Abstract:

Objective To establish and implement a neonatal care clinic for meeting the needs of neonatal continuing nursing service. Methods Regulations were set up,nurses were selected,and the neonatal care clinic was established for screening of neonatal jaundice and parenting guidance. Nurses,doctors and parents were investigated for evaluation of the clinic. Results A total of 16 nurses were selected for the clinic. From March to August 2017,there were 2,543 cases for neonatal care visits,and the number of cases for neonatal jaundice was the highest which was 2038（80.14%）. All nurses believed that the clinic improved parents’ satisfaction with hospital and nursing work,and they agreed that specialist nursing capacity was improved;66.67% of the doctors considered that specialist nursing clinic was helpful to the diagnosis and treatment of patients;80% of the parents had a total score of 90 to 100 on evaluation of the neonatal care clinic. Conclusion The neonatal care clinic can effectively identify pathological jaundice and solve parenting problems from parents,improve professional and social status of neonatal specialist nurses and their confidence to be clinical nursing specialists,and received recognition from doctors and parents.

Key words: Neonatal Nursing, Ambulatory Care, Jaundice, Neonatal, Child Health Services, Nursing Admi-nistration Research

摘要：

目的 为满足新生儿延续性护理服务需要,建立并实施新生儿护理门诊。方法 制订新生儿护理门诊规范,选拔出诊护士,成立新生儿护理门诊,提供新生儿黄疸筛查和育儿指导,由护士、医生、患儿家长对新生儿护理门诊进行评价。结果 共选拔16名护士出诊,2017年3月—8月新生儿护理门诊共接诊2 543例次,其中新生儿黄疸患儿最多,为2 038例（80.14%）。出诊护士均认为新生儿门诊的设立提升了患儿家长对医院和护理工作的满意度,认为自己在出诊过程中提升了处理专科护理问题的能力;66.67%的医生认为护理门诊对患儿的诊治有帮助;80%的家长对护理门诊的总体评价为90~100分。结论 新生儿护理门诊的开设可有效识别病理性黄疸并解决家长的育儿问题,提升了新生儿专科护士的社会地位和作为临床护理专家的信心,得到了医生和家长的认可。

关键词: 新生儿护理, 门诊, 黄疸, 新生儿, 儿童保健服务, 护理管理研究