The Effect of Using Clinical Nursing Practice Guideline for Preventing Neonatal Hypothermia on Body Temperature of Full-Term Newborns
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Date
2010-10-06
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Department of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University
Abstract
Abstract: The purpose of this study was to compare body temperature of newborns between the group using clinical nursing practice guideline for prevention of neonatal hypothermia and the group receiving usual nursing care. The sample consisted of 60 normal newborns who were born at the delivery room, Ramathibodi Hospital in October 2007. The sample was assigned into the control group and the experimental group. The control group consisted of 30 newborns receiving usual nursing care and the experimental group consisted of 30 newborns receiving nursing care based on clinical nursing practice guideline for preventing neonatal hypothermia. The results showed that the mean body temperature measured by a rectal thermometer in the experimental group at 10, 30, 60, 90, and 120 minutes after birth were in normal limits and significantly higher than those of the control group. However, the mean body temperature in each group was significantly different over time. The mean body temperature of each group slightly decreased at 10 minutes after birth, however, in the control group, the body temperature was subnormal at 30 and 60 minutes after birth, while in the experimental group, subnormal temperature at those points of time was not found. Then, the mean body temperature of each group slightly increased until closed to that at 10 minutes after birth when 120 minutes elapsed. This study suggests that the CNPG is helpful for nurse-midwives to prevent hypothermia in newborns. However, this CNPG may be adjusted to suit the context appropriately. Keywords: Clinical nursing practice guideline, Body temperature, Hypothermia, Full-term newborns
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Ramathibodi Nursing Journal; Vol. 15 No.3 September - December 2009