协同护理在母婴同室病房中的应用效果  

Application effect of collaborative nursing on rooming-in wards

作　　者：黎娜 施月菊 林亚云 LI Na;SHI Yueju;LIN Yayun(Department of Neonatal Intensive Care Unit,QuanZhou Women's and Children's Hospital,Quanzhou,Fujian,362000,China)

机构地区：[1]泉州市妇幼保健院·儿童医院NICU,福建泉州362000

出　　处：《中西医结合护理（中英文）》2021年第12期5-8,共4页Journal of Clinical Nursing in Practice

摘　　要：目的探讨在母婴同室病房中应用协同护理的效果。方法选择2019年3月至2020年3月从泉州市妇幼保健院·儿童医院新生儿重症监护治疗病房(NICU)转入母婴同室病房的90例早产儿作为研究对象,采用随机数字表法将其划分为对照组和观察组,各45例。对照组接受常规护理,观察组基于常规护理接受协同护理。比较2组早产儿的睡眠时间、喂养情况、住院时间、体重变化和并发症发生情况,以及2组产妇的照护能力。结果观察组早产儿的睡眠时间长于对照组,日进食量大于对照组,完全经口喂养时间早于对照组,住院时间短于对照组,差异均有统计学意义(P均<0.05)。护理3 d、1周、2周、1个月后及出院时,2组的体重均较护理前增加(P均<0.05),且观察组均较同期对照组增加(P均<0.05)。观察组早产儿的并发症总发生率低于对照组(P<0.05)。观察组产妇的异常症状识别、生理特征、日常护理、应急处理评分均高于对照组(P均<0.05)。结论在母婴同室病房护理中应用协同护理可有效降低早产儿的并发症总发生率和促进其生长发育,还能提升产妇的照护能力。Objective To explore the effect of collaborative nursing on the rooming-in wards.Methods Ninety premature infants transferred from neonatal intensive care unit(NICU)to rooming-in wards of QuanZhou Women's and Children's Hospital from March 2019 to March 2020 were selected.They were divided into control and observation groups by random number table method,each with 45 cases.The control group received routine nursing,and the observation group received collaborative nursing based on routine nursing.The sleep time,feeding,hospitalization time,weight change,and complications of premature infants,as well as the care ability of puerperae in the two groups,were compared.Results The sleep time of premature infants in the observation group was longer than that in the control group.The daily intake was greater than that in the control group.The time of complete oral feeding was earlier than that in the control group.The hospitalization time was shorter than that in the control group(all P<0.05).After 3 days,1 week,2 weeks,1 month of nursing and at discharge,the body weight of premature infants in the two groups was greater than that before nursing(all P<0.05),and the body weight in the observation group was greater than that in the control group at the corresponding time point(all P<0.05).The total incidence of complications in premature infants of the observation group was lower than that in the control group(P<0.05).The scores of abnormal symptom recognition,physiological characteristics,daily care,and emergency treatment in the puerperae of the observation group were higher than those in the control group(all P<0.05).Conclusion The application of collaborative nursing in the rooming-in wards can effectively reduce the total incidence of complications of premature infants,promote their growth and development,and improve the child care ability of puerperae.

关 键 词：早产儿 母婴同室 协同护理 生长发育 

分 类 号：R722[医药卫生—儿科]