基于微信公众号的家庭参与式护理对早产儿及其父母的影响  

The influence of family participatory care based on WeChat Official Accounts on premature infants and their parents

作　　者：高凤云[1] 江东菊 吴曼 武梦骅 张佳佳 叶菁菁 GAO Feng-yun(Nursing Department of Tongling Vocational and Technical College,Tongling 244000,China)

机构地区：[1]铜陵职业技术学院护理系,安徽铜陵244000 [2]铜陵市第四人民医院,安徽铜陵244000

出　　处：《牡丹江医学院学报》2023年第4期81-84,34,共5页Journal of Mudanjiang Medical University

基　　金：铜陵职业技术学院自然研究重点项目(tlpt2020NK003);安徽省高校自然科学研究重点项目(KJ2021A1382);安徽省岗课赛证综合育人改革项目(2021gkszgg076);安徽省高校学科(专业)拔尖人才学术资助项目(gxbjZD2022131)。

摘　　要：目的探讨基于微信公众号的家庭参与式护理对早产儿住院期间临床指标、早产儿父母育儿胜任力及心理焦虑程度的影响。方法选取我校附属医院新生儿重症监护病房2021年6月至2022年7月收治的82例早产儿为研究对象,按照住院号的单双号分为对照组(n=41)和干预组(n=41)。对照组施行常规护理,专科护士承担新生儿住院期间全部护理,家长只能在规定时间探视早产儿或电话咨询早产儿病情;干预组实施基于微信公众号的家庭参与式护理模式,专科护士采用线上和线下相结合的教育方式开展早产儿父母教育,保证早产儿父母每天入住家庭参与式病房不少于8 h,在医护人员指导下完成部分非医学性常规生活护理直至出院。结果干预组体质量增长速度、母乳喂养率、达全胃肠内喂养时间、出院时父母紧张焦虑评分及父母育儿胜任力显著高于对照组(P<0.001),干预组喂养不耐受发生率和出院后30 d再入院率显著低于对照组(P<0.05)。结论基于微信公众号的家庭参与式护理可促进早产儿体重增长,提高母乳喂养率和母亲育儿胜任,降低喂养不耐受发生率、达全胃肠内喂养时间、早产儿父母紧张焦虑水平及再入院率。有利于早产儿从医院顺利过渡到家庭,值得运用和推广。Objective The purpose of this study is to explore the influence of family-participatory nursing based on WeChat Official Accounts on the clinical indicators of premature infants during hospitalization,parenting competence,and psychological anxiety of premature infants.Methods A total of 82 premature infants admitted to the neonatal intensive care unit in the affiliated hospital of the college from June 2021 to July 2022 were selected as research objects.According to the odd and even hospitalization numbers,they were divided into control group(n=41)and intervention group(n=41).The control group was given routine nursing care,and specialized nurses were responsible for all the nursing care of newborns during hospitalization.Parents could only visit premature babies at the specified time or consult the condition of premature babies by telephone.The intervention group implemented a family-participatory nursing model based on the WeChat Official Accounts.Specialist nurses use a combination of online and offline education methods to carry out parent education for premature infants,ensuring that parents of premature infants stay in the family participatory ward for no less than 8 hours a day,and complete some non-medical routine life care under the guidance of medical staff until they are discharged.Results The body weight growth rate,breastfeeding rate,and parenting competence of the intervention group were significantly higher than those of the control group(P<0.001).The incidence of feeding intolerance,the duration of intra-gastrointestinal feeding,parental stress and anxiety score at discharge,and the readmission rate 30 days after discharge were significantly lower in the intervention group than those in the control group(P<0.05).Conclusion Family participation nursing based on WeChat Official Accounts can promote the weight gain of premature infants,improve the rate of breastfeeding and the parenting competency of mothers,reduce the incidence of feeding intolerance,the duration of intra-gastrointestinal feeding,th

关 键 词：家庭参与式护理 早产儿 早产儿父母 新生儿重症监护病房 

分 类 号：R473.72[医药卫生—护理学]