集束化管理模式对改善晚期早产儿喂养不耐受及生长发育的影响  

Effect of clustering integrated management on improving feeding intolerance,growth and development of late preterm infants

作　　者：徐芬 XU Fen(Department of Neonatology,Suzhou Ninth People’s Hospital,Jiangsu Province,Suzhou 215200,China)

机构地区：[1]江苏省苏州市第九人民医院新生儿科,江苏苏州215200

出　　处：《妇儿健康导刊》2023年第2期176-179,共4页JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE

摘　　要：目的回顾性分析集束化管理模式对改善晚期早产儿喂养不耐受、生长发育的影响。方法选取2020年1月至2022年1月在苏州市第九人民医院新生儿科出生的254例晚期早产儿。以2021年1月实施集束化管理模式为时间分界点,依据所实施的护理模式差异进行分组。实施传统护理模式的123例患儿为对照组,实施集束化管理模式的131例患儿为观察组。比较两组患儿的喂养不耐受发生率、生长发育指标、儿保科神经行为测定结果及患儿家属护理满意率。结果观察组的喂养不耐受发生率低于对照组,患儿家属护理总满意率高于对照组(P<0.05)。护理后,观察组的生长发育指标和儿保科神经行为测定结果优于对照组,差异均有统计学意义(P<0.05)。结论集束化管理模式有助于降低晚期早产儿喂养不耐受发生率,促进其生长发育与新生儿行为神经发育,提高满意度,值得推广使用。Objective To retrospectively analyze the effect of clustering integrated management on improving feeding intolerance,growth and development of late preterm infants.Methods A total of 254 late preterm infants born in the Department of Neonatology of Suzhou Ninth People’s from January 2020 to January 2022 were selected.The clustering integrated management mode was implemented in January 2021,and they were grouped according to the differences in nursing modes implemented.A total of 123 children with traditional nursing mode were selected as the control group,and 131 children with clustering integrated management mode were selected as the observation group.The incidence of feeding intolerance,growth and development,the results of neurobehavioral measurement,family members’satisfaction with nursing care were compared between the two groups.Results The incidence of feeding intolerance of the observation group was lower than that of the control group,the overall nursing satisfaction rate of the family members was higher than that of the control group(P<0.05).After nursing,the indexes of growth and development and the results of neonatal neurobehavioral measurement of the observation group were better than those of the control group,the differences were statistically significant(P<0.05).Conclusion The clustering integrated management model can help reduce the incidence of feeding intolerance in late preterm infants,promote their growth and development,neurobehavioral development,and increase satisfaction,which i s worthy of promotion.

关 键 词：晚期早产儿 集束化管理模式 喂养不耐受 儿保科神经行为测定 

分 类 号：R473.72[医药卫生—护理学]