发展性照看护理对早产儿生长发育及预后结局的影响  

Effect of developmental care on the growth,development,and prognosis of premature infants

作　　者：李双双 张晓芳 李艳红 张文静 LI Shuangshuang;ZHANG Xiaofang;LI Yanhong;ZHANG Wenjing(Affiliated Hospital of Xuzhou Medical University,Xuzhou,221000,China)

机构地区：[1]徐州医科大学附属医院新生儿重症监护室,江苏省徐州市221000

出　　处：《护理实践与研究》2023年第16期2490-2494,共5页Nursing Practice and Research

基　　金：江苏省卫生健康委2019年度医学科研立项项目(编号:Z2019016)。

摘　　要：目的 探究发展性照看护理在早产儿中的应用效果。方法 选取徐州医科大学附属医院2020年7月—2022年8月新生儿监护室收治的早产儿90例为研究对象,按照组间基本特征具有可比性的原则分为观察组和对照组,每组45例。对照组实施常规监护室护理,观察组实施发展性照看监护室护理,于入院1 d、出院前1 d,对两组生长发育指标、喂养不耐受情况、全身运动质量、体质量恢复时间、平均住院时间等进行观察比较。结果 入院1 d,两组生长发育指标情况比较差异无统计学意义(P>0.05);出院前1 d,与同期对照组相比,观察组患儿在体质量、身长、头围等生长发育指标水平改善良好,组间差异有统计学意义(P<0.05)。观察组住院期间并发症发生率低于对照组,差异具有统计学意义(P<0.05)。观察组全身运动质量评估异常发生率低于对照组,体质量恢复正常时间、平均住院时间短于对照组,差异均具有统计学意义(P<0.05)。结论 对早产儿实施发展性照看护理干预,可改善患儿各项生长发育指标,减少营养不耐受情况发生,提高全身运动质量水平,缩短体质量恢复正常时间和平均住院时间。Objective To explore the application eff ect of developmental care in premature infants.Methods A total of 90 preterm infants admitted to the neonatal care unit of the Affiliated Hospital of Xuzhou Medical University from July 2020 to August 2022 were selected as the study subjects.According to the principle of comparability of basic characteristics between groups,they were divided into the observation group and the control group,with 45 cases in each group.The control group received routine care in the intensive care unit,while the observation group received developmental care in the intensive care unit.On the fi rst day of admission and one day before discharge,the growth and development indicators,feeding intolerance,overall exercise quality,weight recovery time,and average hospital stay of the two groups were observed and compared.Results After 1 day of admission,there was no statistically signifi cant diff erence in the growth and development indicators between the two groups(P>0.05).One day before discharge,compared with the control group during the same period,the observation group showed better improvement in growth and development indicators such as body mass,length,and head circumference,and the differences between the groups were statistically significant(P<0.05).The incidence of complications during hospitalization in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The incidence of abnormal body movement quality evaluation in the observation group was lower than that in the control group,and the time for body weight to return to normal and the average hospitalization time were shorter than those in the control group,and the diff erences were statistically signifi cant(P<0.05).Conclusion Implementing developmental care interventions for premature infants can improve various growth and development indicators,reduce the occurrence of nutritional intolerance, improve overall motor quality, shorten the time for body weight to return to

关 键 词：早产儿 发展性照看护理 生长发育 喂养不耐受 全身运动质量 体质量 住院时间 

分 类 号：R473.72[医药卫生—护理学]