题名

新生兒尿布性皮膚炎危險因子的調查

并列篇名

A Survey of Risk Factors of Neonatal Diaper Dermatitis

DOI

10.6518/TJOM.201812_(60).0002

作者

陳恩惠(En-Hui CHEN)；林寀涵(Tsai-Han LIN)；涂嘉玲(Chia-Ling TU)

关键词

新生兒 ； 尿布性皮膚炎 ； 危險因子

期刊名称

助產雜誌

卷期/出版年月

60期（2018 / 12 / 01）

页次

12 - 21

内容语文

繁體中文
中文摘要

背景：尿布性皮膚炎是嬰幼兒最常見的接觸性皮膚炎，只要新生兒穿尿布，此情況就很難被避免，加上新生兒容易因此而難以被安撫，更加劇主要照顧者的焦慮情緒，因此造成新生兒尿布性皮膚炎的危險因子，值得深入探討。目的：調查產後護理之家新生兒發生尿布性皮膚炎之基本屬性，並分析影響新生兒尿布性皮膚炎的危險因子。方法：利用回溯病歷對照研究法，以某區域教學醫院附設產後護理之家新生兒為對象，採方便抽樣，收案條件為妊娠週數大於37週及入住產後護理之家天數小於28天的新生兒，抽選總計207名新生兒參加研究，病例111人，對照96人，應用單變項羅吉斯（Univariate Logistic Regression）回歸，針對勝算比（odds ratio, OR）分析新生兒尿布性皮膚炎相關性。結果：本研究六個自變項中的性別變項OR值為0.999、出生體重變項OR值為1.341、體重增加變項OR值為1.196，因p值＞ .05，表示性別、出生體重、體重增加與尿布性皮膚炎未具有研究上的顯著差異。但是，入住天數、大便次數之p值 ＜ .05，與尿布性皮膚炎具有研究上的顯著差異，且OR值均大於1，顯示此二變項對於發生尿布性皮膚炎風險有高度正向關係，即大便次數越多及入住天數越多天其發生尿布性皮膚炎的風險越高。結論：新生兒的大便次數及入住產後護理之家的天數，均為產後護理之家新生兒尿布性皮膚炎的危險因子，建議醫護助產人員於新生兒出生即開始介入照護，以降低新生兒尿布性皮膚炎發生率。
主题分类 醫藥衛生 > 預防保健與衛生學
醫藥衛生 > 婦產科與老幼科
醫藥衛生 > 社會醫學
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