家庭参与式管理模式对早产儿18月龄生长发育及母亲紧张焦虑情绪的影响研究  

Effects of family integrate care on growth and development of 18-month-old preterm infants and tension and anxiety of their mothers

作　　者：杨莎 徐慧 凌园园 胡敏 Yang Sha;Xu Hui;Ling Yuanyuan;Hu Min(Zhejiang Ling＇an People＇s Hospital,Ling＇an Zhejiang 311300)

机构地区：[1]浙江省临安市人民医院,浙江临安311300

出　　处：《护士进修杂志》2018年第11期969-972,977,共5页Journal of Nurses Training

摘　　要：目的探讨研究家庭参与式管理模式(Family integrate care,FIC)对早产儿18月龄生长发育及母亲紧张焦虑情绪的影响。方法选择2014年4月-2016年12月于我院出生采用FIC的65例早产儿作为研究组,对其进行18月龄生长发育随访;另取同期我院出生的65例未采用FIC护理的早产儿作为对照组,该组患者在选择时根据FIC组入组的早产儿的性别、出生体质量、胎龄、随访时日龄等进行随机匹配,分析比较两组早产儿母亲受教育年限、家庭社会分层(SES)、婴儿家庭环境测评(HOME)量表评分、婴幼儿智力行为发育贝利量表的智力发育指数(MDI)和精神运动发育指数(PDI)等,并由专职护士在早产儿母亲参与FIC护理前及完成FIC护理出院当天采用标准化"新生儿重症监护病房(NICU)父母紧张焦虑评分量表"(PSS∶NICU)进行评分。结果两组早产儿18月龄时体质量和体长、SES评分、HOME评分差异无统计学意义(P<0.05)。研究组早产儿18月龄MDI和PDI均明显高于对照组,差异有统计学意义(P<0.05)。所有早产儿的MDI、PDI均值与胎龄均成正相关,相关系数r分别为0.401,0.273,但是两组之间比较,MDI和PDI的均值之差和胎龄分层均无相关性(P>0.05)。干预后两组早产儿母亲的PSS∶NICU评分均明显降低,差异有统计学意义(P<0.05),且干预后研究组PSS∶NICU评分明显低于对照组,差异有统计学意义(P<0.05)。结论在NICU中早产儿的母亲普遍存在紧张焦虑情绪,允许早产儿的母亲进入NICU并参与FIC模式护理过程,不仅可有效改善早产儿母亲的紧张焦虑情绪,而且还能促进早产儿18月龄的生长发育,值得临床推广使用。Objective To study the effects of family integrate care on growth and development of 18-month-old preterm infants and tension and anxiety of their mothers.Methods 65 cases of preterm infants who were born in our hospital from April 2014 to December 2016 were selected as a research group,18 months of its growth and development follow-up.In the same period,65 cases of preterm infants who had not been treated with FIC were selected as the control group.The patients were randomly selected according to the sex,birth weight,gestational age,age of follow-up,match,and preterm infants mothers education years,socioeconomic status（SES）,home observation for measurement of the environment（HOME）scale score,mental development index（MDI）and psychomotor development index（PDI）were analyzed and compared of two groups of preterm infants,etc.A standardized NICU parental anxiety inventory（PSS：NICU）score before FI care and the day complete the family participatory management model care were detected and compared.Results There was no significant difference between the two groups in the sex ratio,birth age,birth weight,SES score,HOME score and other general data（P〈0.05）.The MDI and PDI of the18-month-old Bailey scale were significantly higher in the study group than in the control group（P〈0.05）.All preterm infants with MDI,PDI mean and gestational age were positively correlated,however,there was no correlation between the difference between the mean values of MDI and the mean of PDI and the stratification of gestational age（P〉0.05）.The scores of PSS：NICU were significantly lower in the two groups of preterm infants,and the difference was statistically significant（P〈0.05）,however,the scores of PSS：NICU in the study group were significantly lower than those in the control group（P〈0.05）.Conclusion Mothers of preterm infants in NICU had higher anxiety and anxiety,allowing mothers of preterm infants to enter the NICU and participate in the family integrate care process can not only impro

关 键 词：家庭参与式管理模式 早产儿 母亲 紧张焦虑评分 生长发育 18月龄 

分 类 号：R473.72[医药卫生—护理学]