การทบทวนขอบเขตงานวิจัยเกี่ยวกับแนวทางการดูแลทารกแรกเกิด ที่มีภาวะความดันเลือดในปอดสูงจากภาวะสูดสำลักขี้เทา

Susheewa Wichaikull; Thassanee Jaipugdee

Authors

Susheewa Wichaikull Boromarajonnani College of Nursing Nopparat Vajira, Faculty of Nursing, Phraborommarajchanok Institute
Thassanee Jaipugdee Nopparat Rajathanee Hospital

Keywords:

PPHN, MAS, Newborn, CNPG, CNP

Abstract

Introduction: Persistent pulmonary hypertension of the newborn (PPHN) is a critical condition resulting in severe oxygen deprivation, metabolic acidosis, and respiratory distress which lead to motility rate.

Research objectives: To review the scope of research on existing clinical practice guidelines to identify comprehensive recommendations for the care of newborns with PPHN and meconium aspiration syndrome (MAS).

Research methodology: This scoping review method was applied. The literatures published less than 10 years related to keywords including factors, treatment, and nursing care of newborns with MAS and PPHN based on inclusion criteria were systematically reviewed and selected by using critical appraisal tool from The Joanna Briggs Institute. All literatures were met international standard and used worldwide.

Results: Sixty - four studies were selected based on inclusion criteria and critical appraisal tool. There were 13 studies related to risk factors, 4 studies related to treatment, 12 studies were related to nursing care and the standards of PPHN with MAS and 2 studies related to the standards of PPHN

Conclusion: MAS was the highest risk to PPHN. Standard treatment for PPHN focused on vasodilation, respiratory failure prevention and other complications such as sepsis, hypotension.
The clinical care guideline for PPHN with MAS aimed to 1) assess postpartum dyspnea 2) prevent respiratory failure; 3) prevent cardiovascular failure; 4) prevent hospital acquired infection; 5) prevent fluid, nutrient, and electrolyte imbalances; 6) prevent hypothermia, especially in low birth weight or premature infants; 7) decrease stress and pain from procedures, and 8) promote growth and reduce stress for the family.

Implication: Standards of nursing care should be developed for newborns with persistent pulmonary hypertension due to meconium aspiration syndrome.

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