人性化护理干预应用于早产儿家庭病房中对患儿身长、体重、NBNA评分的影响  

Effects of Humanized Nursing Intervention on Body Length,Weight and NBNA Score of Premature Infants in the Home Ward

作　　者：高玲珊 GAO Lingshan(Department of Neonatology,The First Affiliated Hospital of Xiamen University,Xiamen 361000,China)

机构地区：[1]厦门大学附属第一医院新生儿科,厦门361000

出　　处：《中国医药指南》2024年第17期182-185,共4页Guide of China Medicine

摘　　要：目的探讨在早产儿家庭病房中实施人性化护理干预对其身长、体重与早产儿神经行为(NBNA)评分的临床影响。方法本文的观察对象为80例在我院出生的早产儿,病例选取时间为2021年1月至2022年12月,病例分组方法为随机数字表法,分组后分别命名为对照组(40例)与观察组(40例),对照组在新生儿家庭病房中实施常规护理,观察组在新生儿家庭病房中实施人性化护理干预,对比两组护理前后的身长、体重、NBNA评分、父母应对能力及家属满意度。结果护理1个月后,在身长、体重以及家属对护理的满意度比较上,观察组均高于对照组(均P<0.05);护理1个月后,在早产儿神经行为量表(NBNA)的行为能力、原始反射、主动肌张力、被动肌张力、一般状态等5项评分的比较上,观察组均高于对照组(均P<0.05);护理1个月后,在父母应对能力的早产儿照护技能、早产儿保健知识、父母角色适应、家庭功能、亲子关系、外界支持、消极应对、积极应对等8项评分的比较上,观察组均高于对照组(均P<0.05)。结论在早产儿家庭病房中实施人性化护理干预不仅可以有效推动早产儿的生长发育,改善其神经发育行为,还可以提高其父母的应对能力,提升家属满意度。Objective To investigate the clinical effects of humanized nursing intervention in the home ward of premature infants on their body length,weight and neurobehavioral(NBNA)scores.Methods The observation objects of this study were 80 premature infants born in our hospital from January 2021 to December 2022.The cases were divided into control group(40 cases)and observation group(40 cases)by random number table method.The control group was given routine nursing in the family ward.The observation group was given humanized nursing intervention in the neonatal family ward,and the body length,weight,NBNA score,parental coping ability and family satisfaction before and after nursing were compared between the two groups.Results After 1 month of care,the observation group was higher than the control group in terms of length,weight,and family satisfaction with care(all P<0.05);after 1 month of care,the observation group was higher than the control group in terms of the Neurobehavioral Behavioral Nursing Instrument for Preterm Infants(NBNA)scores for Behavioral Ability,Primitive Reflexes,Active Dystonia,Passive Dystonia,and General Condition(all P<0.05);After 1 month of care,the observation group was higher than the control group in the comparison of the 8 scores of parental coping ability of preterm baby care skills,preterm baby health care knowledge,parental role adaptation,family functioning,parent-child relationship,external support,negative coping,and positive coping(all P<0.05).Conclusions Humanized nursing intervention in the family ward of premature infants can not only effectively promote the growth and development of premature infants,improve their neurodevelopmental behavior,but also improve their parents'coping ability and enhance family satisfaction.

关 键 词：早产儿 家庭病房 人性化护理干预 身长 体重 神经行为 

分 类 号：R722[医药卫生—儿科] R473.72[医药卫生—临床医学]