家庭支持护理模式联合发展性照顾在NICU早产儿及其父母中的应用效果  

Application effect of family support nursing model combined with developmental care in NICU premature infants and their parents

作　　者：李韩 薛文雅 韩敏[1] LI Han;XUE Wenya;HAN Min(Department of Neonatology,Yangzhou Maternal and Child Care Service Center,Yangzhou,Jiangsu,225002,China)

机构地区：[1]扬州市妇幼保健院新生儿科,江苏扬州225002

出　　处：《中西医结合护理（中英文）》2022年第11期34-37,共4页Journal of Clinical Nursing in Practice

摘　　要：目的探讨在新生儿重症监护室(NICU)早产儿及其父母中应用家庭支持护理模式联合发展性照顾的效果。方法选取2020年11月至2021年10月扬州市妇幼保健院NICU收治的100例早产儿及其父母为研究对象,根据入院时间的不同分为对照组(2020年11月至2021年4月)和观察组(2021年5~10月),各50例,以及早产儿父母,各100名。对照组给予发展性照顾干预,观察组给予家庭支持护理模式联合发展性照顾。比较2组早产儿的生长发育情况和不良事件发生率,并比较2组早产儿父母的育儿胜任感、不良情绪及对照护相关知识的掌握程度。结果2组早产儿在出生3个月和出生6个月后的身长、体重和头围均大于出生时(P均<0.05),且观察组的各项生长发育指标均优于同期对照组(P均<0.05)。出生后3个月内,观察组早产儿的不良事件总发生率较对照组低(P<0.05)。2组早产儿父母在出院时的育儿胜任感量表(PSOC)各维度评分均较入院时升高,2组早产儿父母在干预5 d后的NICU父母紧张焦虑评分量表(PSS:NICU)各部分评分均较入院时降低,且观察组的上述评分均优于对照组,比较均有统计学差异(P均<0.05)。出院时,观察组早产儿父母在喂养、卫生护理、生长发育和疫苗接种4个方面的评分均较对照组更高(P均<0.05)。结论家庭支持护理模式联合发展性照顾不仅能促进早产儿的生长发育,降低其不良事件的发生率,还能提高早产儿父母的育儿胜任感和对照护知识的掌握程度,减少其不良情绪的发生。Objective To explore the effect of family support nursing model combined with developmental care on the premature infants in the neonatal intensive care unit(NICU)and their parents.Methods One hundred premature infants in the NICU of Yangzhou Maternal and Child Care Service Center from November 2020 to October 2021 and their parents were selected as the research subjects.According to the admission time,they were divided into a control group(from November 2020 to April 2021)and an observation group(from May to October 2021),each with 50 premature infants and 100 parents.The control group was given developmental care,and the observation group was given family support nursing model combined with developmental care.The growth and development and the incidence of adverse events were compared between the premature infants of the two groups,and the parental competence,negative emotions,and mastery of care-related knowledge were compared between the parents of the two groups.Results The body length,weight,and head circumference of premature infants in the two groups at 3 and 6 months of age were greater than those at birth(all P<0.05),and the growth and development parameters in the observation group were better than those in the control group on the corresponding period(all P<0.05).Within 3 months after birth,the total incidence of adverse events of premature infants was lower in the observation group than in the control group(P<0.05).The scores of all dimensions of the Parenting Sense of Competence Scale(PSOC)of the parents in the two groups at discharge were higher than those at admission,and the scores of all items of the Parental Stressor Scale:NICU(PSS:NICU)of the parents in the two groups after 5 days of intervention were lower than those at admission.The above scores in the observation group were better than those in the control group(all P<0.05).At discharge,the parents in the observation group had higher scores than the control group in feeding,hygiene care,growth and development,and vaccination(all P<0.05).Con

关 键 词：早产儿 新生儿重症监护室 家庭支持护理 发展性照顾 生长发育 

分 类 号：R473.72[医药卫生—护理学]