袋鼠式护理联合生物养育法对NICU住院早产儿母乳喂养及A型乳头错觉的影响

Effects of kangaroo mother care combined with biological nurturing on breastfeeding and type A nipple confusion in preterm infants hospitalized in NICU

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摘要目的探讨袋鼠式护理联合生物养育法对新生儿重症监护室(NICU)住院早产儿母乳喂养及A型乳头错觉的影响。方法选取赣州市人民医院2022年1月—2023年12月收治的100例早产儿为研究对象,按组间基本特征具有可比性原则分为观察组和对照组,各50例。对照组以常规护理干预,观察组采取袋鼠式护理联合生物养育法干预。评估两组患儿的生长发育指标、A型乳头错觉发生率、新生儿神经行为(NBNA)评分、出院后1个月喂养方式以及家长满意度。结果干预后,观察组患儿身长、头围、体质量、NBNA各项评分均高于对照组,差异有统计学意义(P<0.05)。干预后,观察组A型乳头错觉发生率低于对照组,差异有统计学意义(P<0.05)。出院后1个月,观察组患儿喂养方式中纯母乳、母乳亲喂比例均高于对照组,差异有统计学意义(P<0.05)。观察组家长对护理满意度高于对照组,差异有统计学意义(P<0.05)。结论袋鼠式护理联合生物养育法对NICU住院早产儿干预可降低A型乳头错觉发生,促进患儿生长发育和神经行为能力提升,改善患儿喂养方式,提高家长护理满意度。 Objective To explore the effects of kangaroo mother care combined with biological nurturing on breastfeeding and type A nipple confusion in preterm infants hospitalized in neonatal intensive care unit(NICU).Methods A total of 100 preterm infants admitted to Ganzhou People's Hospital from January 2022 to December 2023 were selected as the study subjects.According to the principle of comparability of basic characteristics between groups,they were divided into an observation group and a control group,with 50 cases in each group.The control group received conventional nursing intervention,while the observation group received kangaroo mother care combined with biological nurturing intervention.The growth and development indicators,incidence of type A nipple confusion,Neonatal Behavioral Neurological Assessment(NBNA)scores,feeding methods at 1 month post-discharge,and parental satisfaction were evaluated in both groups of infants.Results After the intervention,the body length,head circumference,body mass,and each item scores of NBNA in the observation group were all higher than those in the control group,the differences were statistically significant(P<0.05).After the intervention,the incidence of type A nipple confusion in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).One month after discharge,the proportions of exclusive breastfeeding and direct breastfeeding in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).The parental satisfaction with nursing in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).Conclusion Kangaroo mother care combined with biological nurturing interventions for preterm infants hospitalized in the NICU can reduce the incidence of type A nipple confusion,promote the growth and development of infants,enhance their neurobehavioral abilities,improve feeding methods,and increase parental nursing satisfaction.

作者管雪芸肖冬素邱玉英郭晶钟武李文青 GUAN Xueyun;XIAO Dongsu;QIU Yuying;GUO Jing;ZHONG Wu;LI Wenqing(Ganzhou People's Hospital,Ganzhou 341000,China)

机构地区赣州市人民医院

出处《护理实践与研究》 2025年第5期652-656,共5页 Nursing Practice and Research

基金江西省卫生健康委科技计划(编号:202212404)。

关键词早产儿新生儿重症监护室袋鼠式护理生物养育法 A型乳头错觉母乳喂养 Preterm infants Neonatal intensive care unit Kangaroo mother care Biological nurturing method Type A nipple confusion Breastfeeding

分类号 R473.72 [医药卫生—护理学]

作者简介通信作者:肖冬素,副主任护师,E-mail:258005571@qq.com。