新型鸟巢护理在新生儿中的应用效果及对颅内出血的影响  

Application effect of new bird nest nursing in neonates and its influence on intracranial hemorrhage

作　　者：蒋巧丽 周海丽 陈勤玲 JIANG Qiaoli;ZHOU Haili;CNEN Qinling(Department of Neonatology,Southern University of Science and Technology Hospital,Shenzhen,Guangdong,440305,China)

机构地区：[1]南方科技大学医院新生儿科,广东深圳440305

出　　处：《当代医学》2023年第21期171-173,共3页Contemporary Medicine

基　　金：南方科技大学医院院长研究基金项目(2020-C1)。

摘　　要：目的探究新型鸟巢护理在新生儿中的应用效果及对颅内出血的影响。方法选取2019年5月至2020年8月于本院出生的152名新生儿作为研究对象,按照护理方法不同分为对照组与实验组,各76名。对照组采用常规护理,实验组在常规护理基础上增加新型鸟巢护理,比较两组护理效果、开奶时间、留置针使用时间、胃肠功能(首次排便时间、胎便转黄时间)和颅内出血发生率。结果实验组血氧饱和度高于对照组,体质量增长幅度大于对照组,睡眠时间长于对照组,保温箱时间短于对照组,体温波动小于对照组,差异有统计学意义(P<0.05)。实验组开奶时间、首次排便时间、胎便转黄时间均短于对照组,留置针使用时间长于对照组,差异有统计学意义(P<0.05)。实验组颅内出血发生率为17.1%,明显低于对照组的44.7%,差异有统计学意义(P<0.05)。结论新型鸟巢护理应用于新生儿护理中,可改善新生儿睡眠时间、血氧饱和度,提升新生儿进奶量,改善其胃肠功能,减少颅内出血的发生,值得临床推广应用。Objective To explore the effect of new bird nest nursing in neonates and its influence on intracranial hemorrhage.Methods 152 neonatess born in our hospital from May 2019 to August 2020 were selected as the research subjects,they were divided into the control group and the experimental group according to whether new bird nest nursing was adopted,with 76 cases in each group.The control group received routine care,while the experimental group added new bird nest nursing on the basis of routine nursing,the nursing effects,milk opening time,indwelling needle usage time,gastrointestinal function(first defecation time,turning yellow time of fetal stool),and incidence of intracranial hemorrhage were compared between the two groups.Results The blood oxygen saturation in the experimental group was higher than that in the control group,the increase of body mass was greater than that in the control group,the sleep time was longer than that in the control group,the incubator time was shorter than that in the control group,and the temperature fluctuation was smaller than that in the control group,the differences were statistically significant(P<0.05).The milk opening time,the first defecation time and the turning yellow time of fetal stool in the experimental group were shorter than those in the control group,and the indwelling needle usage time was longer than that in the control group,the differences were statistically significant(P<0.05).The incidence of intracranial hemorrhage in the experimental group was 17.1%,which was significantly lower than 44.7%in the control group,and the difference was statistically significant(P<0.05).Conclusion The application of new bird nest nursing in neonates care can improve neonatal sleep time,blood oxygen saturation,increase neonates milk intake of neonates,improve gastrointestinal function,and reduce the occurrence of intracranial hemorrhage,which is worthy of clinical promotion and application.

关 键 词：新生儿 新型鸟巢护理 颅内出血 并发症 

分 类 号：R473.72[医药卫生—护理学]