Journal of Korean Critical Care Nursing (중환자간호학회지)

Korean Society of Critical Care Nursing (한국중환자간호학회)
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Development of evidence-based protocol to maintain high humidity of incubator in Extremely Low Birth Weight Infant

초극소 저출생체중아의 고농도 가습환경 유지를 위한 근거중심 프로토콜 개발

  • Yu, Mi (Nursing Dapartment, Seoul National University Hospital) ;
  • Choi, Yun-Jin (NICU, Seoul National University Hospital) ;
  • Han, Li-La (NICU, Seoul National University Hospital) ;
  • Yun, Young-Mi (NICU, Seoul National University Hospital) ;
  • Bae, Geun-Ha (NICU, Seoul National University Hospital) ;
  • Lee, Ji-Eun (NICU, Seoul National University Hospital) ;
  • Park, Ji-Seon (NICU, Seoul National University Hospital) ;
  • Park, Ui (NICU, Seoul National University Hospital)
  • 유미 (서울대학교병원 간호행정팀) ;
  • 최윤진 (서울대학교병원 신생아중환자실) ;
  • 한리라 (서울대학교병원 신생아중환자실) ;
  • 윤영미 (서울대학교병원 신생아중환자실) ;
  • 배근하 (서울대학교병원 신생아중환자실) ;
  • 이지은 (서울대학교병원 신생아중환자실) ;
  • 박지선 (서울대학교병원 신생아중환자실) ;
  • 박의 (서울대학교병원 신생아중환자실)
  • Published : 2009.12.01
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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.

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