早產兒洗澡後體溫回升速率之改善方案

Improving Recovery of Body Temperature after Ablution in Premature Infants

本專案旨在改善早產兒因洗澡後體溫下降的問題及提升其體溫回升之速度。本專案實施前，早產兒洗澡後第30分鐘體溫回升至正常之速度慢，僅35%，第 0分鐘為43%，第120分鐘體溫回升≧ 3.5℃只為70%。經實施訂定保暖護理標準及修訂洗澡護理標準、宣導標準措施及稽核制度後；與改善前相同條件之早產兒為對象，共收集4 位，其結果：早產兒洗澡後第30分鐘時體溫回升≧ 3.5℃由35%提升至74%，且第 0分鐘起所有的個案體溫皆回升至正常。本專案之實施，不但使早產兒的體溫不會因洗澡而造成低體溫之現象，同時可加強護理人員對早產兒體溫維持的知識與技能，提升早產兒之照護品質。

The purpose of this project was to improve the problem of decreased body temperature after ablution in premature infants, and increase the rate of recovery of body temperature. Before administration of this program, the rate of body temperature recovery was slow. The body temperatures of only 35% of premature infants’ reached 36.5°C at 30 minutes after bath, those of 43% did so at 60 minutes after bath, and those of 70 % did so at 120 minutes after bath. After a warmth maintenance nursing standard had been set, the bathing nursing standard corrected, standard interventions promoted and the system inspected, the percentage of body temperature recovery to 36.5°C was raised from 35% to 74% at 30 minutes after bath and the body temperature became normal in all premature infants at 60 minutes after bath. This program not only solves the problem of low body temperature after ablution in premature infants, but also consolidates nursing staffs’ knowledge and skills in maintaining body temperature in prematurity to promote the quality of premature care.