摘要
目的分析极低出生体重早产儿院外延续性护理干预价值。方法方便选择2015年8月—2016年8月该院收治的200例极低体重新生儿为研究对象,将其分为两组,每组100例。对照组接受常规出院指导护理,以此为基础,观察组接受延续性护理,分析结果。结果出院前,两组的护理技能分数差异无统计学意义(χ2=1.236,P>0.05),和治疗前相比,治疗后患儿母亲的护理技能明显提升,就提升程度来看,观察组明显比对照组多(95.00%vs 85.00%,χ2=5.296,P<0.05)两组患儿智能发育情况为:和出院3个月时相比,出院6、12月的智能发育项目指标两组组间数据差异有统计学意义(P<0.05)。就改善程度来看,观察组的大运动、精细运动以及DQ情况发育更好(P<0.05)。两组患儿和出院3个月时相比,体格发育存在明显差异。[对照组,观察组干预12月后大运动、精细运动以及DQ分数为(75.89±9.63)、(79.52±11.28)、(69.58±8.52)以及(82.93±11.28)、(86.93±13.12)和(80.25±10.25)(t=10.23、11.27、12.09,P<0.05)]就改善程度来看,两组受试者的体格发育情况相差不大(P>0.05)[对照组以及观察组的干预12月后的身高以及体重值分别为(69.32±2.58)cm、(8.87±0.91)kg,(73.26±2.59)cm、(9.19±0.96)kg,(t=3.02、1.22)]。结论对于极低体重新生儿,开展家庭式延续性护理,可全面促进患儿智力发育,并在一定程度上促进体格发育,但影响不存在显著意义。开展此项护理,有助于降低患儿在住院率值得进一步推广。
Objective To analyze the value of continuous nursing intervention outside the hospital of very low birth weight premature infants. Methods 200 cases of very low birth weight premature infants admitted and treated in our hospital from August 2015 to August 2016 were convenient selected and divided into two groups with 100 cases in each, the control group received the routine discharge guidance nursing, while the observation group received the continuous nursing on the basis of the control group, and the results were analyzed. Results Before discharge, there were no obvious differences in the nursing skill scores（χ2=1.236,P〈0.05）, and the nursing skill of mothers of children after treatment were obviously improved,and the improvement degree in the observation group was obviously more than that in the control group（95.00%vs85.00%,χ2=5.296, P〈0.05）, and the differences in the intelligence development item indexes in 6 and 12 months and in 3 months after discharge were obvious（P〈0.05）, and the improvement degrees of gross motor, refined motor and DQ development was better（P〈0.05）, and there was obvious difference in the physical development compared with that in 3 months after discharge, and the gross motor, refined motor and DQ score in 12 months after intervention in the control group and in the observation group were respectively（75.89±9.63）,（79.52±11.28）,（69.58±8.52）,（82.93±11.28）,（86.93 ±13.12）,（80.25 ±10.25）,（t=10.23, 11.27, 12.09）, and the difference in the physical development between the two groups was not big（P〈0.05）, and the height and weight values in 12 months after intervention in the control group and in the observation group were respectively（69.32 ±2.58） cm,（8.87 ±0.91） kg,（73.26 ±2.59） cm,（9.19 ±0.96） kg（t =3.02, 1.22）. Conclusion The development of family continuous nursing in newborns with very low weight can comprehensively promote the intelligence development of children,and promote the physical development to a certain degree, but the effect is not of obvious significance, and the development of the nursing contributes to reducing the hospitalization rate of children, and it is worth further promotion.
作者
刘玲伶
LIU Ling-ling(Department of Neonatology,Affiliated Hospital of Guilin Medical College,Guilin,Guangxi,541001 China)
出处
《中外医疗》
2018年第17期119-121,127,共4页
China & Foreign Medical Treatment
关键词
极低体重新生儿
延续性护理
智能发育
体格发育
护理技术提升
Newborns with very low weight
Continuous nursing
Intelligence development
Physical development
Improvement of nursing technology
作者简介
刘玲伶（1982-），女，广西桂林人，本科，主管护师，研究方向：新生儿护理。
