بررسی میزان و نحوه انجام اقدامات اولیه مراقبت از نوزاد در اتاق زایمان یا عمل بیمارستان‌های خراسان رضوی طی سال‌های 1401-1400

نوع مقاله : اصیل پژوهشی

نویسندگان

1 دانشیار گروه مامایی، دانشکده علوم پزشکی، واحد تنکابن، دانشگاه آزاد اسلامی، تنکابن، ایران.

2 کارشناس مامایی، بیمارستان خاتم‌الانبیاء، دانشگاه علوم پزشکی مشهد، باخرز، ایران.

3 کارشناس مامایی، بیمارستان امام حسن مجتبی، دانشگاه علوم پزشکی مشهد، کلات، ایران.

4 کارشناس مامایی، بیمارستان قائم (عج)، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

5 کارشناس مامایی، بیمارستان امام رضا (ع)، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

6 مربی گروه پرستاری، دانشکده پرستاری و مامایی، علوم پزشکی مشهد، دانشگاه آزاد اسلامی، مشهد، ایران.

7 استادیار گروه مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

8 استاد گروه کودکان، دانشکده پزشکی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

چکیده

مقدمه: مفهوم "ساعت طلایی" جهت انجام اقدامات اولیه مراقبت نوزاد، یک استراتژی جدید در حال تکامل برای پیش‌آگهی بهتر نوزادان نارس و ترم است و همه مراقبین سلامت باید در مورد مؤلفه­ ها و اهمیت آن توجیه شوند. مطالعه حاضر با هدف بررسی میزان و ترتیب انجام اقدامات اولیه مراقبت از نوزاد در اتاق زایمان یا عمل بیمارستان‌های خراسان رضوی انجام شد.
روش‌کار: این مطالعه توصیفی طی سال‌های 1401-1400 روی 1286 نوزاد متولد شده در زایشگاه و اتاق عمل بیمارستان‌های دولتی خراسان رضوی انجام شد. درصد و ترتیب انجام مراقبت­ های نوزادان بلافاصله بعد از زایمان بررسی شد. تجزیه و تحلیل داده­ ها با استفاده از نرم‌افزار آماری SPSS (نسخه 26) و شاخص­ های آماری انجام شد. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته ­ها: خشک و گرم کردن در 98%، برقراری تماس پوستی نوزاد با پستان مادر در 65%، وضعیت دادن در 61%، تخلیه ترشحات دهان و تحریک نوزاد در 41%، گذاشتن کلاه در 61%، کنترل تعداد تنفس در 48%، ضربان قلب در 38% و چک درجه حرارت در 25% نوزادان انجام شده بود. خلاصه ترتیب اقدامات مراقبتی انجام شده برای نوزادان به‌ترتیب شامل: بستن بند ناف، شروع تماس پوست با پوست، خشک کردن، گرم کردن، تحریک کردن، پوار کردن، گذاشتن کلاه، تعیین آپگار دقیقه اول، کنترل وزن، کنترل قد، کنترل دور سر، تعیین آپگار دقیقه پنجم، اولین کنترل تعداد تنفس، اولین کنترل تعداد نبض، اولین شیردهی، کنترل دمای بدن، گرفتن اثر کف پا، تزریق ویتامین K، پوشک کردن و انتقال به بخش مامایی بود.
نتیجه­ گیری: زایشگاه‌های دولتی استان خراسان رضوی اقدامات ضروری مانند علائم حیاتی در کمتر از نیمی از نوزادان ارزیابی می­ شود و ترتیب مراقبت‌ها نیز مناسب نمی‌باشد، لذا اصلاح و آموزش عامل مراقبت از نوزاد، نیاز به بازنگری جدی دارد و لازم است مراقبین سلامت در مورد مراقبت‌ها و ترتیب انجام آنها بازنگری نمایند. 

کلیدواژه‌ها

عنوان مقاله [English]

The percentage and sequence of performing basic measures of newborn care in the delivery or operating room in Khorasan Razavi hospitals during 2021-2022

نویسندگان [English]

  • Maryam Zakerihamidi 1
  • Samira Mahmoudi 2
  • Malihe Mohseninia 3
  • Maryam Azari Azghandi 4
  • Nahid Sorgi 5
  • Fatemeh Bagheri 6
  • Maryam Moradi 7
  • Hassan Boskabadi 8
1 Associate Professor, Department of Midwifery, School of Medical Sciences, Tonekabon Branch, Islamic Azad University, Tonekabon, Iran.
2 B.Sc. of Midwifery, Khatam al-Anbia Hospital, Mashhad University of Medical Sciences, Bakherz, Iran.
3 B.Sc. of Midwifery, Imam Hassan Mojtabi Hospital, Mashhad University of Medical Sciences, Kalat, Iran.
4 B.Sc. of Midwifery, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.
5 B.Sc. of Midwifery, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.
6 Instructor, Department of Nursing, School of Nursing and Midwifery, Mashhad Medical Sciences, Islamic Azad University, Mashhad, Iran.
7 Assistant Professor, Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
8 Professor, Department of Pediatrics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
چکیده [English]

Introduction: The "golden hour" concept is a new evolving strategy for better prognosis of preterm and term infants, and all health care providers should be informed about the components and importance of the golden hour approach. The present study was performed with aim to investigate the percentage and sequence of primary care measures for newborns in the delivery or operating rooms in Khorasan Razavi hospitals.
Methods: This descriptive study was conducted in 2021-2022 on 1286 babies born in the maternity ward and operating room in Khorasan Razavi public hospitals. The percentage and sequence of taking care of newborns were investigated immediately after birth. Data were analyzed by SPSS software (version 26) and Statistical indices. P< 0.05 was considered statistically significant.
Results: Drying and warming in 98%, making skin to skin contact of the baby with the mother's breast in 65%, positioning in 61%, emptying mouth secretions and stimulating the baby in 41%, putting on a hat in 61%, controlling the number Breathing in 48%, heart rate in 38% and temperature check in 25% were done among babies. The summary of the order of care measures performed for newborns was: tying the umbilical cord, starting skin-to-skin contact, drying, warming, stimulating, emptying mouth secretions, putting on a hat, determination of first minute Apgar, weight control, height control, head circumference control, determination of fifth minute Apgar, first respiratory rate control, first pulse rate control, first breastfeeding, body temperature control, foot impressions, vitamin K injection, diapering, and transfer to obstetrics department.
Conclusion: In maternity wards and operating room of Khorasan Razavi public hospitals, essential measures such as vital signs are evaluated in less than half of the babies, and the order of care is not appropriate. Therefore, the modification and training of the neonates' care worker needs a serious revision and it is necessary for the health care workers to review the care and order of their performance.

کلیدواژه‌ها [English]

  • Delivery room
  • Infant care
  • Respiratory rate
  • Skin-to-skin contact
  • Umbilical cord

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مجله زنان، مامایی و نازایی ایران
دوره 26، شماره 6
شهریور 1402
صفحه 1-11

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