母乳喂养联合袋鼠式护理对低出生体重早产儿及产妇的影响  

Eff ects of follow-up breast-feeding combined with kangaroo care on low birth weight premature infants and parturients

作　　者：胡小珏 HU Xiaojue(Hunan Children's Hospital,Changsha,410000,China)

机构地区：[1]湖南省儿童医院新生儿科,湖南省长沙市410000

出　　处：《护理实践与研究》2022年第9期1382-1386,共5页Nursing Practice and Research

基　　金：湖南儿童医院医院管理项目(编号:20180168)。

摘　　要：目的探究追踪式母乳喂养联合袋鼠式护理对低出生体重早产儿及产妇的影响。方法选取2018年10月—2020年9月在湖南省儿童医院新生儿监护病房出生的225例低出生体重早产儿作为研究对象,按照组间基线资料可比的原则,分为对照组113例和观察组112例。对照组给予常规护理干预,观察组在对照组基础上给予追踪式母乳喂养联合袋鼠式护理干预。比较干预后两组体重、身长、头围,喂养不耐受性、新生儿坏死性小肠结肠炎(NEC)、支气管肺发育不全(BPD)、院内感染和住院时间,新生儿母亲SAS评分、SDS评分。结果干预1个月、6个月后,观察组体重、身长、头围等生长发育指标均高于对照组(P<0.05)。住院期间,观察组喂养不耐受性、NEC、BPD、院内感染等并发症发生率和住院时间均低于对照组(P<0.05)。干预3个月后,两组新生儿母亲的SAS、SDS评分均降低,且观察组低于对照组(P<0.05),差异均有统计学意义。结论追踪式母乳喂养联合袋鼠式护理干预可以促进低出生体重早产儿机体生长发育,降低并发症发生率和节省住院费用,降低产妇的负面心理。Objective To investigate the effects of follow-up breast-feeding combined with kangaroo nursing on low birth weight premature infants and parturients.Methods 225 low birth weight infants who were born in the neonatal care unit of Hunan Children's Hospital from October 2018 to September 2020 were selected as study subjects.According to the principle of comparison of baseline data between groups,they were divided into a control group(n=113)and an observation group(n=112).The control group was given routine nursing intervention,and the observation group was given follow-up breastfeeding combined with kangaroo nursing intervention on the basis of the control group.After intervention,body weight,body length,head circumference,feeding intolerance,neonatal necrotic enterocolitis(NEC),bronchopulmonary dysplasia(BPD),nosocomial infection,hospital stay,SAS and SDS scores of neonatal mothers were compared between two groups.Results After 1 month,after 6 months of intervention,the growth and development indexes of body weight,body length and head circumference in the observation group were higher than the control group(P<0.05).During hospitalization,the incidence of feeding intolerance,NEC,BPD,nosocomial infection and other complications in the observation group were lower than the control group(P<0.05).3 months after intervention,SAS and SDS scores of newborn mothers in both groups were decreased,and the observation group was lower than the control group(P<0.05),the diff erences were statistically signifi cant.Conclusion Follow-up breast-feeding combined with kangaroo nursing intervention could promote the growth and development of low birth weight infants,reduce the incidence of complications and hospitalization costs and the negative psychology of puerpera.

关 键 词：母乳喂养 袋鼠式护理 低出生体重早产儿 生长发育 并发症 负性情绪 

分 类 号：R473.72[医药卫生—护理学]