共同参与式护理在低体重早产儿中的应用  

Application of co-participatory nursing in low weight premature infants

作　　者：蔡如意 徐业芹[1] 刘蓓蓓[1] CAI Ruyi;XU Yeqin;LIU Beibei(Department of Neonatology,Obstetrics and Gynecology Hospital Affiliated to Nanjing Medical University Nanjing Maternal and Child Health Hospital,Jiangsu Province,Nanjing 210004,China)

机构地区：[1]南京医科大学附属妇产医院,南京市妇幼保健院新生儿科,江苏南京210004

出　　处：《中国医药导报》2021年第13期181-184,共4页China Medical Herald

摘　　要：目的观察共同参与式护理在低体重早产儿中的应用价值,以指导未来低体重早产儿合理护理计划的拟定。方法选取2016年6月—2019年6月南京医科大学附属妇产医院分娩的200例低体重早产儿,依据随机数字表法分为对照组和观察组,各100例。对照组采用常规护理模式,观察组在对照组基础上采用共同参与式护理,均护理3个月。护理前、护理3个月时,分别采用一般自我效能感量表(GSES)、家庭功能评估量表(APGAR)、育儿胜任感量表(C-PSOC)评估并比较两组父母(抽取其中1人)的自我效能情况、家庭功能和育儿胜任感情况;记录并比较两组患儿的临床指标、医院感染、喂养不耐受发生情况。结果护理前,两组GSES、APGAR、C-PSOC评分比较,差异无统计学意义(P>0.05);护理3个月时,两组GSES、APGAR、C-PSOC评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组患儿的体重增长速度高于对照组,箱式吸氧时间、经鼻吸氧时间和住院时间均短于对照组,差异有统计学意义(P<0.05);观察组医院感染、喂养不耐受发生率均低于对照组,差异有统计学意义(P<0.05)。结论共同参与式护理可有效提高低体重早产儿父母的自我效能,改善患儿家庭功能,增强父母的育儿能力,有效促进低体重早产儿恢复,且有效降低医院感染、喂养不耐受发生风险。Objective To observe the application value of co-participatory nursing in low weight premature infants,to guide the formulation of a reasonable care plan for low-weight premature infants in the future.Methods A total of 200 cases of low weight premature infants who were delivered in Obstetrics and Gynecology Hospital Affiliated to Nanjing Medical University from June 2016 to June 2019 were selected,according to the random number table method,they were divided into control group and observation group,each with 100 cases.The control group was adopted the routine nursing model,and the observation group was adopted the co-participatory nursing on the basis of the control group,and both were received nursing for three months.Before nursing and three months after nursing,the general self-efficacy scale(GSES),the family function assessment scale(APGAR),and the Chinese version of parenting sense of competence scale(C-PSOC)were used to evaluate and compare the self-efficacy,family function and parenting competence of patients in two groups(selected one of them);the clinical indicators of the two groups’children,the occurrence of hospital infection and feeding intolerance in the two groups’children were recorded and compared;recorded and compared.Results Before nursing,the GSES,APGAR and C-PSOC scores of the two groups were compared,the difference was not significant statistically(P>0.05);at three months of nursing,the GSES,APGAR and C-PSOC scores of the two groups were higher than those before nursing,and the observation group was higher than the control group,the differences were significant statistically(P<0.05);the growth rate of the children in the observation group was higher than that of the control group,the box oxygen time,nasal oxygen time and hospital stay were shorter than those in the control group(P<0.05);the incidence of hospital infection and feeding intolerance in the observation group was lower than those in the control group,and the differences were significant statistically(P<0.05).Conclusion Co-par

关 键 词：早产儿 低体重 护理 共同参与 自我效能 家庭功能 育儿能力 

分 类 号：R473[医药卫生—护理学]