采用改良德尔菲法确定尼泊尔新生儿热管理的共识一致性和障碍。

IF 1.4 Q3 PEDIATRICS Global Pediatric Health Pub Date : 2024-10-17 eCollection Date: 2024-01-01 DOI:10.1177/2333794X241273300
Brandon Tomlin, Bibec Lamichhane, Ranjan Dhungana, Grace Richards, Peter Grubb, Anamika Mahato, Bernhard Fassl, Allison Judkins
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引用次数: 0

摘要

目的。新生儿体温过低是世界性的健康负担,在医院的发病率为 32% 至 85%,在家庭分娩的发病率为 11% 至 92%。它在尼泊尔很普遍,并与发病率和死亡率的增加有关。本研究旨在确定尼泊尔新生儿热管理的主要实践标准。研究方法我们的研究对象包括来自加德满都主要分娩中心的 6 名新生儿主治医生。我们采用改良的德尔菲程序,从世界卫生组织推荐的 14 种做法中筛选出医院、保健站和家庭中新生儿体温调节的 5 大关键实践标准。结果。除了在医院使用辐射热源和在家庭分娩中实施袋鼠妈妈护理外,其他所有排名的做法都达成了共识。意见表明,在分娩的第一阶段采取的干预措施最有影响力,也最可行。结论与复苏后相比,尼泊尔医生更重视复苏初期的体温调节措施。
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Determining Consensus Alignment and Barriers of Neonatal Thermal Management in Nepal Using a Modified Delphi Process.

Objective. Neonatal hypothermia is a worldwide health burden with an incidence ranging from 32% to 85% in hospitals and 11% to 92% in homebirths. It is prevalent in Nepal and associated with increased morbidity and mortality. The study objective was to identify key practice standards of newborn thermal management in Nepal. Methods. Our subjects included 6 lead newborn physicians from major birthing centers in Kathmandu. A modified Delphi process was used to identify the top 5 key practice standards for newborn thermoregulation in the hospital, health post, and home, compiled from 14 World Health Organization recommended practices. Results. There was consensus in all ranked practices except using radiant heat sources in the hospital and performing Kangaroo Mother Care in the homebirths. Comments conveyed that interventions during the immediate delivery phase were most impactful and feasible. Conclusion. Nepali physicians prioritized thermoregulatory practices during the immediate resuscitation period over the post-resuscitation period.

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来源期刊
Global Pediatric Health
Global Pediatric Health Nursing-Pediatrics
CiteScore
2.20
自引率
0.00%
发文量
105
审稿时长
12 weeks
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