| 杨凡,张一男,姜红,等.新生儿坠床及医务人员怀抱新生儿跌倒的风险与防范[J].安徽医药,2019,23(4):775-777. |
| 新生儿坠床及医务人员怀抱新生儿跌倒的风险与防范 |
| Risks and precautions of the newborn falling out of bed and falling in the arms of medical staff |
| 投稿时间：2017-03-20 |
| DOI： |
| 中文关键词: 婴儿,新生 意外跌倒 降低风险行为 病人安全 坠床 |
| 英文关键词: Infant,newborn Accidental falls Risk reduction behavior Patient safety Falling out of bed |
| 基金项目:美国中华医学基金会CMB资助项目(09-977) ◇临床医学◇新生儿坠床及医务人员怀抱新生儿跌倒的风险与防范杨凡1,张一男3,姜红1,范玲2 (1.中国医科大学附属盛京医院新生儿病房,辽宁 沈阳 1100002.中国医科大学附属盛京医院护理部,辽宁 沈阳 110000；3.青岛市妇女儿童医院妇科,山东 青岛 266011) |
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| 中文摘要: |
| 目的 探讨新生儿坠床及医务人员怀抱新生儿跌倒的危险因素防范及应急预案。方法 将2015年6—12月中国医科大学附属盛京医院收治的监护新生儿2 218人次作为对照组1,住院新生儿362人次作为对照组2,2016年1—6月收治的监护新生儿4 490人次作为观察组1,住院新生儿526人次作为观察组2,对照组按常规护理流程及制度实施护理,观察组改善环境及流程,配备防滑鞋,规范使用婴儿床,避免手对手交接等措施,进行数据统计分析。结果 监护新生儿及住院新生儿各自对照组与观察组相比在新生儿坠床、医护人员怀抱新生儿跌倒方面差异无统计学意义,医护人员怀抱新生儿有滑倒倾向但未跌倒方面观察组较对照组人次明显减少(328比0；40比6),均差异有统计学意义(P＜0.001)。结论 建立健全相关制度规范及应急预案,设备完好,加强工作人员及护理操作等方面的管理与培训,重视环境、流程中的安全隐患,实时预感风险,才能保证新生儿处于安全的环境中。 |
| 英文摘要: |
| ObjectiveTo discuss the preventions of risk factors and contingency plans about the occurrence of the baby falling out of bed and medical staff carrying a baby falling down in the neonatal ward.Methods Two thousand two hundred and eighteen obstetric caring newborn and 362 hospitalized newborn in Shengjing Hospital of China Medical University from June 2015 to December 2015 were selected as control group 1,2,and 4 490 obstetric caring newborn and 526 hospitalized newborn admitted to hospital from January 2016 to June 2016were collected as observation group 1,2.The control group was treated according to the routine nursing process and system,while the observation group improved environment and process, was equipped with non-slippery shoes,used the crib normatively and avoided handover measures.Then the data were statistically analyzed.Results There were no significant differences between the two groups in the baby falling out of bed and medical staff falling down with a baby in arms.The number of the medical staff who had a tendency to slip but did not fall down with the baby was fewer than the control group.There was a statistically significant difference between the two groups (328 vs. 0； 40 vs. 6,respectively,P<0.001).Conclusion We should establish a perfect institutional norms and contingency plans,keep equipment in good conditions,strengthen the management and training of the staff and their nursing procedures,pay attention to the safety hazards in environment and process and meanwhile always forecast risks to guarantee the baby in a safe environment. |
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