延续照护信息化管理对高危早产儿生长发育的影响  

Effect of continuous care information management on the growth and development of highrisk premature infants

作　　者：赵露露 胡琼燕[1] 蒋建华 李彩虹 梁旭霞[1] 孙艺[1] 胡秋文[1] Zhao Lulu;Hu Qiongyan;Jiang Jianhua;Li Caihong;Liang Xuxia;Sun Yi;Hu Qiuwen(Department of Obstetrics,the People's Hospital of Guangxi Zhuang Autonomous Region,Guangxi,Nanning 530021,China)

机构地区：[1]广西壮族自治区人民医院产科,广西南宁530021

出　　处：《发育医学电子杂志》2023年第6期441-448,共8页Journal of Developmental Medicine (Electronic Version)

基　　金：广西重点研发计划(桂科AB18221013)。

摘　　要：目的探究延续照护信息化管理对高危早产儿生长发育的影响。方法采用便利抽样法选取2021年6月至11月于广西壮族自治区人民医院出生的36例高危早产儿为对照组,予以常规延续照护;选取2021年12月至2022年5月同一医院出生的42例高危早产儿作为观察组,在常规延续照护的基础上实施延续照护信息化管理。比较两组高危早产儿3、6、9、12月龄时体格发育、神经心理发育情况和家长院外延续性照护服务满意度。统计学方法采用χ^(2)检验或者连续校正χ^(2)检验、t检验和重复测量方差分析。结果两组高危早产儿生后3、6、9、12月龄头围、体质量、身长比较,组间和交互效应差异均无统计学意义(P值均>0.05),时间效应差异均有统计学意义(P值均<0.05)。两组高危早产儿不同时间点神经心理发育比较,适应性、精细运动差异均有统计学意义(适应性:F_(时间)=515.596,F_(组间)=27.202,F交互=4.524;精细运动:F_(时间)=1098.758,F_(组间)=128.512,F交互=3.870;P值均<0.05);大运动、语言、个人社交的时间效应、组间效应差异均有统计学意义(大运动:F_(时间)=708.992,F_(组间)=39.285,语言:F_(时间)=376.271,F_(组间)=23.347;个人社交:F_(时间)=257.295,F_(组间)=40.763;P值均<0.05);大运动、语言和个人社交的交互效应差异均无统计学意义(P值均>0.05)。观察组家长院外延续性照护服务满意度各指标均优于对照组[护士的仪表和服务态度为(11.71±0.51)与(11.06±0.79)分,护士的延续性照护业务能力为(42.76±1.16)与(29.72±2.71)分,护士的人文素养为(11.88±0.40)与(8.72±1.26)分,对延续照护服务的总体评价为(11.73±0.63)与(7.83±1.34)分,P值均<0.001]。结论延续照护信息化管理可提高高危早产儿神经心理发育水平和家长院外延续性照护服务满意度。Objective To explore the effect of continuous care information management on the growth and development of high-risk premature infants.Method A total of 36 high-risk premature infants born in the People's Hospital of Guangxi Zhuang Autonomous Region from June to November 2021 were selected as the control group by convenience sampling method,and routine extended care was provided.Forty-two premature infants born in the same hospital from December 2021 to May 2022 were selected as the observation group,and information management of extended care was implemented on the basis of routine extended care.Physical development,neuropsychological development and parents'satisfaction with continuous care services at 3,6,9 and 12 months of age were compared between the two groups.Data were analyzed using χ^(2) test or continuously adjusted χ^(2) test,t-test and repeated measure ANOVA.Result There were no significant differences between groups and interaction effects(all P>0.05)in head circumference,body weight and body length of the two groups at 3,6,9 and 12 months after birth,but there was significant difference in time effect between the two groups(all P<0.05).Comparison of neuropsychological development between the two groups at different time points showed statistically significant differences in adaptability and fine motor(adaptability:F_(time)=515.596,F_(intergroup)=27.202,Finteraction=4.524;fine motor:F_(time)=1098.758,F_(intergroup)=128.512,Finteraction=3.87;all P<0.05);there were statistically significant differences in the time and intergroup effects of big movement,language and personal social interaction(big movement:F_(time)=708.992,F_(intergroup)=39.285,language:F_(time)=376.271,F_(intergroup)=23.347;personal social interaction:F_(time)=257.295,Fgroup=40.763;all P<0.05);there was no significant difference in the interaction effects of language,personal social interaction and big movement(all P>0.05).The satisfaction indexes of the observation group were better than those of the control group[nurses'appearance

关 键 词：高危早产儿 信息化 延续照护 生长发育 心理发育 重复测量方差分析 

分 类 号：R473.72[医药卫生—护理学]