发育支持性护理联合标准化微量喂养支持对喂养不耐受新生儿喂养进程及生长发育的影响  

Influence of developmental supportive nursing combined with standardized microfeeding support on the feeding process and growth and development of newborns with feeding intolerance

作　　者：田艳艳 杨妮 李宁 TIAN Yanyan;YANG Ni;LI Ning(Department of Pediatrics,Xijing Hospital Affiliated to Air Force Military Medical University,Shaanxi Province,Xi’an710032,China)

机构地区：[1]空军军医大学附属西京医院儿科,陕西西安710032

出　　处：《中国医药导报》2023年第6期173-176,共4页China Medical Herald

摘　　要：目的探究发育支持性护理联合标准化微量喂养支持对喂养不耐受新生儿喂养进程及生长发育的影响。方法选取空军军医大学附属西京医院2020年1月至2021年12月收治的98例喂养不耐受新生儿作为研究对象,经随机数字表法将其分为对照组和观察组,各49例。对照组采用常规护理干预和喂养支持,观察组在此基础上采用发育支持性护理联合标准化微量喂养支持,两组均干预1周。比较两组喂养进程指标的差异及干预前后生长发育情况的差异。结果观察组喂养不耐受持续、达全肠喂养、达纠正胎龄体重、鼻胃管留置时间均短于对照组(P<0.05)。干预后,两组体重、头围、身高、上臂围水平均高于干预前,且观察组高于对照组(P<0.05)。结论发育支持性护理联合标准化微量喂养支持的实施,可改善新生儿喂养不耐受现象,促进新生儿的生长发育,值得临床推广应用。Objective To explore the influence of developmental supportive nursing combined with standardized microfeeding support on the feeding process and growth and development of newborns with feeding intolerance.Methods A total of 98 newborns with feeding intolerance admitted to Xijing Hospital Affiliated to Air Force Military Medical University from January 2020 to December 2021 were selected as the research objects.By random number table method,they were divided into control group and observation group,with 49 cases in each group.The control group was treated with routine nursing intervention and feeding support,and the observation group was treated with developmental supportive nursing combined with standardized microfeeding support on this basis.Both groups were treated for one week.The difference of feeding course indexes between the two groups,and growth and development before and after intervention were compared.Results The duration of feeding intolerance,feeding time to complete enteral feeding,time to correct gestational age body mass,and indentation time of nasogastric tube in observation group were shorter than those in control group(P<0.05).After intervention,the body weight,head circumference,height,and upper arm circumference of both groups were higher than those before intervention,and the observation group was higher than the control group(P<0.05).Conclusion The implementation of developmental supportive nursing combined with standardized microfeeding support can improve newborns with feeding intolerance and promote growth and development of newborns,which is worthy of clinical application.

关 键 词：新生儿 喂养不耐受 发育支持性护理 标准微量喂养支持 生长发育 

分 类 号：R473[医药卫生—护理学]