产科儿科合作护理对ICU早产儿母乳喂养效果的影响  

Effects of pediatric nursing cooperated with obstetrical nursing on breast-feeding effect of ICU preterm children

作　　者：赵迎娟 卢淑亚 白利颖[1] 

机构地区：[1]首都医科大学附属北京朝阳医院儿科,100020

出　　处：《中华现代护理杂志》2016年第27期3964-3967,共4页Chinese Journal of Modern Nursing

摘　　要：目的：探讨产科儿科合作护理在 NICU 早产儿母乳喂养临床管理中的应用及效果。方法选择2015年1—12月在NICU住院的早产儿126例,2015年1—6月早产儿设为对照组65例,2015年7—12月早产儿设为干预组61例,对照组产科和儿科分别进行常规产后护理,干预组采用产科儿科合作护理。结果干预组1周纯母乳喂养率高于对照组,混合喂养、人工喂养率均低于对照组,两组喂养方式差异有统计学意义（χ^2＝7.025,P＝0.006）；干预组首次母乳喂养日龄较对照组明显提前（χ^2＝2.365,P＝0.020）,1周内母乳喂养程度高于对照组（χ^2＝5.628,P＝0.021；t＝5.158,P〈0.001）、2周内母乳喂养程度高于对照组（χ^2＝6.852,P＝0.009；t＝6.542,P〈0.001）、住院期间达完全母乳喂养比例高于对照组（χ^2＝7.852,P〈0.001）。干预组体质量增长速率明显高于对照组（t＝4.526,P＝0.003）,住院时间较对照组缩短（t＝3.524,P＝0.009）,败血症发生率明显低于对照组（χ^2＝4.159,P＝0.042）。结论产科儿科合作护理可有效提高NICU早产儿母乳喂养程度及纯母乳喂养率,有利于促进新生儿体质量增长,缩短住院时间,降低败血症发生率。Objective To investigate the application and effect of pediatric nursing cooperated with obstetrical nursing on breast-feeding effect of ICU preterm children. Methods Totally 126 cases of premature children hospitalized in our hospital NICU form January 2015 to December 2015 as the research object. Cases from January to June were selected as the control group （ n=65） , cases from July to December were selected as the intervention group （ n=61） . In the control group, routine post-natal nursing was performed respectively in obstetric and pediatrics. In the intervention group, pediatric nursing cooperated with obstetrical nursing was performed.Results Exclusive breast-feeding rate of 1 week in the intervention group was higher than the control group;mixed feeding rate and artificial feeding rate were lower than the control group. Feeding mode in two groups was significantly different （χ^2 =7. 025, P=0. 006 ）; breast-feeding day for the first feeding in the intervention group was significantly earlier than the control group （χ^2=2.365, P=0.020） . The degree of breast-feeding in 1 week was higher than the control group （χ^2=5.628, P=0.021;t=5.158, P〈0.001）;the degree of breast-feeding in 2 weeks was higher than the control group （χ^2=6.852, P=0.009;t=6.542, P〈0.001）; the exclusive breastfeeding rate during hospitalization was higher than the control group （χ^2=7.852, P〈0.001）. The rate of weight gain in the intervention group was significantly higher than the control group （t=4.526, P=0.003） , hospital stay shortened compared with the control group （ t=3.524, P=0.009） , the incidence of sepsis was significantly lower than the control group （χ^2 = 4. 159, P= 0. 042 ） . Conclusions Pediatric nursing cooperated with obstetrical nursing can effectively improve the breast-feeding level and exclusive breast-feeding rate of NICU preterm children, promote neonatal weight gain, shorten hospital stays and reduce the incidence of sepsis.

关 键 词：母乳喂养 早产儿 产科儿科合作护理 

分 类 号：R473.71[医药卫生—护理学]