新生兒即刻肌膚接觸期間全方位體溫維持之改善專案

Neonatal Body Temperature Maintenance Interventions during the Period on Early Skin to Skin Contact

10.6518/TJOM.2010.52.10

斯莉婷(Li-Ting Szu)；周寶鈺(Pao-Yu Chou)；戴仲宜(Tai-Chung Yi)；蘇慧娟(Su-Hui Chuan)；陳可欣(Kee-Hsin Chen)

新生兒 ； 即刻肌膚接觸 ； 低體溫

助產雜誌

52期（2010 / 12 / 01）

83 - 92

繁體中文

體溫維持對新生兒適應子宮外環境及維持生理指標衡定相當重要，低體溫會增加新生兒代謝性酸中毒、敗血症及休克的機率。本專案旨在探討影響新生兒低體溫之原因，以改善新生兒低體溫狀況。本小組收集2008年9月新生兒從出生後各時間點之體溫變化，發現產後體溫為36.9（R）℃，在肌膚接觸前即降低至36（R）℃，肌膚接觸後持續降低至35.8（R）℃。經觀察及問卷調查發現肌膚接觸期間，體溫降低的原因：缺乏保暖設備、加溫處理檯溫熱時間不足、執行新生兒處置時未適當覆蓋、未及早執行母嬰肌膚接觸。經教育訓練及宣導、制定新生兒護理標準作業流程、生產前及早準備溫暖環境，產後更換濕包巾及提供帽子、購入保暖設備，使新生兒抵達嬰兒室體溫由改善前平均35.8（R）℃提升到36.7（R）℃。

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