基于APP的延续照护模式在24月龄内早产儿生长发育中的应用研究  

Application study on APP⁃based continuing nursing mode in the growth and development of premature infants within 24 months old

作　　者：胡秋文[1] 胡琼燕[1] 梁旭霞[1] 王家乐 李柳青[3] 韦秀珍 何爽[5] HU Qiuwen;HU Qiongyan;LIANG Xuxia;WANG Jiale;LI Liuqing;WEI Xiuzhen;HE Shuang(Department of Obstetrics,the People's Hospital of Guangxi Zhuang Autonomous Region,Nanning 530021,Guangxi,China;Nursing School,Guangxi University of Chinese Medicine,Nanning 530200,Guangxi,China;Department of Pediatrics,the People's Hospital of Guangxi Zhuang Autonomous Region,Nanning 530021,Guangxi,China;Department of Pediatrics,Guangxi Hospital Division of the First Affiliat ed Hospital,Sun Yat-sen University,Nanning 530021,Guangxi,China;Department of Children's Rehabilitation,the People's Hospital of Guangxi Zhuang Autonomous Region,Nanning 530021,Guangxi,China)

机构地区：[1]广西壮族自治区人民医院产科,广西南宁市530021 [2]广西中医药大学护理学院,广西南宁市530200 [3]广西壮族自治区人民医院儿科,广西南宁市530021 [4]中山大学附属第一医院广西医院儿科,广西南宁市530021 [5]广西壮族自治区人民医院儿童康复治疗部,广西南宁市530021

出　　处：《广西医学》2024年第4期506-513,共8页Guangxi Medical Journal

基　　金：广西科技计划项目(桂科AB18221013);广西壮族自治区卫生健康委员会自筹经费科研课题(Z20211440)。

摘　　要：目的探讨基于APP的延续照护模式对24月龄内早产儿体格、神经心理发育的影响。方法选取199例由新生儿科出院的早产儿作为研究对象,根据住院时间将研究对象分为对照组95例(接受常规出院管理)与观察组104例(实施基于APP的延续照护模式)。比较两组早产儿新生儿科门诊随访依从率和3月龄、6月龄、9月龄、12月龄、18月龄、24月龄的体格发育、神经心理发育情况。结果观察组早产儿3月龄、6月龄、9月龄、12月龄、18月龄、24月龄时新生儿科门诊随访依从率高于对照组(P<0.05)。3月龄时,观察组早产儿的头围、体重大于对照组,大运动行为能区、精细运动能区、语言行为能区、个人-社交行为能区得分高于对照组(P<0.05),而两组的身长差异无统计学意义(P>0.05);6月龄、9月龄、12月龄、18月龄、24月龄时,观察组早产儿的头围、身长、体重大于对照组,适应行为能区、大运动行为能区、精细动作行为能区、语言行为能区、个人-社交行为能区得分高于对照组(P<0.05)。结论基于APP的延续照护模式能有效提升早产儿的生长发育水平及生存质量。Objective To explore the effect of APP⁃based continuing nursing mode on physical and neuropsychological development in premature infants within 24 months old.Methods A total of 199 premature infants who discharged from the Department of Neonatology were selected as the research subjects.According to length of hospital stay,the research subjects were assigned to control group(95 cases,receiving routine discharge management)or observation group(104 cases,implementing continuing nursing mode based on APP).The follow⁃up compliance rate of Neonatal Clinic,and physical and neuropsychological development in 3,6,9,12,18,and 24 months old were compared between premature infants of the two groups.Results The follow⁃up compliance rates of Neonatal Clinic in premature infants of 3,6,9,12,18,and 24 months old in the observation group were higher than those in the control group(P<0.05).At 3 months old,premature infants of the observation group obtained larger head circumference and body weight,and higher scores of grand motor behavior,fine motor behavior,language behavior,and personal⁃social behavior as compared with the control group(P<0.05),whereas there was no statistically significant difference in body length between the two groups(P>0.05).The observation group exhibited greater head circumference,body length,and body weight,as well as higher scores of adaptive behavior,grand motor behavior,fine motor behavior,language behavior,and personal⁃social behavior as compared with the control group at 6,9,12,18,24 months old(P<0.05).Conclusion APP⁃based continuing nursing mode can effectively elevate growth and development level and survival quality of premature infants.

关 键 词：延续照护 应用程序 早产儿 体格发育 生长发育 

分 类 号：R722[医药卫生—儿科]