1例重度支气管肺发育不良早产儿从医院到家庭过渡期的护理  

Nursing care of an infant with severe bronchopulmonary dysplasia during the transition period from hospitalization to family

作　　者：钱丽清[1] 陆晓燕 李丽玲[1] 蒋思远[1] 胡晓静 QIAN Liqing;LU Xiaoyan;LI Liling;JIANG Siyuan;HU Xiaojing

机构地区：[1]复旦大学附属儿科医院新生儿重症监护室,上海市201102 [2]复旦大学附属儿科医院护理部,上海市201102

出　　处：《中华护理杂志》2024年第2期210-214,共5页Chinese Journal of Nursing

基　　金：国家重点研发计划(2021YFC2701004);上海市“科技创新行动计划”长三角科技创新共同体领域项目(21002411900)。

摘　　要：总结1例重度Ⅱ型支气管肺发育不良(bronchopulmonary dysplasia,BPD)极低出生体重早产儿从住院到家庭过渡期的护理。该患儿由BPD专病护士全程进行一对一护理,其从医院到家庭过渡期的护理要点:实施气管切开及机械通气护理,确保患儿血氧饱和度稳定;提供营养支持,改善患儿的营养状况;实施循序渐进的康复训练,改善患儿的神经运动发育;实施家庭参与式护理,促进患儿的主要照护者掌握照护知识与技能;开展多学科团队个体化出院随访,提高患儿居家护理质量。患儿住院106 d后顺利带气管切开套管出院,2岁6个月时行气管切开闭合术,术后患儿可自主呼吸,无呼吸困难症状,回归正常家庭生活。To summarize the nursing care of a very low birth weight premature infant with severe typeⅡbronchopulmonary dysplasia(BPD)during the transition period from hospitalization to home.The care of the infant was provided one-on-one by a BPD specialist nurse throughout the period.The key points of transitional care from hospitalization to home include:implementing tracheotomy and mechanical ventilation care to ensure stable blood oxygen saturation of the infant;providing nutritional support to improve the nutritional status of the infant;implementing step-by-step rehabilitation measures to improve the neuromotor development of the infant;implementing family integrated care to promote the primary caregivers of the infant to master nursing knowledge and skills;conducting personalized discharge follow-up with a multidisciplinary team to improve the quality of home care for this infant.After being hospitalized for 106 days,the infant was successfully discharged with a tracheotomy tube.At the age of 2 years and 6 months,a tracheotomy closure surgery was performed.After the surgery,the infant was able to breathe autonomously without symptoms of breathing difficulties and returned to normal family life.

关 键 词：支气管肺发育不良 婴儿 极低出生体重 早产儿 过渡期 新生儿护理 

分 类 号：R473.72[医药卫生—护理学]