极低、超低出生体质量早产儿的照护过渡干预方案研究  

Care transitional intervention programs for premature infants with very low and ultra-low birth weight

作　　者：蔡如意 刘蓓蓓[2] 李现文[1] 徐业芹[2] CAI Ruyi;LIU Beibei;LI Xianwen;XU Yeqin(College of Nursing,Nanjing Medical University,Nanjing,Jiangsu,210004;Hospital of Gynecology and Obstetrics Affiliated to Nanjing Medical University,Nanjing Maternal and Child Health Care Hospital,Nanjing,Jiangsu,210004)

机构地区：[1]南京医科大学护理学院,江苏南京210004 [2]南京医科大学附属妇产医院/南京市妇幼保健院,江苏南京210004

出　　处：《实用临床医药杂志》2021年第19期119-122,共4页Journal of Clinical Medicine in Practice

基　　金：南京医科大学科技发展基金一般项目(NMUB2019231)。

摘　　要：目的探讨照护过渡干预方案对极低、超低出生体质量早产儿生长发育指标、神经心理发育的影响。方法选取100例极低、超低出生体质量早产儿作为研究对象,采用调查问卷分析照顾者过渡护理需求,构建照护过渡干预方案。根据随机数字表法将患者分为观察组(常规护理+照护过渡干预方案)与对照组(常规护理),每组50例。比较2组早产儿生长发育指标、神经心理发育指标。结果2组早产儿干预后体质量、身长及头围指标均高于干预前,观察组干预后体质量、身长及头围高于对照组,差异有统计学意义(P<0.05);观察组早产儿干预后3个月各项神经心理发育指标评分均高于对照组,差异有统计学意义(P<0.05)。结论照护过渡干预方案应用于极低、超低出生体质量早产儿在改善新生儿生长发育指标及神经心理发育方面有较好效果。Objective To explore the effects of care transitional intervention programs on the growth and development indexes and neuropsychological development of premature infants with very low and ultra-low birth weight.Methods Totally 100 premature infants with very low and ultra-low birth weight were selected as the research objects.The questionnaire was used to analyze the transitional nursing needs of caregivers and the transitional nursing intervention scheme was established.The infants were randomly divided into observation group(routine nursing plus care transitional intervention scheme)and control group(routine nursing),with 50 cases in each group.The growth and development indexes and neuropsychological development indexes were compared between the two groups.Results After intervention,the body mass,body length and head circumference of preterm infants were significantly higher than those before the intervention in both groups,and the body mass,body length and head circumference after intervention in the observation group were significantly higher than those in the control group(P<0.05).Three months after intervention,the scores of neuropsychological development indexes of preterm infants in the observation group were significantly higher than those in the control group(P<0.05).Conclusion Care transitional intervention programs can effectively improve the growth and development indicators and neuropsychological development in preterm infants with very low and ultra-low birth weight.

关 键 词：极低、超低出生体质量 早产儿 照护过渡干预 生长发育 神经心理发育 

分 类 号：R473.72[医药卫生—护理学] R722.6[医药卫生—临床医学]