袋鼠式护理对新生儿神经行为、体格发育及母乳喂养的影响  

The effects of Kangaroo mother care on neonatal neurobehaviors,physical development and breastfeeding

作　　者：魏小燕 何婧[2] WEI Xiao-yan;HE Jing(Department of Nursing,Chengdu Pidu District Maternal and Child Health and Family Planning Service Center,Chengdu 611730,China;Department of Neonatology,Sichuan Provincial Hospital for Women and Children,Chengdu 610045,China)

机构地区：[1]成都市郫都区妇幼保健计划生育服务中心护理部,四川成都611730 [2]四川省妇幼保健院新生儿科,四川成都610045

出　　处：《实用医院临床杂志》2020年第3期192-195,共4页Practical Journal of Clinical Medicine

摘　　要：目的探讨袋鼠式护理(KMC)对新生儿的影响。方法2018年1~12月在我院经阴道分娩的100例新生儿,根据新生儿护理方法不同分为观察组(n=48)和对照组(n=52)。两组均予以常规护理,观察组在此基础上增加KMC护理。出生后第4 d及出生后30 d,评估新生儿神经行为,出生时及出生后30 d评估新生儿体格发育,比较两组首次母乳喂养情况,记录新生儿出生30 d后母乳喂养率,干预前及干预3 d后评估新生儿母亲心理状态。结果出生后30 d两组新生儿神经行为评分(NBNA)均高于出生第4 d,观察组增幅大于对照组(P<0.05);出生后30 d两组体重、身长均高于出生时,观察组增幅大于对照组(P<0.05);观察组首次母乳喂养测量工具(BAT)得分及成功率高于对照组(P<0.05),出生后30 d观察组母乳喂养率高于对照组(P<0.05);干预3 d后,两组焦虑、抑郁得分均低于干预前,且观察组降幅大于对照组(P<0.05)。结论KMC能促进新生儿发育,改善产妇母乳喂养和产后焦虑抑郁,具有良好临床应用价值。Objective To explore the effects of Kangaroo mother care(KMC)on neonates.Methods One hundred neonates who were vaginally delivered between January 2018 and December 2018 were divided into observation group(n=48)and control group(n=52)according to the neonatal nursing methods.The two groups were given routine nursing,and the observation group was additionally given KMC nursing.On the 4 th day after birth and after 30 days of birth,the neonatal neurobehaviors were evaluated.The physical development of neonates was evaluated at birth and at the 30 th day after birth.The first breastfeeding status was compared between the two groups,and the breastfeeding rate of neonates at the 30 th day after birth was recorded,and the psychological status of newborn mother was evaluated before intervention and at the 3 rd day after intervention.Results At the 30 th day after birth,the NBNA scores in the two groups were higher than those on the 4 th day of birth,and the increase in the observation group was greater than that in the control group(P<0.05).At the 30 th day after birth,the body weight and body length in the two groups were higher than those at birth,and the increases in the observation group were greater than those in the control group(P<0.05).The BAT score and success rate of the first breastfeeding in the observation group were higher than those in the control group(P<0.05),and the breastfeeding rate at the 30 th day after birth was higher than that in the control group(P<0.05).After 3 days of intervention,the scores of anxiety and depression in the two groups were lower than those before intervention,and the decreases in the observation group were greater than those in the control group(P<0.05).Conclusion KMC can promote the neonatal development,improve the maternal breastfeeding and postpartum anxiety and depression.It has a good clinical application value.

关 键 词：新生儿 袋鼠式护理 神经行为 体格发育 母乳喂养 

分 类 号：R473.72[医药卫生—护理学]