摘要
目的观察新生儿早期基本保健技术在新生儿护理中的实施效果,为新生儿早期护理提供依据。方法前瞻性收集120例本院于2022年1月至2023年12月期间收治的新生儿,依据随机数字表法分为n=60例的两组,对照组行常规干预,观察组联合新生儿早期基本保健技术干预,对比两组新生儿体温变化情况、新生儿表现、皮肤接触与母乳喂养情况、出院前喂养方式、3月龄健康指标、家属满意度。结果两组新生儿出生即刻及出生后12h体温差异无统计学意义(P>0.05),出生后1h、2h观察组高于对照组,差异有统计学意义(P<0.05);观察组新生儿出生后2h内啼哭次数、啼哭持续时间、觅乳及脐带脱落时间均少于对照组,组间差异有统计学意义(P<0.05);观察组母婴皮肤接触启动、首次母乳喂养时间早于对照组,母婴皮肤接触持续时间及首次母乳喂养持续时间长于对照组,差异有统计学意义(P<0.05);对比两组出院前喂养方式,显示观察组纯母乳喂养率达到71.67%,高于对照组,差异有统计学意义(P<0.05);随访新生儿3月龄健康指标,显示观察组再入院/转诊发生率低于对照组,差异有统计学意义(P<0.05);调查新生儿家属满意度,观察组与对照组总满意例数分别为58例、50例,差异有统计学意义(P<0.05)。结论新生儿护理工作中引入早期基本保健技术,可改善新生儿健康指标,缩短母婴皮肤接触启动时间及首次喂养时间,提升纯母乳喂养率,减少再入院或转诊的发生,家属满意度高。
Objective:To observe the implementation effect of basic early care techniques for newborns in neonatal care,and provide a basis for early neonatal care.Method:A prospective collection of 120 newborns admitted to our hospital between January 2022 and December 2023 was conducted.They were randomly divided into two groups with n=60 cases using a random number table method.The control group received routine intervention,while the observation group received early basic newborn health care technology intervention.The temperature changes,newborn manifestations,skin contact and breastfeeding,feeding methods before discharge,3-month-old health indicators,and family satisfaction of the two groups were compared.Results:There was no statistically significant difference in body temperature between the two groups of newborns immediately after birth and 12 hours after birth(P>0.05).The observation group was higher than the control group at 1 and 2 hours after birth,and the difference was statistically significant(P<0.05);The observation group had fewer crying times,crying duration,breastfeeding and umbilical cord shedding times within 2 hours after birth compared to the control group,the difference is statistically significant between the groups(P<0.05);The observation group had earlier onset of maternal infant skin contact and first breastfeeding than the control group,and longer duration of maternal infant skin contact and first breastfeeding than the control group,the difference is statistically significant(P<0.05);Comparing the feeding methods before discharge between the two groups,it was found that the observation group had a pure breastfeeding rate of 71.67%,higher than the control group,the difference is statistically significant(P<0.05);Follow up on the health indicators of newborns at 3 months old showed that the observation group had a lower incidence of readmission/referral compared to the control group,the difference is statistically significant(P<0.05);A survey was conducted on the satisfaction of newborn family members.The total number of satisfied cases in the observation group and the control group were 58 and 50,respectively,and the difference is statistically significant(P<0.05).Conclusion:Introducing early basic health care techniques in neonatal care can improve newborn health indicators,shorten the initiation time of maternal and infant skin contact and the first feeding time,increase the rate of pure breastfeeding,reduce the occurrence of readmission or referral,and increase family satisfaction.
作者
梁信芳
胡园芳
罗梅
董育萌
李倩
王仟
王龙燕
Liang Xinfang;Hu Yuanfang;Luo Mei;Dong Yumeng;Li Qian;Wang Qian;Wang Longyan(Pediatric Department of the General Hospital of the Southern Theater Command of the People's Liberation Army of China,Guangzhou,Guangdong 510010)
出处
《生命科学仪器》
2023年第5期158-163,共6页
Life Science Instruments
关键词
新生儿
早期基本保健技术
母乳喂养
脐部护理
母婴皮肤接触
家属满意度
Newborns
Early basic healthcare technologies
Breastfeeding
Umbilical care
Skin contact between mother and baby
Family satisfaction
作者简介
梁信芳(1979-01),女,民族:汉,籍贯:广东,学历:本科,现任职称:护师,研究方向:儿科护理,邮箱:2919105156@qq.com;通讯作者:王龙燕(1976-08),女,民族:汉族,籍贯:湖南永兴,学历:本科,现任职称:主管护师,研究方向:新生儿危重症护理,邮箱:1085231582@qq.com。
