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作 者:潘关凤 陈新[1] 王平蓝 谭建平 吴羽静 黄劲 PAN Guan-feng;CHEN Xin;WANG Ping-lan;TAN Jian-ping;WU Yu-jing;HUANG Jin
机构地区:[1]广东省高州市人民医院新生儿科,高州市525200
出 处:《护理实践与研究》2018年第11期8-10,共3页Nursing Practice and Research
摘 要:目的调查出院早产儿延伸护理服务的需求状况,为早产儿延伸护理服务模式的临床应用提供依据。方法选取2016年6月至2017年10月住院患儿中110名出院早产儿看护者进行调查研究,发放自行设计的调查问卷,并对调查结果进行统计和分析。结果 <25岁的早产儿看护者对延续护理服务的需求最大,达到95.45%;具有高中或中专文化程度的看护者需求人数最多,达到93.33%;家庭月收入在3001~5000元的早产儿看护者需求人数最多,达到95.65%;早产儿看护者选择20~39岁医护人员执行延续护理服务的需求最多,达到68.18%;早产儿看护者愿意选择新生儿工作的护士进行服务的人数最多,达到73.64%;早产儿看护者愿意选择上门指导作为服务方式的人数最多,达到69.09%;在服务次数方面早产儿看护者倾向于根据需要随时入户服务,达到47.27%;在生命体征方面,早产儿照顾者对出院后照顾项目最担忧的是早产儿的呼吸暂停,达到32.72%;在喂养方面最担忧的是早产儿的体重不升,达到22.73%;对排泄方面和照顾知识方面的担忧程度较低,对早产儿预后方面的担忧较高。结论年纪较轻的早产儿的照顾者对延伸护理服务的需求最大,20~39岁的医护人员需求量最大,随时上门指导是最受欢迎的方式,照顾者对预后、喂养等方面比较担忧。Objective To Investigate the needs of extended nursing services for premature infants and provide evidence for the clinical application of extended nursing services for premature infants.Methods A total of 110 caregivers of discharged premature infants admitted in our hospitals from June 2016 to October 2017 were selected to conduct investigations and studies. Survey was conducted by self-designed questionnaires and the results were collected and analyzed. Results Premature infant's caregiver who was younger than 25 years old had the greatest need for extended nursing services,reaching 95.45%. Caregivers with high-school or technical secondary education had the largest number of demanders for extended nursing services,reaching 93.33%.Caregivers whose monthly household incomes ranged from 3001 yuan to 5000 yuan had the largest number of demanders for extended nursing services,reaching 95.65%. The number of caregivers who choose medical staff aged from 20 to 39 years old to provide extended care for preterm infants was the biggest,reaching 68.18%. The number of caregivers who choose nurses working for preterm infants to provide services was the biggest,reaching 73.64%. The number of caregivers who preferred to guidance of home visit by nurses was the biggest,reaching 69.09%. Regarding number of services,caregivers of preterm infants tended to access services at any time according to their needs and this number reached 47.27%. In terms of vital signs,caregivers were afraid of apnea of infants after discharged from the hospital,and the number reached 32. 72%. Regarding feeding,the most concerned issue was that premature infants didn't gain weight,and the number reached 22.73%. The concerns about excretion and care knowledge were low,while the concerns about the prognosis of preterm infants were high.Conclusion The younger caregivers of premature infants have the greatest need for extended nursing services,and there is the highest demand for medical staff aged from 20 to 29 years old. The on-site instruction at ho
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