循证护理在预防新生儿脐部皮肤感染中的应用

摘要

：Objective To investigate the effect of evidence-based nursing interventions in prevention of umbilical infection in neonates. Methods 〓A total of 230 full-term neonates were randomly divided into the observation group and the control group, with 115 case in each group. The routine umbilical cord and skin care was carried out in both two groups, and evidence-based nursing interventions were performed in the observation group. The incidences of umbilical infection, umbilical fossa secretion, periumbilical swelling and neonatal omphalitis and time of shedding of the umbilical cord were compared between two groups. The satisfactory degree of parents with nursing interventions was evaluated. Results 〓The time of shedding of the umbilical cord in the observation group was shorter than that in the control group(P0.01). The incidence rate of periumbilical skin damage in the observation group was lower than that in the control group(P0.01). The incidence rates of umbilical infection, umbilical fossa secretion, periumbilical swelling and neonatal omphalitis in the observation group were lower than those in the control group(P0.01). Parents of neonates in the observation group were more satisfied with nursing interventions compared with those of neonates in the control group(P0.05). Conclusion 〓The evidence-based nursing interventions are potentially effective to reduce risk of the umbilical infection and periumbilical skin damage, and shorten the shedding of the umbilical cord.