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Journal of Korean Critical Care Nursing 2009;2(2):5-17.
Published online December 31, 2009.

초극소 저출생체중아의 고농도 가습환경 유지를 위한 근거중심 프로토콜 개발
유미, 최윤진, 한리라, 윤영미, 배근하, 이지은, 박지선, 박의
1서울대학교병원 간호행정팀
2서울대학교병원 신생아중환자실
3서울대학교병원 신생아중환자실
4서울대학교병원 신생아중환자실
5서울대학교병원 신생아중환자실
6서울대학교병원 신생아중환자실
7서울대학교병원 신생아중환자실
8서울대학교병원 신생아중환자실
Development of evidence-based protocol to maintain high humidity of incubator in Extremely Low Birth Weight Infant
Mi Yu, Yun-Jin Choi, Li-La Han, Young-Mi Yun, Geun-Ha Bae, Ji-Eun Lee, Ji-Seon Park, Ui Park
1Nursing Dapartment, Seoul National University Hospital
2NICU, Seoul National University Hospital
3NICU, Seoul National University Hospital
4NICU, Seoul National University Hospital
5NICU, Seoul National University Hospital
6NICU, Seoul National University Hospital
7NICU, Seoul National University Hospital
8NICU, Seoul National University Hospital
Abstract
Purpose
The purpose of this study was to investigate the current humidification state of incubator, the factors disturbing high humidification and to establish the evidence-based nursing protocol to maintain it.
Methods
The subjects were 15 infants who were born with extremely low birth weight (ELBW) from May to October, 2007, and data were collected during the first 3 days and analyzed with SPSS WIN program.
Results
The goal of humidity level in incubator was 95%, but mean humidity levels were 89.7%(1st day), 91.9%(2nd day), and 91.8%(3rd day)(p<0.001). The disturbing factors were opening frequency and duration of incubator door and window by caregivers. The handling of infants by nurses and doctors happened more frequently during the first day. Especially, nurses handled them more often than others, but the duration of opening during the invasive procedures by doctors was longer than others. The opening frequency had negative correlation with duration(r=-.779, p<.01).
Conclusion
So the evidence-based protocol for maintaining high humidity in incubator for ELBW infants during the first 3 days and next 2 days was made. Furthermore we need to educate NICU nurses and doctors about minimal handling.
Key Words: Extremely low birth weight infant, Humidity, Evidence-based nursing protocol
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