鸟巢式护理模式对新生儿胃肠功能及产妇焦虑紧张感的影响  

Effect of the Bird’s Nest Care Model on Neonatal Gastrointestinal Function and Maternal Anxiety and Tension

作　　者：戴薇薇 王建新[1] 陈培珍[1] DAI Weiwei;WANG Jianxin;CHEN Peizhen(Children’s Hospital of Soochow University,Suzhou 215000,China;不详)

机构地区：[1]苏州大学附属儿童医院,江苏苏州215000

出　　处：《中国医学创新》2022年第31期122-126,共5页Medical Innovation of China

摘　　要：目的:探究鸟巢式护理模式对新生儿胃肠功能及产妇焦虑紧张感的影响。方法:选取2020年1月-2021年12月于苏州大学附属儿童医院收治的产妇及其新生儿各100例,使用随机数字表法将其分为A组(n=50)与B组(n=50)。B组行常规护理模式,A组在B组基础上加用鸟巢式护理模式,对比两组新生儿胃肠功能指标、生长发育指标、改良新生儿行为神经测定(neonatal behavioral neurological assessment,NBNA)评分及产妇改良版新生儿重症监护病房父母紧张焦虑评分量表(PSS:NICU)评分。结果:A组新生儿每日奶量增加量多于B组新生儿、首次排便时间及胎便转黄时间短于B组新生儿、每日排便次数多于B组新生儿(P<0.05)。护理后4周,两组产妇各项PSS:NICU评分均较护理前下降,且A组均低于B组,差异均有统计学意义(P<0.05)。护理后4周,A组新生儿身高、体重及头围均高于B组,差异均有统计学意义(P<0.05)。护理后4周,两组新生儿各项NBNA评分均较护理前上升,且A组均高于B组,差异均有统计学意义(P<0.05)。结论:鸟巢式护理模式可强化新生儿的胃肠功能及神经行为、促进生长发育、缓解产妇焦虑紧张感。Objective:To investigate the effect of bird’s nest care model on neonatal gastrointestinal function and maternal anxiety and tension.Method:A total of 100 neonates treated Children’s Hospital of Soochow University from January 2020 to December 2021 were selected and divided into group A (n=50) and group B (n=50) using the random number table method.Group B performed the conventional care model,group A added the bird’s nest care model on the basis of group B.The gastrointestinal function index,growth and development index,modified neonatal behavioral neurological assessment (NBNA) score of neonates and maternal modified neonatal intensive care unit parent anxiety scale (PSS:NICU) score were compared between the two groups.Result:The increase of daily milk volume of neonates in group A was more than that of neonates in group B,the time of first defecation and fetal stool turning yellow were shorter than those of neonates in group B,and the daily defecation frequency was more than that of neonates in group B (P<0.05).Four weeks after nursing,the PSS:NICU scores of parturient women in the two groups were decreased compared with those before nursing,and the scores in group A were lower than those in group B,the differences were statistically significant (P<0.05).Four weeks after nursing,the height,weight and head circumference of neonates in group A were higher than those in group B,the differences were statistically significant (P<0.05).Four weeks after nursing,the NBNA scores of neonates in the two groups were higher than those before nursing,and the scores in group A were higher than those in group B,the differences were statistically significant (P<0.05).Conclusion:The bird’s nest care model can improve the gastrointestinal function and neurobehavior of neonates,promote growth and development,and relieve maternal anxiety and tension.

关 键 词：鸟巢式护理模式 新生儿 胃肠功能 神经行为 

分 类 号：R473.72[医药卫生—护理学]