초극소 저출생체중아의 고농도 가습환경 유지를 위한 근거중심 프로토콜 개발 |
유미, 최윤진, 한리라, 윤영미, 배근하, 이지은, 박지선, 박의 |
1서울대학교병원 간호행정팀 2서울대학교병원 신생아중환자실 3서울대학교병원 신생아중환자실 4서울대학교병원 신생아중환자실 5서울대학교병원 신생아중환자실 6서울대학교병원 신생아중환자실 7서울대학교병원 신생아중환자실 8서울대학교병원 신생아중환자실 |
Development of evidence-based protocol to maintain high humidity of incubator in Extremely Low Birth Weight Infant |
Mi Yu, Yun-Jin Choi, Li-La Han, Young-Mi Yun, Geun-Ha Bae, Ji-Eun Lee, Ji-Seon Park, Ui Park |
1Nursing Dapartment, Seoul National University Hospital 2NICU, Seoul National University Hospital 3NICU, Seoul National University Hospital 4NICU, Seoul National University Hospital 5NICU, Seoul National University Hospital 6NICU, Seoul National University Hospital 7NICU, Seoul National University Hospital 8NICU, Seoul National University Hospital |
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Abstract |
Purpose The purpose of this study was to investigate the current humidification state of incubator, the factors disturbing high humidification and to establish the evidence-based nursing protocol to maintain it. Methods The subjects were 15 infants who were born with extremely low birth weight (ELBW) from May to October, 2007, and data were collected during the first 3 days and analyzed with SPSS WIN program. Results The goal of humidity level in incubator was 95%, but mean humidity levels were 89.7%(1st day), 91.9%(2nd day), and 91.8%(3rd day)(p<0.001). The disturbing factors were opening frequency and duration of incubator door and window by caregivers. The handling of infants by nurses and doctors happened more frequently during the first day. Especially, nurses handled them more often than others, but the duration of opening during the invasive procedures by doctors was longer than others. The opening frequency had negative correlation with duration(r=-.779, p<.01). Conclusion So the evidence-based protocol for maintaining high humidity in incubator for ELBW infants during the first 3 days and next 2 days was made. Furthermore we need to educate NICU nurses and doctors about minimal handling. |
Key Words:
Extremely low birth weight infant, Humidity, Evidence-based nursing protocol |
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