CNP模式对极低出生体重早产儿生长发育及家属护理工作满意度的影响  

Effect of CNP Nursing Model on the Growth and Development of Very Low Birth Weight Premature Infants and Their Family Nursing Satisfaction

作　　者：王娜娜 李顺彦 王金曼 Wang Nana;Li Shunyan;Wang Jinman(NICU,Pingdingshan First People’s Hospital,Pingdingshan,Henan,467000,China)

机构地区：[1]平顶山市第一人民医院NICU,河南平顶山467000

出　　处：《黑龙江医学》2024年第17期2156-2158,2162,共4页Heilongjiang Medical Journal

摘　　要：目的:探讨临床护理路径(CNP)模式在极低出生体重(VLBW)早产儿中的应用效果。方法:回顾性分析2021年8月—2023年8月平顶山市第一人民医院新生儿重症监护室(NICU)收治的98例VLBW早产儿的临床资料,根据入院时间分为实验组(n=49)和对照组(n=49)。对照组实施常规护理干预,实验组在常规护理基础上实施CNP护理模式,比较两组VLBW早产儿生长发育、不良事件发生率、预后效果、家属护理工作满意度。结果:干预后,实验组VLBW早产儿身长、头围、体重高于对照组,差异有统计学意义(t=5.622、3.156、10.486,P<0.05);实验组VLBW早产儿不良事件总发生率低于对照组、存活率高于对照组、住NICU时间短于对照组,差异有统计学意义(χ^(2)=4.009、9.496,t=2.275,P<0.05);实验组VLBW早产儿家属护理满意度高于对照组,差异有统计学意义(χ^(2)=6.376,P<0.05)。结论:CNP模式能促进VLBW早产儿生长发育,减少不良事件发生,改善预后效果,提高护理工作满意度。Objective:To investigate the clinical nursing pathway(CNP)nursing model in very low birth weight(VLBW)premature infants.Methods:A total of 98 VLBW premature infants from August 2021 to August 2023 were retrospectively selected and divided into experimental group(n=49)and control group(n=49)according to admission time.The control group received routine nursing intervention,and the experimental group received CNP nursing mode on the basis of routine nursing.The growth and development,incidence of adverse events,prognostic effect and satisfaction of family nursing work were compared between the two groups.Results:After intervention,the body length,head circumference and body weight of the experimental group were higher than those of the control group(t=5.622,3.156,10.486;P<0.05).The total incidence of adverse events in the experimental group was lower than that in the control group.The survival rate of the experimental group was higher than that in control group,and the duration of NICU stay was shorter than that in control group(χ^(2)=4.009,9.496;t=2.275;P<0.05).The nursing satisfaction of the experimental group was higher than that of the control group(χ^(2)=6.376,P<0.05).Conclusion:CNP nursing model can promote the growth and development of VLBW premature infants,reduce the occurrence of adverse events,improve the prognostic effect,and enhance the satisfaction of nursing work.

关 键 词：临床护理路径模式 极低出生体重早产儿 生长发育 护理工作满意度 

分 类 号：R272.1[医药卫生—中医儿科学]