家庭参与式一体化照护对早产儿生长发育及家庭照护能力的影响  

Effects of Family Integrated Care Model(FICare)on growth of premature infants and family care ability

作　　者：沈瑜 顾春怡[2] 俞春兰 张俊平[1] 王晓娇 施海英 邱丹群 吴景芸 Shen Yu;Gu Chunyi;Yu Chunlan;Zhang Junping;Wang Xiaojiao;Shi Haiying;Qiu Danqun;Wu Jingyun(Obstetrics and Pediatrics Department,Obstetrics and Gynecology Hospital of Fudan University,Shanghai 200011,China)

机构地区：[1]复旦大学附属妇产科医院产儿部,上海200011 [2]复旦大学附属妇产科医院护理部,上海200011

出　　处：《护理学杂志》2024年第4期41-45,共5页Journal of Nursing Science

基　　金：复旦大学-复星护理科研基金项目(FNF202141);国家自然科学基金资助项目(72004029)。

摘　　要：目的探讨基于家庭参与式护理模式的一体化照护对早产儿生长发育及家庭照护能力的影响。方法选取74例早产儿及其家庭作为研究对象,随机分为干预组和对照组各37例。对照组接受早产儿常规护理;干预组接受基于家庭参与式护理模式的一体化照护方案,由专业照护团队在早产儿出生时、出生后及出院后提供全程一体化照护支持服务。比较两组早产儿的生长发育、母乳喂养情况及早产儿家庭照护能力。结果两组各36例完成全程随访。两组早产儿在出生时、1月龄、3月龄身长、体质量、头围比较,差异无统计学意义(均P>0.05)。干预组早产儿在出院前、1月龄、3月龄的纯母乳喂养率显著高于对照组,且干预组父母在出院时家庭照护能力评分显著高于对照组(均P<0.05)。结论基于家庭参与式护理模式的一体化照护能够有效促进早产儿纯母乳喂养、提高早产儿家庭照护能力,为早产儿顺利过渡至家庭照护提供有利保障。Objective To explore the effects of family integrated care(FICare)model on the growth and family care ability for premature infants.Methods A total of 74 premature infants with pregnancy weeks<37 weeks were selected as research objects,and randomly divided into 2 groups of 37 cases each.The control group received routine nursing care of premature infants.The intervention group received integrated care for preterm infants based on FICare model,with a team of neonatal nurses providing integrated care support at birth,after birth and after discharge.The growth and development,breastfeeding and family care ability of premature infants were compared between the two groups.Results A total of 36 cases in each group completed the whole follow-up.There were no significant differences in body length,body weight and head circumference between the two groups at birth,1 month and 3 months of age(all P>0.05).The rates of exclusive breastfeeding before discharge,at 1 month and 3 months of age in the intervention group were significantly higher than those in the control group,and parents in the intervention group had signi-ficantly higher scores family care ability at discharge(all P<0.05).Conclusion The FICare model for premature infants can effectively promote exclusive breastfeeding for premature infants,improve care ability of the infants′families,and provide a favorable guarantee for the smooth transition of premature infants from birth to the external environment after discharge.

关 键 词：早产儿 一体化照护 生长发育 家庭参与 家庭照护能力 母乳喂养 发育支持 过渡期护理 

分 类 号：R473.72[医药卫生—护理学]