摘要
目的探究在早产儿中实施由新生儿重症监护室至家庭过渡期护理的临床效果。方法选择2021年1月至2022年1月安徽省淮北市妇幼保健院收治的98例早产儿作为研究对象,按随机数字表法将其分为对照组和观察组,各49例。对照组给予常规护理,观察组实施由新生儿重症监护室至家庭过渡期护理,比较两组早产儿母乳喂养率、生长发育状况及其主要照顾者的情绪和育儿技能。结果观察组出院时及出院后1、3、6个月的母乳喂养率均高于对照组(P<0.05);整体分析发现:体重、身长和头围组间比较、时间点比较及交互作用差异均有统计学意义(P<0.05),进一步两两比较,两组各时间点体重、身长和头围比较,差异均有统计学意义(P<0.05);组间比较,出院后3、6个月观察组体重和身长及头围高于同期对照组(P<0.05);观察组住院时间、院内感染发生率和再次住院率均低于对照组(P<0.05);出院时,两组主要照顾者育儿能力评分均高于入院时,且观察组高于对照组(P<0.05);出院时,两组焦虑自评量表评分低于入院第一天,且观察组低于对照组(P<0.05)。结论实施由新生儿重症监护室至家庭过渡期护理有助于提高母乳喂养率、促进早产儿生长发育,还能缓解新生儿家长的焦虑,提升家长的育儿能力,改善早产儿的预后。
Objective To explore the effects of transitional nursing from neonatal intensive care unit to home in preterm infants.Methods A total of 98 premature infants admitted to Huaibei Maternal and Child Health Hospital in Anhui Province from January 2021 to January 2022 were selected as the study objects.They were divided into control group and observation group according to random number table method,with 49 cases in each group.The control group received routine nursing,and the observation group received transitional nursing from neonatal intensive care unit to home.The breastfeeding rate,growth,and development of preterm infants and their main caregivers’mood and parenting skills were compared between the two groups.Results The breastfeeding rates of the observation group at discharge and 1,3,and 6 months after discharge were higher than those of the control group(P<0.05);the overall analysis found that the body length and head circumference differences between groups,time point comparison and interaction were statistically significant(P<0.05);further pairwise comparison showed that there were statistically significant differences in weight,body length and head circumference between the two groups at each time point(P<0.05);the weight,body length and head circumference of the observation group were higher than that of the control group at three and six months after discharge(P<0.05),the length of stay,the incidence of nosocomial infection and the rate of re-hospitalization in the observation group were lower than those in the control group(P<0.05).At discharge,the score of parenting ability of the main caregivers in both groups were higher than when admitted,and the observation group was higher than that in the control group(P<0.05).The self-rating anxiety scale score of the two groups was lower than that of the first day of admission,and the observation group was lower than that of the control group(P<0.05).Conclusion Transitional nursing from neonatal intensive care unit to home can increase breastfeeding rates,promote growth,and development of preterm infants,improve the parenting skills of their primary caregivers,reduce anxiety,reduce the number of days in hospital for preterm infants without increasing the risk of hospital-acquired infections.
作者
程芳玲
周永英
朱莉
CHENG Fangling;ZHOU Yongying;ZHU Li(Department of Neonatology,Huaibei Maternal and Child Health Care Hospital,Anhui Province,Huaibei 235000,China)
出处
《中国医药导报》
CAS
2023年第23期173-176,共4页
China Medical Herald
基金
安徽省科技攻关资助项目(1808085MH287)。
关键词
早产儿
过渡期护理
母乳喂养率
生长发育
Premature infants
Transitional nursing
Breast feeding rate
Growth and development
