精细化护理模式对早产儿出院后体重的影响  

Effect of refined nursing mode on the weight of premature infants after discharge

作　　者：赵晓明 邓晓霞[2] 刘欢[3] Zhao Xiaoming;Deng Xiaoxia;Liu Huan(Child Healthcare Department,Hubei Maternal and Child Health Hospital,Wuhan 430070,China;Department of Children's Endocrinology,Hubei Maternal and Child Health Hospital,Wuhan 430070,China;Department of Neonatology,Hubei Maternal and Child Health Hospital,Wuhan 430070,China)

机构地区：[1]湖北省妇幼保健院儿童保健科,武汉430070 [2]湖北省妇幼保健院儿童内分泌科,武汉430070 [3]湖北省妇幼保健院新生儿科,武汉430070

出　　处：《国际护理学杂志》2021年第20期3746-3749,共4页international journal of nursing

基　　金：湖北省卫生健康委员会联合基金项目(WJ2019H299)。

摘　　要：目的探究精细化护理模式对早产儿出院后体重的影响。方法选取2014~2016年于湖北省妇幼保健院进行保健干预的早产儿930例,按照随机数字表法分为一般干预组、精细化护理组各465例,一般干预组早产儿进行常规护理干预,精细化护理组早产儿进行精细化护理干预。对比两组早产儿心率、呼吸次数、血氧饱和度、喂养奶量、体重增长情况,并对两组早产儿母乳喂养率、喂养耐受率以及家属满意情况进行统计对比。结果精细化护理组早产儿心率、呼吸次数均低于一般干预组,差异具有统计学意义(P<0.05);精细化护理组早产儿血氧饱和度、喂养奶量显著高于一般干预组,差异具有统计学意义(P<0.05)。出院2个月后,精细化护理组早产儿体重显著高于一般干预组,差异有统计学意义(P<0.05);出院满2个月,精细化护理组早产儿体重增长速度显著高于一般干预组,差异有统计学意义(P<0.05)。精细化护理组早产儿母乳喂养率、喂养耐受率均显著高于一般干预组,差异有统计学意义(P<0.05)。精细化护理组早产儿家属满意率高于一般干预组,差异有统计学意义(P<0.05)。结论使用精细化护理进行干预,能够稳定早产儿心率、呼吸次数、血氧饱和度等生命体征,帮助早产儿生长发育,使早产儿家属更加满意。Objective To explore the influence of refined nursing mode on the weight of premature infants after discharge.Methods A total of 930 premature infants who received health care intervention in this hospital from 2014 to 2016 were selected.According to the random number table method,they were divided into the general intervention group and the refined nursing group,each with 465 cases.The premature infants in the general intervention group received routine nursing intervention,and the premature infants in the refined nursing group received refined nursing intervention.The heart rate,respiratory rate,blood oxygen saturation,feeding milk volume and weight gain of the two groups of premature infants were compared,and the breastfeeding rate,feeding tolerance rate and family satisfaction of the two groups of premature infants were statistically compared.Results The heart rate and respiratory rate of premature infants in the refined nursing group were lower than those in the general intervention group,and the difference was statistically significant(P<0.05).The blood oxygen saturation and feeding milk volume of premature infants in the refined nursing group were significantly higher than those in the general intervention group,and the difference was statistically significant(P<0.05).Two months after discharge,the weight of premature infants in the refined nursing group was significantly higher than that in the general intervention group,and the difference was statistically significant(P<0.05).Two months after discharge,the weight growth rate of premature infants in the refined nursing group was significantly higher than that in the general intervention group,and the difference was statistically significant(P<0.05).The breast-feeding rate and feeding tolerance rate of premature infants in the refined nursing group were significantly higher than those in the general intervention group,and the difference was statistically significant(P<0.05).Satisfaction rate of family members of premature infants in the refined nursing gro

关 键 词：精细化护理 早产 体重增长 喂养耐受率 

分 类 号：R473.72[医药卫生—护理学]