一体化连续护理干预在喂养不耐受低体质量新生儿中的应用效果分析  

Application Effect of Integrated Continuous Nursing Intervention in Feeding Intolerance and Low Body Mass Neonates

作　　者：吴伟伟 Wu Weiwei(Department of Neonatology,Tai'an Maternal and Child Health Hospital,Tai'an 271000,Shandong Province,China)

机构地区：[1]泰安市妇幼保健院新生儿科,山东泰安271000

出　　处：《中国社区医师》2024年第23期122-124,共3页Chinese Community Doctors

摘　　要：目的:分析一体化连续护理干预在喂养不耐受低体质量新生儿中的应用效果。方法:选取2021年10月—2023年5月泰安市妇幼保健院新生儿科收治的喂养不耐受低体质量新生儿86例作为研究对象,随机分为对照组(n=43,常规护理)和观察组(n=43,一体化连续护理)。比较两组喂养进展情况、喂养质量、免疫功能和生长发育指标。结果:观察组新生儿的日排便次数、日总排便量大于对照组(P<0.05);观察组新生儿的胃内残奶量、腹胀次数小于对照组(P<0.05);观察组新生儿的胎便排完时间、鼻胃管留置时间、恢复出生体质量时间、肠内营养达418 kJ/(kg·d)时间短于对照组(P<0.05);护理后,观察组喂养效率、吸吮效率均高于对照组,喂养不耐受率低于对照组(P<0.05);观察组新生儿护理后的CD4+、CD8+、CD3+、CD4+/CD8+水平高于对照组(P<0.05);观察组新生儿护理后的体质量、身长、头围及发育商评分大于对照组(P<0.05)。结论:一体化连续护理干预可促进喂养不耐受低体质量新生儿的喂养进程,提升其喂养质量,改善其免疫功能和发育水平。Objective:To analyze the application effect of integrated continuous nursing intervention in feeding intolerance and low body mass neonates.Methods:Eighty-six newborns with low body weight and feeding intolerance admitted to the neonatology department of Tai'an Maternal and Child Health Hospital from October 2021 to May 2023 were selected as the study objects,and randomly divided into control group(n=43,routine care)and observation group(n=43,integrated continuous nursing).The feeding progress,feeding quality,immune function and growth and development indexes were compared between the two groups.Results:The daily defecation frequency and total daily defecation volume of neonates in observation group were higher than those in control group(P<0.05);the amount of residual milk in the stomach and the number of abdominal distension in the observation group were lower than those in the control group(P<0.05);the time of fetal defecation,nasogastric tube retention,birth weight recovery and enteral nutrition of 418 kJ/(kg·d)in observation group were shorter than those in control group(P<0.05);after nursing,the feeding efficiency and sucking efficiency of observation group were higher than that of control group,and the feeding intolerance rate was lower than that of control group(P<0.05);the levels of CD4+,CD8+,CD3+and CD4+/CD8+in observation group were higher than those in control group after neonatal nursing(P<0.05);the body mass,length,head circumference and developmental quotient scores of the observation group were higher than those of the control group(P<0.05).Conclusion:Integrated continuous nursing intervention can promote the feeding process,improve the feeding quality,and improve the immune function and development level of infants with low body weight and feeding intolerance.

关 键 词：一体化连续护理 喂养不耐受 低体质量新生儿 生长发育 

分 类 号：R722.1[医药卫生—儿科]