Background: 

Effective bubble nasal continuous positive airway pressure (bnCPAP) implementation is a means to maintain functional residual capacity (FRC) and avoid pulmonary morbidities in neonates.

Purpose: 

A quality improvement project was introduced to establish a standardized bnCPAP care bundle.

Methods: 

A bnCPAP care bundle focusing on shoulder roll use, bnCPAP positioning, assessment for suctioning need, and nasopharynx suctioning was created. The outcome measures collected were percentage of time the infant's pulse saturation was less than 86%, corrected gestational age (CGA) when off bnCPAP, length of time a neonate is on bnCPAP, Downes' score, and compliance to bnCPAP care bundle.

Results: 

An independent-samples t test found a statistically significant higher mean prior to the initiative in the percentage of time the oxygen saturation was less than 86%, Downes' score, length of time, and CGA to wean off bnCPAP (M = 11.7% ± 10.1%, M = 1.6 ± 1.1, M = 27.7 days ± 29.0 days, and M = 35.0 weeks ± 3.38 weeks, respectively) than after the initiative (M = 4.0% ± 4.8%, M = 1.1 ± 0.8, M = 11.2 days ± 10.2 days, and M = 32.8 weeks ± 1.00 weeks, respectively).

Implications for Practice and Research: 

Implementing a standardized bnCPAP care bundle showed improvement in oxygen saturation and increased success of weaning off bnCPAP. Future studies to increase the collected data are needed to compare the outcomes on infants born at each gestational age.

中文翻译：

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标准化 nCPAP 护理套装可减少 nCPAP 戒断天数：一项质量改进举措

背景： 

有效的气泡鼻持续气道正压通气（bnCPAP）实施是维持功能残气量（FRC）并避免新生儿肺部疾病的一种手段。

目的： 

引入质量改进项目来建立标准化的 bnCPAP 护理包。

方法： 

创建了 bnCPAP 护理包，重点关注肩部滚动使用、bnCPAP 定位、抽吸需求评估和鼻咽抽吸。收集的结果指标包括婴儿脉搏饱和度低于 86% 的时间百分比、停止 bnCPAP 时的校正胎龄 (CGA)、新生儿使用 bnCPAP 的时间长度、唐斯评分以及对 bnCPAP 护理组合的依从性。

结果： 

独立样本t检验发现，在开始使用 bnCPAP 之前，血氧饱和度低于 86% 的时间百分比、Downes 评分、时间长度和 CGA 均值具有统计学意义的较高平均值（M = 11.7 % ±比倡议后（M = 4.0% ± 4.8%、M = 1.1 ± 0.8、M = 11.2）分别增加10.1 % 、M = 1.6 ± 1.1 、M = 27.7天± 29.0天和M = 35.0 周 ± 3.38 周）天±10.2 天，M = 32.8 周±1.00 周）。

对实践和研究的影响： 

实施标准化 bnCPAP 护理组合显示氧饱和度有所改善，并提高了戒除 bnCPAP 的成功率。未来需要进行更多研究来增加收集的数据，以比较每个胎龄出生的婴儿的结果。