"互联网+"医院-家庭联动规范化喂养管理模式在早产儿中的应用  

Effects of"Internet+"hospital-family standardized feeding management model in premature infants

作　　者：杨秀秀[1] 赵磊[2] 卢瑞存 张倩[1] 石彩晓 Yang Xiuxiu;Zhao Lei;Lu Ruicun;Zhang Qian;Shi Caixiao(Department of Neonatal Medicine,Henan Children's Hospital/Children's Hospital Affiliated of Zhengzhou University,Zhengzhou 450018,China;Neonatal Disease Treatment Center,Henan Children's Hospital/Children's Hospital Affiliated of Zhengzhou University,Zhengzhou 450018,China;Department of Nursing,Henan Children's Hospital/Children's Hospital Affiliated of Zhengzhou University,Zhengzhou 450018,China)

机构地区：[1]河南省儿童医院/郑州大学附属儿童医院新生儿内科,郑州450018 [2]河南省儿童医院/郑州大学附属儿童医院新生儿疾病诊疗中心,郑州450018 [3]河南省儿童医院/郑州大学附属儿童医院护理部,郑州450018

出　　处：《中华现代护理杂志》2022年第7期943-948,共6页Chinese Journal of Modern Nursing

基　　金：2020年河南省医学教育研究项目(Wjlx2020149)。

摘　　要：目的探讨"互联网+"医院-家庭联动规范化喂养管理模式在早产儿中的应用效果。方法采用便利抽样法,于2019年5月—2020年11月选取在河南省儿童医院新生儿科住院的240例中低危早产儿为研究对象,采用随机数字表法按照入院的先后顺序将早产儿分为对照组和试验组,各120例。对照组给予规范化护理,试验组在对照组基础上实施"互联网+"医院-家庭联动规范化喂养管理模式。在矫正40周、6月龄、12月龄后测量两组早产儿体重、身长、头围;在矫正6、12月龄后测量两组早产儿血红蛋白及血清铁蛋白水平,观察贫血、缺铁发生率;在矫正12月龄时,调查两组早产儿再入院率、神经系统功能和父母对护理满意度。结果矫正40周时,试验组与对照组早产儿在体重、身长、头围方面的比较差异均无统计学意义(P>0.05);在矫正6月龄和12月龄时,试验组早产儿的体重、身长、头围均高于对照组,差异有统计学意义(P<0.05)。矫正6月龄时,两组早产儿血红蛋白和血清铁蛋白水平比较差异无统计学意义(P>0.05);矫正12月龄时试验组早产儿血红蛋白和血清铁蛋白水平均较对照组有所改善,试验组贫血和缺铁发生率均低于对照组;试验组早产儿再入院率低于对照组,神经系统功能得分高于对照组,差异均有统计学意义(P<0.05)。试验组早产儿父母对护理满意度优于对照组,差异有统计学意义(P<0.05)。结论"互联网+"医院-家庭联动规范化喂养管理模式能够改善早产儿的营养状况,促进其追赶性生长,改善预后结局,提高早产儿父母对延续性护理的满意度。Objective To explore the effects of the"Internet+"hospital-family standardized feeding management model in premature infants.Methods From May 2019 to November 2020,240 moderately-risk and low-risk premature infants hospitalized at the Department of Neonatal Medicine in Henan Children's Hospital were selected by convenience sampling and divided into a control group and an experimental group according to the random number table and order of admission,with 120 infants in each group.Infants in the control group received standardized nursing,while infants in the experimental group underwent"Internet+"hospital-family standardized feeding management on this basis.The weight,body length and head circumference of the two groups of premature infants were measured at the age of 40 weeks,6 months,and 12 months after correction;the hemoglobin and serum ferritin levels were detected,and the incidence of anemia and iron deficiency were observed at the age of 6 months and 12 months after correction;the readmission rate,neurological function,and parental satisfaction with care were investigated at the age of 12 months after correction.Results At the age of 40 weeks after correction,there was no significant difference in weight,body length,and head circumference between the experimental and control groups(P>0.05).At the age of 6 and 12 months after correction,the weight,body length,and head circumference were larger in the experimental group than in the control group,and the difference was statistically significant(P<0.01).At the age of 6 months after correction,there was no significant difference in the hemoglobin and serum ferritin levels between the two groups of premature infants(P>0.05).At the age of 12 months after correction,the hemoglobin and serum ferritin levels in the experimental group was improved compared with the control group;The incidences of anemia and iron deficiency in the experimental group were lower than those in the control group;the readmission rate in the experimental group was lower than that in the cont

关 键 词：婴儿 早产 "互联网+"医院-家庭联动 营养管理 喂养 

分 类 号：R473.72[医药卫生—护理学]