摘要
目的探讨协同干预模式对产科新生儿出生48~72 h后听力筛查初筛结果的影响。方法抽取2020年5月至2020年6月在郑州大学第二附属医院产科出生的324例自愿接受出生48~72 h后听力筛查初筛的新生儿作为研究对象,随机等分为研究组(162例)与对照组(162例)。研究组新生儿筛查前应用产科医护-新生儿医师-家长-耳鼻喉科医师协同干预模式,对照组仅进行新生儿常规管理。观察两组新生儿出生48~72 h后听力筛查测试过程中新生儿状态的优良率、初筛通过率、筛查开始到通过的时长。结果研究组新生儿初筛状态优良率(95.67%,155/162)高于对照组(83.33%,135/162),P<0.05;研究组新生儿48~72 h听力筛查初筛通过率(95.68%,155/162)高于对照组(85.19%,138/162),P<0.05;研究组双耳均通过者单耳筛查时长(平均值13.26 s)短于对照组(平均值22.82 s),P<0.05。结论协同干预模式可以提高新生儿听力筛查初筛通过率,缩短筛查时长,提高筛查过程中的新生儿状态优良率。
Objective To investigate the effect of collaborative intervention mode on the results of hearing primary screening of obstetric newborns 48-72 hours after birth.Methods A total of 324 newborns who were born in the Department of Obstetrics of the Second Affiliated Hospital of Zhengzhou University from May 2020 to June 2020 and voluntarily accepted the hearing screening 48-72 hours after birth were selected as the research objects.They were randomly divided into the study group(162 cases)and the control group(162 cases).Before neonatal screening,the study group accepted the collaborative intervention mode of obstetric care-neonatal physician-parents-otolaryngologist,and the control group only received routine management of newborns.The excellent rate of neonatal status,the passing rate of primary screening and the duration from the beginning of screening to the passing of hearing screening test of newborns 48-72 hours after birth in the two groups were observed.Results The excellent rate of neonatal screening in the study group(95.67%,155/162)was higher than that in the control group(83.33%,135/162),P<0.05.The passing rate of primary hearing screening of newborns 48-72 h after birth in the study group(95.68%,155/162)was higher than that in the control group(85.19%,138/162),P<0.05.The duration of monaural screening for those who passed both ear screenings in the study group(average 13.26 s)was shorter than that in the control group(average 22.82 s),P<0.05.Conclusions Collaborative intervention mode can improve the passing rate of neonatal hearing screening,shorten the screening time and improve the excellent rate of neonatal status in the screening process.
作者
张红利
张慧
王金永
Zhang Hongli;Zhang Hui;Wang Jinyong(The Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450014,China)
出处
《中国实用医刊》
2022年第16期60-63,共4页
Chinese Journal of Practical Medicine
基金
2015年专项调研课题(特殊教育工作研究)(YT150078)。
关键词
新生儿
协同干预
耳道护理
听力筛查
测试通过率
Infant,newborn
Collaborative intervention
Ear canal care
Hearing screening
Test pass rate
