基于Levine守恒理论的家庭参与式护理在支气管肺发育不良患儿出院前的应用观察  

Application of Levine Conservation Mode of Family Integrated Care in Premature Infants with Bronchopulmonary Dysplasia Before Discharge

作　　者：张翀 张悦[3] 朱晓筱 王利维 顾芬[4] Zhang Chong;Zhang Yue;Zhu Xiaoxiao;Wang Liwei;Gu Fen(School of Medicine,Tongji University,Shanghai 200092,China;Department of Neonatology,Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200092,China;Department of Nursing,Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200011,China;Department of Nursing,Huadong Hospital Affiliated to Fudan University,Shanghai 200040,China)

机构地区：[1]同济大学医学院,上海200092 [2]上海交通大学医学院附属新华医院新生儿科,上海200092 [3]上海交通大学医学院附属第九人民医院护理部,上海200011 [4]复旦大学附属华东医院护理部,上海200040

出　　处：《成都医学院学报》2024年第5期894-897,共4页Journal of Chengdu Medical College

基　　金：上海交通大学医学院附属第九人民医院“优秀护理人才计划”领英计划(No:JYHRC22-L01)。

摘　　要：目的探讨基于Levine守恒理论的家庭参与式护理(LFIC)在支气管肺发育不良(BPD)患儿出院前照护中的应用效果。方法选取2022年1—12月于上海交通大学医学院附属新华医院新生儿重症监护室住院治疗的BPD患儿66例为研究对象,采用随机数字表法分为观察组(n=35)和对照组(n=31)。两组采用相同的治疗措施,对照组采用早产儿常规护理干预,观察组在对照组早产儿常规护理基础上加用LFIC干预。观察并比较两组患儿的生长速度、母乳喂养率和用氧天数,出院30 d后的体重增加值、再入院率及患儿家长满意度评分。结果观察组患儿生长速度和母乳喂养率均高于对照组(P<0.05);两组用氧天数比较,差异无统计学意义(P>0.05)。出院后30 d,观察组患儿家长满意度评分和体重增加值均高于对照组(P<0.05);两组再入院率比较,差异无统计学意义(P>0.05)。结论基于Levine守恒理论的LFIC方案应用于BPD患儿出院前照护,可有效提高患儿生长速度、母乳喂养率和患儿家长满意度,且出院后患儿体重增加明显。Objective To explore the application effect of Levine conservation mode of Family Integrated Care(LFIC)in the care of premature infants with bronchopulmonary dysplasia(BPD)before discharge.Methods A total of 66 BPD infants in the Neonatal Intensive Care Unit of Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine from January to December 2022 were selected.They were assigned to either the observation group(n=35)or the control group(n=31)by random number table method.Both groups received the same treatment.The control group was given routine nursing intervention for premature infants,while the observation group was given the same routine nursing intervention for premature infants plus LFIC.The growth speed,breastfeeding rate,days of oxygen use,weight gain 30 days after discharge,readmission rate and parents'satisfaction of BPD infants were observed and compared between the two groups.Results The growth speed and breastfeeding rate in the observation group was higher than those in the control group(P<0.05).There was no significant difference in the days of oxygen use between the two groups(P>0.05).Thirty days after discharge,the value of weight gain in the observation group was higher than that in the control group(P<0.05).There was no significant difference in the readmission rate between the two groups(P>0.05).The parents'satisfaction in the observation group was higher than that in the control group(P<0.05).Conclusion The application of LFIC in the care of premature BPD infants before discharge can effectively improve the growth speed,breastfeeding rate,parents'satisfaction and weight gain after discharge.

关 键 词：支气管肺发育不良 新生儿重症监护室 Levine守恒理论 家庭参与式护理 

分 类 号：R726.1[医药卫生—儿科] R473.72[医药卫生—临床医学]