- 期刊
降低某兒科加護病房早產兒住院期間低體溫發生率
Reducing the Incidence of Hypothermia during Hospitalization of Premature Infants in a Pediatric Intensive Care Unit
摘要
早產兒執行沐浴、管路放置等醫療處置，若未予適切保暖，易發生低體溫，低體溫會造成早產兒生理機能受損，增加其死亡率。本專案期望提供完善且一致性的體溫照護，降低早產兒住院期間之低體溫發生率，專案實施前，早產兒住院期間低體溫發生率平均為（千分之7.3），現況分析歸納原因包括人員執行醫療處置過程保暖設備不完善、早產兒體溫照護規範繁雜未定期更新、單位無完善教育訓練，人員對早產兒體溫調節知識不足。經標竿學習及修訂完善體溫照護規範、添購保暖用物、配合翻轉教學等措施介入後，有效將早產兒住院期間之低體溫發生率降至（千分之0），讓臨床人員能明瞭且及時掌握重點，使早產兒獲得更優質體溫照護。
並列摘要
Preterm infants are prone to hypothermia if they are not adequately warmed when undergoing medical procedures such as bathing and tube placement. Hypothermia damages the physiological functions of preterm infants and increases their mortality risk. This project aimed to provide complete and consistent body temperature care to reduce the incidence of in-hospital hypothermia in preterm infants. Before project implementation, the average incidence of in-hospital hypothermia among preterm infants was 7.3%. Analysis of existing conditions revealed that reasons included insufficient warming equipment available to medical personnel, complex standards for body temperature care of preterm infants that were not regularly updated, insufficient personnel education and training, and insufficient personnel knowledge of body temperature regulation in preterm infants. After setting benchmarks, revising and improving standards for body temperature care, purchasing more warming equipment, coordinating with flipped learning and other measures, the incidence of in-hospital hypothermia in preterm infants was effectively reduced to 0%. This allowed clinical personnel to understand and immediately comprehend key points in providing better body temperature care to preterm infants.