张桂香??吴开锋??毛伟萍??林永如

[摘要] 目的 探讨新生儿转运流程规范化对新生儿转运效果的评价。 方法 选取2013年2月～2015年11月我院诊治的300例危重新生儿为研究对象，根据我院新生儿转运流程规范化前后分为观察组213例和对照组87例，对照组为新生儿转运流程规范化前，观察组为新生儿转运流程规范化后。 结果 观察组转运前处理时间及转运后安置时间均较对照组缩短，差异有统计学意义（P<0.05）；观察组家属满意度为95.77%优于对照组（87.36%），差异有统计学意义（P<0.05）；观察组转运不良事件发生率为2.82%较对照组（12.64%）低，差异有统计学意义（P<0.05）。结论 规范化新生儿转运流程，能有效的缩短转运前及转运后处理时间，提高家属满意度，降低转运过程中不良事件的发生率。

[关键词] 新生儿转运流程；新生儿；转运效果

[中图分类号] R722.1 [文献标识码] A [文章编号] 2095-0616（2017）12-241-03

Evaluation of effect of neonatal transfer process standardization on neonatal transfer

ZHANG Guixiang WU Kaifeng MAO Weiping LIN Yongru

Department of Pediatrics， Boluo Maternal and Child Health Hospital， Guangdong， Boluo 516100， China

[Abstract] Objective To explore effect of evaluation of neonatal transfer process standardization on neonatal transfer. Methods 300 critical neonates who were diagnosed and treated in our hospital from February 2013 to November 2015 were selected as research objects. According to neonatal transfer process in our hospital， they were divided into the observation group with 213 cases and the control group with 87 cases. The control group was before neonatal transfer process standardization while the observation group was after neonatal transfer process standardization. Results Handling time before transfer and placement time after transfer of the observation group were both shorter than those of the control group. The difference was statistically significant （P<0.05）. Satisfaction of family members in the observation group was 95.77%， better than that of the control group 87.36%. The difference was statistically significant （P<0.05）. Incidence of adverse events in the observation group was 2.82%， lower than that of the control group 12.64%. The difference was statistically significant （P<0.05）. Conclusion Standardized neonatal transfer process can effectively shorten handling time before and after transfer， improve satisfaction of family members and reduce the incidence of adverse events during the transfer process.

[Key words] Neonatal transfer process； Neonates； Transport effect

新生儿转运是将危重新生儿从急救设备及新生儿抢救专业技术缺乏的基层医院转运至条件较好的上级医院进一步诊断治疗和护理过程[1]。随着医学技术的不断发展，急诊转运医学也随之逐渐崛起，新生儿转运医学是以急诊转运医学为基础的危重新生儿紧急救护发展而成的分支。能否降低危重新生儿的死亡率与其转运成功与否有密切关系[2-3]，危重新生儿的转运有别于一般转运，在其转运过程中需对患儿实施连续监护治疗及急救护理。危重新生儿的成功转运可最大程度的降低新生儿的致残率和病死率，而保证其转运成功离不开完善的新生儿转运流程[4-5]和先进的转运设备及优秀的医护人员。新生儿转运流程规范化，可使危重新生儿在转运的成功率及死亡率明显降低。本院对新生儿转运流程规范化后取得良好的新生儿转运效果，现报道如下。

1 资料与方法