Quantitative Outcomes of Using the NRD-2R-FAGS Score NKP Model to detect moderate to severe respiratory distress in newborn 11 minutes up to 72 hours post delivery at Nakhonphanom hospital
Keywords:
NRD-2R-FAGS Score NKP Model, Newborn, Respiratory DistressAbstract
The objective of this study was to compare the effectiveness of NRD-2R-FAGS Score NKP Model tool to detect moderate to severe respiratory distress in newborn 11 minutes up to 72 hours post delivery at Nakhonphanom hospital. It was conducted as quasi- experimental research during September 2018 to February 2020. There were 304 cases, 152 cases from September 2018 to February 2019 as usual care group and 152 cases from September 2019 to February 2020 as an intervention group. Demographic datas were analyzed by using t-test, exact probability test. The multivariable risk different regression were used for a comparison of body weight, moderate to severe respiratory distress (RD), Respiratory Distress Syndrome (RDS), Apgar Score at 1 minute, 5 minutes and screening time. An Alpha value is set at 0.05.
Outcomes: Demographic characteristics of patients were found to be different in body weight (p=0.021), moderate to severe respiratory distress (p=0.018), RDS (p=0.006), Apgar Score at 1 minute (p=0.008) and Apgar Score at 5minutes (p=0.05). These characteristics that found to be statistic significant difference but no effect on using the NRD-2R-FAGS Score NKP Model. From this study found that NRD-2R-FAGS Score NKP Model detected moderate to severe respiratory distress (RD) at Labour room average 2.7 minutes quicker (p=0.020) and found moderate to severe RD 4.16 times greater than usual protocol (p=0.020).
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