透過合適的築巢擺位護理，提供早產兒支持性的生長環境，維持良好的姿勢，減少能量耗損。不良的築巢擺位護理對早產兒會造成呼吸道移位、心搏過緩及呼吸暫停合併低血氧。當護理同仁執行築巢擺位護理時，因缺乏有效工具或措施，而面臨臨床照護困境。經現況分析後，發現護理人員築巢擺位技術不熟練、缺乏護理技術標竿及巢窩尺寸無法符合生長需要，造成早產兒築巢擺位正確率僅54%。藉由施行早產兒個別化發展性照護教育訓練、製作巢窩、建立築巢擺位專科護理技術後，提升早產兒築巢擺位平均正確率至84.9%。由本次專案活動的進行，護理人員能依循早產兒行為狀態、輔以巢窩的使用，並依循護理技術標準，提供正確的築巢擺位護理，穩定早產兒的生理發展。

關鍵字

早產兒 ； 築巢擺位 ； 早產兒個別化發展性照護 ； 擺位正確率

並列摘要

Nesting and positioning in Newborn Individualized Developmental Care and Assessment Program (NIDCAP) offers a nurturing environment to provide appropriate posture in preterm infants so as to reduce energy consumption. Inappropriate nesting and positioning increased bradycardia, apnea, and desaturation in preterm infants. Thus, appropriate nesting and positioning is the key to premature infant development. The current analysis: lack of knowledge of NIDCAP, lack of standard of nesting and positioning in preterm infants, and inappropriate nesting. All these led to a low accuracy rate of 53.9% in nesting and positioning. The following 3 ways improved the accuracy rate in nesting and positioning up to 84.9%: firstly, implementing the training of NIDCAP; secondly, making new nesting adds; and thirdly, establishing nursing standard to serve nesting and positioning.

並列關鍵字

preterm infant ； nesting ； positioning ； newborn individualized developmental care and assessment program(NIDCAP) ； accuracy of positioning