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作 者:张帆[1] 李彩云 ZHANG Fan;LI Cai-yun(Department of Neonatology,Women and Children's Hospital of Xiamen University(Xiamen Maternity and Child Health Hospital),Xiamen,Fujian Province,361000 China)
机构地区:[1]厦门大学附属妇女儿童医院(厦门市妇幼保健院)新生儿科,福建厦门361000
出 处:《中外医疗》2020年第35期167-169,共3页China & Foreign Medical Treatment
基 金:厦门市重大疾病急救技术研究及急救网络体专科(3502Z20171006)。
摘 要:目的分析新生儿护理中采用基础护理干预与鸟巢式护理干预的临床价值。方法2019年3月—2020年2月间随机选取新生儿科收治的新生儿100名,观察组(n=50)开展鸟巢式护理,参照组(n=50)开展基础护理干预,对比两组新生儿并发症发生率、指标改善情况、体重及进奶量。结果观察组新生儿并发症发生率2.00%(1/50),参照组新生儿并发症发生率12.00%(6/30),两组数据比对差异有统计学意义(χ^2=13.840,P=0.005);观察组新生儿血氧饱和度(95.00±3.00)%、体重增长(31.00±4.60)g/10 d、体温波动幅度(0.20±0.05)℃、出暖箱时间(12.70±0.30)h、睡眠时间(20.00±0.50)h/d,对照组新生儿血氧饱和度(90.00±2.00)%、体重增长(23.00±3.00)g/10 d、体温波动幅度(0.70±0.10)℃、出暖箱时间(16.00±0.50)h、睡眠时间(17.00±0.80)h/d,两组数据比对差异有统计学意义(P<0.05);观察组新生儿1个月体重(2600±200)g、1个月进奶量(530±40)mL,对照组新生儿1个月(2200±170)g、1个月进奶量(370±40)mL,两组数据比对差异有统计学意义(t=10.775、20.000,P=0.011、0.013)。结论新生儿护理中采用鸟巢式护理干预的临床价值更高,可有效控制新生儿并发症,改善新生儿各项发育指标,促进新生儿生长发育,可推广。Objective To analyze the clinical value of basic nursing intervention and bird's nest nursing intervention in newborn nursing.Methods Randomly select 100 newborns admitted to the department of neonatology from March 2019 to February 2020.The number of newborns was 100.The observation group(n=50)carried out bird's nest nursing,and the reference group(n=50)carried out basic nursing intervention,and compared the two groups.The incidence of neonatal complications,index improvement,weight and milk intake.Results The incidence of neonatal complications in the observation group was 2.00%(1/50),and the incidence of neonatal complications in the reference group was 12.00%(6/30).There was statistically significant difference in data comparison between the two groups(χ^2=13.840,P=0.005);the observation group's neonatal blood oxygen saturation(95.0±3.0)%,weight gain(31.0±4.6)g/10d,body temperature fluctuation range(0.20±0.05)℃,warming time(12.70±0.30)h,sleep time(20.00±0.50)h/d,neonatal blood oxygen saturation of the control group(90.00±2.00)%,weight gain(23.00±3.00)g/10 d,body temperature fluctuation range(0.70±0.10)℃,time to leave the incubator(16.00±0.50)h,sleep time(17.00±0.80)h/d,the difference between the two groups statistically significant(t=22.486,P=0.003);the observation group's 1-month weight(2600±200)g,1 month intake of milk was(530±40)mL,the control group’s newborn was(2220±170)g and the one-month milk intake was(370±40)mL.The difference between the two groups was statistically significant(t=10.775,20.000,P=0.011,0.013).Conclusion The use of bird's nest nursing intervention in neonatal care is of higher clinical value,which can effectively control neonatal complications,improve neonatal development indicators,and promote neonatal growth and development,which can be promoted.
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