家庭赋权方案在极低出生体质量早产儿延续护理中的应用  

Application of family empowerment program in extended care of very low birth weight premature infant

作　　者：熊菲峰[1] 沈艳红[2] 万思琴[1] 熊瑜萍 XIONG Feifeng;SHEN Yanhong;WAN Siqin;XIONG Yuping(Department of Neonatology,the First Affiliated Hospital of Nanchang University,Nanchang,Jiangxi 330006,China;Department of Pediatrics,the First Affiliated Hospital of Nanchang University,Nanchang,Jiangxi 330006,China)

机构地区：[1]南昌大学第一附属医院新生儿科,江西南昌330006 [2]南昌大学第一附属医院儿科,江西南昌330006

出　　处：《检验医学与临床》2023年第22期3271-3274,共4页Laboratory Medicine and Clinic

基　　金：江西省卫生健康委员会科技计划项目(20203141)。

摘　　要：目的探讨家庭赋权方案在极低出生体质量早产儿(VLBWI)延续护理中的应用效果。方法选取2019年5月至2021年12月该院收治的100例VLBWI及其家长为研究对象,按照随机数字表法分为观察组与对照组,各50例。对照组患儿接受常规护理,观察组患儿在对照组基础上接受家庭赋权方案的延续护理。比较两组患儿生长发育指标(身长、体质量、头围)、智能发育评分(Gesell婴幼儿智能发育量表评分)、再住院率、患儿家长照护知识评分(家长认知度问卷评分)、母乳喂养自信心(母乳喂养自信心量表评分)、家长对护理服务满意度。结果干预12个月后,两组患儿身长、体质量、头围、Gesell婴幼儿智能发育量表评分大于出生时,且观察组大于对照组,差异有统计学意义(P<0.05);观察组干预12个月内的再住院率低于对照组,差异有统计学意义(P<0.05);干预12个月后,两组家长认知度问卷及母乳喂养自信心量表评分高于出生时,且观察组高于对照组,差异有统计学意义(P<0.05)。观察组家长对护理服务满意度高于对照组,差异有统计学意义(P<0.05)。结论VLBWI延续护理中应用家庭赋权方案可促进患儿生长发育、智能发育,降低患儿再住院率,并且能提高患儿家长照护知识掌握度、母乳喂养自信心、护理满意度。Objective To explore the application effect of family empowerment program in the extended care of very low birth weight premature infants(VLBWI).Methods A total of 100 cases of VLBWI and their parents admitted to the First Affiliated Hospital of Nanchang University from May 2019 to December 2021 were selected and divided into observation group and control group according to random number table method,with 50 cases in each group.The control group received routine care,and the observation group received extended care as the family empowerment program based on the control group.Growth and development indicators(the body length,body weight,head circumference),intelligent development score(Gesell Infant Intelligence Scale sore),re-hospitalization rate,parental care knowledge score(parental awareness questionnaire score),breastfeeding self-confidence(breastfeeding self-confidence scale score)and parental satisfaction with nursing service were compared between the two groups.Results At 12 months after intervention,the body length,body weight,head circumference and Gesell Infant Intelligence Scale sore of the two groups were greater than those at birth,and which in the observation group were greater than those in the control group(P<0.05).The re-hospitalization rate of observation group within 12 months was lower than that of control group(P<0.05).At 12 months after intervention,parental awareness questionnaire score and breastfeeding selfconfidence scale score in both groups were higher than those at birth,and which in the observation group were higher than those in the control group(P<0.05).The satisfaction of parents in the observation group was higher than that in the control group(P<0.05).Conclusion The application of family empowerment program in VLBWI extended nursing can promote the growth and intelligent development of children,reduce the re-hospitalization rate of children,and improve the parents'knowledge of nursing,breastfeeding self-confi-dence and nursing satisfaction.

关 键 词：极低出生体质量早产儿 家庭赋权方案 延续护理 生长发育 智能发育 

分 类 号：R722.6[医药卫生—儿科]