临床护理路径联合家庭参与式照护在NICU早产儿中的应用效果  

Effect of clinical nursing pathway combined with family participation nursing in NICU premature infants

作　　者：王红利[1] 高峰[1] 苑航 李黎明[2] Wang Hongli;Gao Feng;Yuan Hang;Li Liming(NICU,Department of Pediatrics,Henan Provincial People's Hospital,Zhengzhou 450000,China;Nursing Department,Henan Provincial People's Hospital,Zhengzhou 450000,China)

机构地区：[1]河南省人民医院儿科NICU,郑州450000 [2]河南省人民医院护理部,郑州450000

出　　处：《中华现代护理杂志》2021年第12期1651-1656,共6页Chinese Journal of Modern Nursing

基　　金：河南省医学科技攻关计划项目(201802186)。

摘　　要：目的探讨联合家庭参与式照护应用于新生儿重症监护病房(NICU)早产儿护理的效果。方法采取方便抽样法,选取2017年1月—2019年12月河南省人民医院NICU收治早产儿120例,按照入院时间先后,将2017年1月—2018年6月收治的60例早产儿及其家属纳入对照组,将2018年7月—2019年12月收治的60例早产儿及其家属纳入观察组。对照组实施家庭参与式护理,观察组以临床护理路径为指导,制订和规范家庭参与式护理标准流程,并加以实施。比较两组早产儿住院时间及喂养情况,并采用新生儿神经行为测定量表(NBNA)、早产儿家长照顾能力问卷、照护过程测量表(MPOC-20)评价两组新生儿神经行为能力、照顾者照顾能力、家长满意度。结果观察组早产儿NBNA评分、日摄奶量、纯母乳喂养比例、照顾者照护知识、照护技术、照护能力以及总分均高于对照组,住院时间、达全肠道营养时间、喂养不耐受比例低于对照组,差异均有统计学意义(P<0.05)。结论临床护理路径配合家庭参与式照护有利于提高NICU早产儿神经行为能力,降低住院时间,改善早产儿喂养情况,并提高早产儿照顾者照顾能力和护理满意度。Objective To explore the effect of combined family participatory care in Neonatal Intensive Care Unit(NICU)premature infants.Methods By convenience sampling method,a total of 120 cases of premature infants admitted to NICU of Henan Provincial People's Hospital from January 2017 to December 2019 were selected.According to the admission time,60 cases of premature infants and their families admitted from January 2017 to June 2018 were included in the control group,and 60 cases of premature infants and their families admitted from July 2018 to December 2019 were included in the observation group.Family participatory care was implemented in the control group.The standard process of family participatory nursing under the guidance of clinical nursing path was formulated and standardized in the observation group.The hospitalization time and feeding status of premature infants in the two groups were compared.The neonatal neurobehavioral ability,caregiver care ability and parents'satisfaction of the two groups were evaluated by the Neonatal Behavioral Neurological Assessment(NBNA),the parents'care ability questionnaire and the Measure of Processes of Care(MPOC-20).Results The NBNA score,daily milk intake,exclusive breastfeeding rate,caregiver knowledge,care ability and the total score of the observation group were all higher than those of the control group,while the length of hospital stay,total enteral nutrition time and feeding intolerance rate of the observation group were significantly lower than those of the control group.All the differences were statistically significant(P<0.05).Conclusions Clinical nursing pathway combined with family participation nursing is conducive to improving the neurobehavioral ability of NICU premature infants,reducing hospital stays,improving feeding conditions and the care ability and satisfaction of carers.

关 键 词：婴儿 早产 临床护理路径 家庭参与式照护 新生儿重症监护病房 

分 类 号：R473.72[医药卫生—护理学]