• Child Health Nursing Research
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• 제27권3호
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• pp.297-307
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• 2021

Purpose: This descriptive study compared the perceived parental stress levels between parents with very low birth weight infants (VLBWIs) and nurses in the neonatal intensive care unit (NICU). Methods: In total, 83 parents of VLBWIs and 78 NICU nurses were enrolled. Data were collected with the Parental Stress Scale (PSS) and analyzed using the t-test and analysis of variance in SAS version 9.4. Results: The average PSS score was 3.31 among parents and 3.45 among nurses. The stress score was significantly higher among nurses with children (t=2.46, p=.016) and senior nurses (t=2.12, p=.037). There was a significant difference in the stress score according to parents' education (t=3.29, p=.002) and occupation (F=3.14, p=.049) in the sights and sounds subscale. Mothers had significantly higher stress scores than fathers in the parental role alterations subscale (t=2.32, p=.023). Parental stress scores were higher than those perceived by nurses in the infant's appearance and behaviors subscale for breathing patterns (t=2.95, p=.004), followed by jerky/ restless behavior (t=2.70, p=.008). Conclusion: Nurses should provide explanations to parents of VLBWIs in order to reduce parental stress about the appearances and behavior of VLBWIs. This is more important than aspect of the NICU environment and education about parental roles.

• Child Health Nursing Research
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• 제24권4호
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• pp.407-419
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• 2018

Purpose: The purpose of this study was to explore and describe the meaning and essence of a mother's experience of hospitalization of her newborn in the neonatal intensive care unit (NICU). Methods: This study employed a qualitative research design. An interview was conducted with a mother whose newborn was hospitalized in the NICU, and the data were analyzed using Giorgi's phenomenological method. Results: Five main themes and 19 formulated meanings were indentified. The 5 themes were 'drowning in pain', 'just look outside the glass door', 'being a pillar', 'a deepening attachment', and 'prepare for nurturing with hope'. Conclusion: The results of this study provided an in-depth understanding of the experience of a mother with a newborn in the NICU. These results can be used in the development of a nursing intervention program that provides psychological and emotional support to the mother and family.

• Child Health Nursing Research
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• 제24권2호
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• pp.229-240
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• 2018

Purpose: This study was conducted to assess the knowledge and performance of developmentally supportive positioning for premature infants (DSPP) among neonatal intensive care unit (NICU) nurses. Methods: The participants in this study were 131 nurses working in the NICU at five university hospitals in Daejeon and the city of Cheong-ju. The collected data were analyzed with descriptive statistics, the t-test, analysis of variance, and Pearson correlation coefficients using SPSS for Windows version 22.0. Results: NICU nurses' average DSPP knowledge score was 24.7 out of 33.0, and their average DSPP performance score was 3.2 out of 4.0. A statistically significant positive correlation was observed between knowledge and performance of DSPP (r=.32, p<.001). Conclusion: To improve the level of NICU nurses' knowledge and performance of DSPP, educational programs should be developed and their effectiveness should be verified.

• The Journal of Korean Physical Therapy
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• 제29권4호
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• pp.211-217
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• 2017

Purpose: The purpose of this study was to trace the development of premature babies who had undergone neurodevelopmental treatment in the neonatal intensive care unit and to identify the effects of early neurodevelopmental treatment on the development of premature babies. Methods: Fifty-one premature babies, who had been hospitalized in the neonatal intensive care unit and received an infant motor performance test and Bayley scales-III evaluation of their developments during the six months of corrected age were included. They were divided into three groups: the intervention group (n=16), control group (n=23), and comparison group (n=12), depending on the risk of developmental delays and the existence of an intervention. The results of this study were analyzed using SPSS 22.0 for windows. The statistical significance level was set at ${\alpha}=0.05$. Results: Regarding the infant motor performance test scores for each group before the intervention, at two weeks after the start of intervention, and at post-conception of 40 weeks, the intervention group showed a significantly higher improvement than the control or comparison group (p<0.01). With respect to the Bayley scales-III at the corrected age of six months, the intervention group exhibited statistically significant differences from the control group in the domains of language and fine movements (p<0.01). Conclusion: The findings of this study could confirm that the early neurodevelopmental treatment of premature babies in the neonatal intensive care unit has continuous effects on the development of premature babies even after being discharged from the hospital.

• 기본간호학회지
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• 제13권3호
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• pp.510-519
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• 2006

Purpose: To develop and validate a scale suitable and efficient scale for use in clinical practice as to assess pain in premature infants. Method: Pain indicators identified by observation of preform infants. A cohort of preform infants was studied prospectively to determine the construct validity, inter-rater reliability, and internal consistency of the scale. The PIPS uses four indicators of pain: corrected gestational age, heart rate, oxygen saturation, behavioral state. The validation study included 45 premature infants with gestational age of 37 weeks or less. Results: The inter-rater reliability of the PIPS was acceptable, with Pearson correlations ranging from.720 to.970. Internal consistency was high: Cronbach's alpha coefficients ranged from.551 to.653. There was a strong correlation between the PIPS and PIPP scores (each researcher's r=.743, each indicator's r=.914). Although gestational age showed no association between these factors and the sum, the other variables were positively associated with the sum. Time needed to calculate PIPS scores is was less than Premature Infant Pain Profile (PIPP) scores(p<.000). Conclusion: The validation data suggest that the PIPS is appropriate and efficient for assessing pain in premature infants. Further studies are required about to determine appropriate interventions for each pain score on the PIPS.

• Neonatal Medicine
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• 제16권2호
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• pp.154-162
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• 2009

목 적 : 최근 신생아집중치료술의 발전으로 신생아 중환자실의 생존률은 매우 향상되었으나 아직도 신생아 중환자실 입원환아들의 사망은 지속적으로 발생하고 있다. 본 연구는 지난 10년간 서울아산병원 신생아 중환자실에 입원한 환아들 중 사망한 환아들을 분석하여 사망률, 사망원인 및 사망의 특징에 대하여 알아보고자 하였다. 방 법 : 1998년 1월부터 2007년 12월까지 10년간 서울아산병원 신생아중환자실에 입원했던 환아들을 대상으로 의무기록을 후향적으로 조사하여 사망률, 사망원인질환 및 출생 후 사망까지의 시간을 분석하였다. 결 과 : 조사기간 동안 총 입원환아는 6,289명이었고 총 사망환아는 264명으로 사망률은 4.2%였다. 총 사망환아 중 극소 저출생 체중아는 103명, 초극소 저출생 체중아는 80명이 사망하여 사망률은 각각 10.6%, 21.4%였다. 10년간 연도별 사망률의 유의한 변화추세는 보이지 않았다. 사망관련 주요질환으로 미숙아 관련 사망이 102명(38.7%)으로 가장 많았고, 선청성 기형, 패혈증, 원발성 폐동맥 고혈압, 신생아가사 순으로 나타났다. 미숙아 관련 합병증 중에서는 패혈증이 가장 많은 수를 차지하였고, 선천성 기형 중에서는 선천성 심기형으로 인한 사망이 가장 많았다. 생후 첫 1주 이내에 66명(37.1%)이 사망하여 가장 높은 사망률을 보였고, 178명(67.4%)이 생후 28일 이내의 신생아기에 사망하였다. 결 론 : 신생아 중환자 치료의 방전에도 불구하고 지난 10년간 사망률은 크게 변화하지 않았다. 미숙아관련 합병증과 패혈증이 사망원인 중 많은 부분을 차지하므로 이를 줄이는 노력이 필요할 것으로 생각된다. 또한 생후 첫 1주 이내에 사망하는 경우가 많으므로 이 시기에 신생아 중환자 치료에 있어 세심한 주의 필요할 것으로 생각된다.

• Neonatal Medicine
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• 제28권3호
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• pp.116-123
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• 2021

Purpose: The aim of this study was to estimate the effect of targeting risk factors for the control of central line-associated bloodstream infection (CLABSI) among high-risk infants in a tertiary neonatal intensive care unit (NICU). Methods: Infants admitted to the NICU and diagnosed with CLABSI from January to December 2013 were eligible for inclusion to the study. The CLABSI group (n=47) was matched in a 1:2 ratio to the control group (n=94) based on gestational age, birth weight, and Score for Neonatal Acute Physiology-II. Risk factors for CLABSI were identified using the Cox proportional hazard model, and analysis of the effect of these risk factors targeting infection control was performed. Results: The risk factors associated with CLABSI were prolonged central line dwell days (adjusted hazard ratio [HR], 1.028; 95% confidence interval [CI], 1.011 to 1.045; P=0.001), use of a silicone catheter (adjusted HR, 5.895; 95% CI, 1.893 to 18.355; P=0.002), surgical treatment (adjusted HR, 3.793; 95% CI, 1.467 to 9.805; P=0.006), and less probiotic supplementation (adjusted HR, 0.254; 95% CI, 0.068 to 0.949; P=0.042). By targeting these risk factors with a quality improvement initiative, the mean CLABSI incidence rate per 1,000 catheter-days decreased from 6.6 to 3.1 (P=0.004). Conclusion: Targeting risk factors for infection control significantly reduced the rate of CLABSI among high-risk infants in the NICU.

• Neonatal Medicine
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• 제25권2호
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• pp.66-71
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• 2018

Purpose: Respiratory morbidity is the most common problem among neonates admitted to neonatal intensive care units. Therefore, the aim of this study was to make a differential diagnosis between transient tachypnea of the newborn (TTN), respiratory distress syndrome (RDS), and pneumonia through comparison of clinical features and test results. Methods: This retrospective study was conducted in 86 infants with TTN, RDS, or pneumonia. These were infants who had respiratory distress, were born after ${\geq}34$ weeks of gestation, and transferred to the neonatal intensive care unit of Kosin University Gospel Hospital between June 1, 2011 and June 30, 2016. Results: The numbers (percentage) of infants with TTN, RDS, and pneumonia were 51 (59.3%), 20 (23.3%), and 15 (17.4%), respectively. Late-preterm and early-term newborns accounted for 65.1% of the infants. Tachypnea was observed in 74.4% of the neonates. The median age at admission was 4 hours (0 to 116) after birth. The infants with RDS had significantly lower birth weights, pH levels, base excess and oxygen saturation levels at admission, longer duration of total ventilator therapy, and hospital stay than those in the other two groups. The infants with pneumonia showed significantly high initial high-sensitivity C-reactive protein levels and significant chest radiographic findings. Conclusion: Early differential diagnosis for TTN, RDS, and pneumonia is challenging because they show similar respiratory symptoms at an early stage. Clinical features and test results can be used to determine the etiology of respiratory distress and early antibiotic treatment.

• 동서간호학연구지
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• 제20권2호
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• pp.136-144
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• 2014

Purpose: The purposes of this study were to identify the perceived nursing needs and the differences by general characteristics of parents of infants in a neonatal intensive care unit (NICU) and to provide useful evidences developing a new intervention for family-centered care in NICU. Methods: A convenience sample of 121 parents of infants in NICU was used and the participants asked to complete the Korean version of NICU Family Needs Inventory (NFNI) from April to May, 2014. Data were analyzed using descriptive statistics, t-test and ANOVA. Results: The participants reported high average score in the perceived nursing needs. In subscales, needs for assurance rated highest score and needs for information, proximity, support, and comfort were followed. Mothers reported higher nursing needs score than fathers except the subscale of support. Conclusion: The findings suggest that nurses in NICU actively provide information about treatment, nursing, results of laboratory tests, and current status to give reassurance to parents. Not only providing informational support of parents of NICU infants, but also finding methods to contact to parents is necessary. In addition, nurses need to provide optimized intervention in current healthcare system and hospital environment.

• Clinical and Experimental Pediatrics
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• 제50권7호
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• pp.698-701
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• 2007

Cryseobacterium meningosepticum은 흙, 병원, 수돗물을 포함한 물이 있는 환경에서 발견되는 그람 음성 막대균으로, 미숙아, 노인과 같이 면역성이 결여된 인체에 기회감염을 일으키고, 미숙아에서는 패혈증, 뇌수막염과 같은 중증 질환을 유발하여 사망률과 합병증 발생이 높다. 특히, 균주가 병원내 배수관, 기계장비등을 통해 오염되어 신생아실에서 폭발적 유행이 가능하다. 저자들은 미숙아에서 발생한 다항생제 내성 C. meningosepticum에 의한 패혈증, 뇌수막염을 ciprofloxacin으로 치료한 1례와 동기간에 무증상 보균상태를 보였던 1례와 성공적인 환경검사와 조절에 대해서 보고하는 바이다.