Effect of Clinical Nursing Practice Guidelines for Caring Infants with Therapeutic Hypothermia on Body Temperature Control of Infants
Keywords:
therapeutic hypothermia, infant’s body temperatureAbstract
The treatment of the infants with hypoxic ischemia encephalopathy (HIE) by using therapeutic hypothermia of the infants, the treatment by reducing the body temperature of the infants to 33-34 degrees Celsius for 72 hours, could reduce their mortality and morbidity rate. This research was non-randomized before and after intervention, historical control study in 30 cases. The purpose was to study the effect of clinical nursing practice guidelines (CNPG) for caring infants with therapeutic hypothermia on body temperature control of the infants in a neonatal intensive care unit. These cases were chosen by purposive sampling divided into the controlled group and experimental group. The tools used in the research were the clinical nursing practice guidelines (CNPG) for caring infants with therapeutic hypothermia. Data were analyzed with descriptive statistics and Fisher’s Exact test.
The research results were of the followings: in an Induction phase, the number of infants treated by reducing their temperature to 33-34 degrees Celsius in the one-hour phase including CNPG was insignificantly more than that of the other infants treated similarly in reducing temperature but without CNPG (p>.05). In the maintenance phase and rewarming phase, the number of infants whose body temperature remained 33-34 degrees Celsius for 72 hours, then increased to 36.5 degrees Celsius within 6-8 hours after that, in experimental group with CNPG was significantly more than controlled group of the infants treated without CNPG (p<.05).
The research results significantly showed that the infants with HIE when treated with therapeutic hypothermia along with CNPG could obtain the standard nursing outcomes efficiently. Using the CNPG leads to the proper control of infant’s target body temperature in maintenance phase and rewarming phase.
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