The impact of using integrated medical and nursing care to continue temperature management during the golden hour after birth on the clinical outcomes of premature infants
生后黄金小时运用医护一体化延续体温管理对早产儿临床结局的影响

摘要

目的 观察分析在生后黄金小时对早产儿实施医护一体化延续体温管理的临床效果和应用价值。方法 选择2021年9月至2022年4月在我院NICU住院治疗的小于34周的早产儿为实验组（生后黄金小时运用医护一体化延续体温管理），2021年3月至2021年8月的早产儿为对照组（常规体温管理），收集分析护理效果。结果 实验组的体温更高、pH值更低、凝血酶原时间更高，差异有统计学意义（P＜0.05），实验组生命体征异常率更低，不良反应发生率更低。结论 生后黄金小时运用医护一体化延续体温管理可以有效减少早产儿不良反应的发生，改善临床结局，有较高应用价值。

Abstract

Objective To observe and analyze the clinical effect and application value of implementing integrated medical and nursing temperature management for premature infants during the golden hour after birth. Method: Premature infants under 34 weeks who were hospitalized in our NICU from September 2021 to April 2022 were selected as the experimental group (using integrated medical and nursing temperature management during the golden hour after birth), and premature infants from March 2021 to August 2021 were selected as the control group (conventional temperature management). The nursing effects were collected and analyzed. The experimental group had a higher body temperature, lower pH value, and higher prothrombin time, with statistically significant differences (P<0.05). The experimental group had a lower rate of abnormal vital signs and lower incidence of adverse reactions.
Conclusion  : The use of integrated medical and nursing temperature management during the golden hour after birth can effectively reduce the occurrence of adverse reactions in premature infants, improve clinical outcomes, and have high application value.