标题：优质皮肤护理干预足月儿皮肤干燥和红斑的随机平行对照研究

      作者：蒋艳丽，李晓瑛    西北妇女儿童医院产科，陕西 西安 710061

      卷次： 2019年30卷17期

      【摘要】 目的 探讨优质皮肤护理对足月儿皮肤干燥和皮肤红斑的改善效果。方法 选取西北妇女儿童医院产科2015年8月至2016年10月出生的足月儿776例，根据AWHONN新生儿皮肤状况评分量表(NSCS)，排除皮肤正常新生儿253例，将其余存在皮肤问题的患儿分为皮肤干燥405例(A组)，皮肤红斑118例(B组)，按照随机数表法将A、B组新生儿分别分为对照A组(n=202)、试验A组(n=203)、对照B组(n=59)和试验B组(n=59)四组；其中，对照组在入院期间均给予常规护理，试验组则给予优质皮肤护理+婴儿润肤剂，比较各组皮肤干燥和红斑的改善情况；护理前后，通过婴幼儿生活质量评估问卷(IDQoL)评估各组生活质量。结果 试验A组新生儿皮肤干燥改善率为74.26%，试验B组新生儿皮肤红斑改善率为57.63%，均明显高于对照A组的34.54%及对照B组的25.42%，差异均有显著统计学意义(P<0.01)；与护理前比较，四组新生儿护理后 IDQoL6项评分均明显降低，差异均有统计学意义(P<0.01)；与对照A、B组比较，试验A、B组 IDQoL6项评分均有明显降低，差异均有统计学意义(P<0.01)。结论 优质皮肤护理能够明显改善足月新生儿的皮肤干燥和红斑情况，并可使新生儿的生活质量也随之升高，值得临床推广应用。
      【关键词】 优质；皮肤干燥；红斑；皮肤护理；足月儿
      【中图分类号】 R473.72 【文献标识码】 A 【文章编号】 1003—6350（2019）17—2307—03

A randomized parallel controlled study on skin dryness and erythema in full-term infants treated withhigh-quality skin care.
JIANG Yan-li, LI Xiao-ying. Department of Obstetrics, Northwest Women's and Children'sHospital, Xi'an 710061, Shaanxi, CHINA
【Abstract】 Objective To explore the improvement effect of high-quality skin nursing on dry skin and erythe-ma in full-term infants. Methods A total of 776 full-term children born in Department of Obstetrics of Northwest Wom-en's and Children's Hospital from August 2015 to October 2016 were selected as the research subjects. According to As-sociation of Women's Health Obstetric and Neonatal Nurses (AWHONN) neonatal skin condition score (NSCS), 253 cas-es were excluded from normal neonates, and the remaining children with skin problems were divided into 405 cases(group A) and 118 cases (group B) with skin erythema. Groups A and B were divided into four groups: control group A(n=202), test group A (n=203), control group B (n=59) and test group B (n=59). Among them, the control group was giv-en routine nursing during admission, while the test group was given high-quality skin care baby emollient to compare theimprovement of skin dryness and erythema in each group. Before and after nursing, the quality of life of each group wasevaluated by infants' dermatologic quality of life (IDQoL). Results The improvement rate of skin drying was 74.26%in test group A and 57.63% in test group B, which was significantly higher than 34.54% in control group A and 25.42%in control group B (P<0.01). Compared with pre-nursing, the scores of IDQoL6 items in the four groups were significant-ly lower than those before nursing (all P<0.01). Compared with the control A and B, the scores of IDQoL6 items in testgroup A and test group B were significantly lower than those in group B (P<0.01). Conclusion High-quality skin carecan obviously improve the dry skin and erythema of full-term newborns, and also improve the quality of life of new-borns, which is worth popularizing.
      【Key words】 High-quality; Dry skin; Erythema; Skin care; Term infant·护理·doi:10.3969/j.issn.1003-6350.2019.17.041