分析发育支持性护理干预联合标准化微量喂养对新生儿睡眠质量和发育情况的影响  

Analysis of the Impact of Developmental Supportive Nursing Intervention Combined with Standardized Micro Feeding on the Sleep Quality and Development of Newborns

作　　者：许欣欣 王玉华 潘燕婷 XU Xinxin;WANG Yuhua;PAN Yanting(Shishi City General Hospital,Fujian Province,Shishi 362700,China)

机构地区：[1]福建省石狮市总医院,石狮362700

出　　处：《世界睡眠医学杂志》2024年第4期819-822,共4页World Journal of Sleep Medicine

摘　　要：目的:分析发育支持性护理干预联合标准化微量喂养对新生儿睡眠质量和发育情况的影响。方法:选取2022年5月至2023年5月福建省石狮市总医院收治的新生儿80例作为研究对象,按照随机数字表法分为对照组和观察组,每组40例。对照组给予常规护理干预,观察组给予发育支持性护理联合标准化微量喂养支持干预。采用匹兹堡睡眠质量指数(PSQI)比较2组新生儿睡眠质量的差异,同时比较2组新生儿的生长发育情况及喂养不耐受持续时间、达全肠喂养时间、达纠正胎龄体质量时间以及鼻胃管留置时间。结果:干预后,观察组PSQI评分显著低于对照组,观察组新生儿喂养不耐受持续时间、达全肠喂养时间、达纠正胎龄体质量时间以及鼻胃管留置时间均低于对照组,观察组新生儿体质量、头围、身高、上臂围发育水平均高于对照组,差异均有统计学意义(均P<0.05)。结论:发育支持性护理联合标准化微量喂养是一种有效应对新生儿喂养不耐受和改善睡眠质量的方法。该方法通过优化喂养策略和睡眠环境,能够显著提高新生儿的喂养和睡眠适应能力,提高新生儿发育水平,值得临床推广应用。Objective:To analyze the impact of developmental supportive nursing intervention combined with standardized micro feeding on the sleep quality and development of newborns.Methods:A total of 80 newborns admitted to Shishi General Hospital in Fujian Province from May 2022 to May 2023 were selected as the study subjects.Using a random number table method,they were randomly divided into an observation group and a control group,with 40 cases in each group.The control group received routine nursing intervention,while the observation group received developmental supportive nursing combined with standardized micro feeding support intervention.The Pittsburgh Sleep Quality Index(PSQI)was used to compare the differences in sleep quality between two groups of newborns.The two groups also compared the growth and development status,duration of feeding intolerance,time to complete enteral feeding,time to correct gestational age and weight,and time to indwelling nasogastric tubes.Results:After intervention,the PSQI score of the observation group was significantly lower than that of the control group.The duration of feeding intolerance,time to complete enteral feeding,time to correct gestational age and weight,and time to indwelling nasogastric tubes in the observation group were all lower than those in the control group.The developmental levels of weight,head circumference,height,and upper arm circumference in the observation group were higher than those in the control group,and the differences between the two groups were statistically significant(all P<0.05).Conclusion:The combination of developmental supportive care and standardized micro feeding effectively addresses neonatal feeding intolerance and improves sleep quality.This method can significantly enhance newborns'feeding and sleep adaptation abilities and their developmental level by optimizing feeding strategies and sleep environments and is worthy of clinical promotion and application.

关 键 词：发育支持性护理 标准化微量喂养 新生儿 喂养不耐受 睡眠质量 生长发育 鼻胃管留置 应用效果 

分 类 号：R473.72[医药卫生—护理学] R338.63[医药卫生—临床医学]