家庭支持干预改善早产儿家庭功能的效果研究  

Effect of family support intervention on improving family function of premature infants

作　　者：吴金花 倪志红[2] 郭宏卿[1] 张清 王芳[3] WU Jinhua;NI Zhihong;GUO Hongqing;ZHANG Qing;WANG Fang(Department of Neonatology,Children's Hospital Affiliated to Soochow University,Suzhou,Jiangsu province,215025,China;不详)

机构地区：[1]苏州大学附属儿童医院新生儿科,江苏省苏州市215025 [2]苏州大学附属儿童医院护理部,江苏省苏州市215025 [3]苏州大学护理学院

出　　处：《中国护理管理》2023年第8期1163-1169,共7页Chinese Nursing Management

基　　金：2021年度苏州市科技发展计划(医疗卫生科技创新-应用基础研究)[第二批](SKJYD2021096)。

摘　　要：目的:分析以家庭功能理论为框架的家庭支持干预在出院后早产儿家庭支持中的应用效果,为早产儿家庭照护提供参考。方法:便利选取某三级甲等儿童医院新生儿科2021年5月—11月出院的早产儿及其家庭作为研究对象,按照随机数字表法分为对照组(n=39)和干预组(n=41),对照组给予早产儿常规家庭支持,干预组接受为期12周的基于McMaster家庭功能理论的家庭支持干预。比较两组干预前后家庭功能量表得分、早产儿体格发育(身长、体质量、头围)及神经心理发育(发育商)水平差异。结果:干预组在干预后家庭功能总分及沟通、角色、情感反应、总的功能4个维度得分低于对照组,得分比较,差异均具有统计学意义(P<0.05)。干预组干预后早产儿体质量及身长较对照组增加(P<0.05),且发育商得分高于对照组(P<0.05)。结论:基于McMaster家庭功能理论的家庭支持干预能有效地提高早产儿家庭功能整体水平,帮助家庭更好地发挥积极作用,促进早产儿身长、体质量及神经心理发育。Objective:To explore the application effects of McMaster model of family functioning among families with premature infants.Methods:Families with premature infants discharged from the neonatology department of a tertiary grade A children's hospital from May to November 2021 were recruited using convenience sampling method.They were randomly assigned into control group(n=39)and intervention group(n=41).The control group received routine family support,while the intervention group received a 12-week family support based on the McMaster model of family Functioning The scores of Family Assessment Device(FAD),physical development(length,weight,head circumference)and neuropsychological development(developmental quotient)of premature infants were compared between the two groups before and after intervention.Results:After the intervention,the score of FAD in the intervention group was significantly lower than that in the control group(P<0.05).The scores of communication,role,emotional response and total function in the intervention group were lower than those of the control group respectively(P<0.05).After intervention,the weight and length of premature infants in the intervention group were increased compared with those in the control group respectively(P<0.05).After intervention,the developmental quotient scores of premature infants in the intervention group were higher than those in the control group(P<0.05).Conclusion:The family support based on McMaster model of family functioning can effectively improve the overall level of family function,help the family play a better role,promote the length,weight and neuropsychological development of premature infants.It can be recommended for nurses to provide supports for families with premature infants.

关 键 词：早产儿 家庭功能理论 家庭支持 神经心理发育 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]