父母参与式干预对新生儿重症监护室早产儿母乳喂养的改善效果  

Effectiveness of the breastfeeding improvement of the parental participation intervention for premature infants in neonatal intensive care unit

作　　者：彭小容 罗毅 PENG Xiaorong;LUO Yi(Rongxian People's Hospital,Zigong,Sichuan Province,643100;The Second People's Hospital of Yibin City,West China Hospital Yibin Hospital,Sichuan University,Yibin,Sichuan Province)

机构地区：[1]四川省荣县人民医院,643100 [2]四川省宜宾市第二人民医院/四川大学华西医院宜宾医院

出　　处：《中国计划生育学杂志》2025年第2期346-350,共5页Chinese Journal of Family Planning

摘　　要：目的:观察父母参与式干预在改善新生儿重症监护室(NICU)早产儿母乳喂养效果。方法:选取2019年3月-2022年12月于本院NICU住院的早产儿92例,根据干预模式分为对照组43例和观察组49例。对照组为基础护理,观察组为父母参与式干预。比较两组早产儿喂养情况、母乳喂养适应性、恢复情况、新生儿父母赋权能力、并发症发生率及再住院率。结果:观察组总母乳喂养率(61.2%)高于对照组(30.2%),母乳喂养总适应率(73.5%)高于对照组(51.2%),新生儿体重高于对照组,夜间睡眠时长、出暖箱时长均长于对照组,且NICU住院时长(11.1±2.5d)短于对照组(13.6±3.9d),医疗信息、护理与治疗、科室设置、医务人员态度及父母参与性评分均高于对照组,并发症发生率(2.0%)、再住院率(2.0%)均低于对照组(13.9%、16.3%)(均P<0.05)。结论:父母参与式干预对新生儿NICU早产儿母乳喂养效果具有显著改善作用,有利于其预后康复且降低再出院率,对早产儿及父母具有积极影响。Objective: To observe the effectiveness of the breastfeeding improvement of the parental participation intervention for premature infants in neonatal intensive care unit(NICU). Methods: 92 preterm infants admitted to the NICU were selected and were divided into 43 cases in the control group and 49 cases in the observation group according to the intervention model from March 2019 to December 2022. The infants in the control group were given the basic nursing, and the infants in the observation group were given the parental participation intervention. The feeding condition, the breastfeeding adaptability, the recovery condition, the parental empowerment, the complication rate and the re-hospitalization rate of the infants were compared between the two groups. Results: The total breastfeeding rate(61.2%) and the total breastfeeding adaptation rate(73.5%) of the infants in the observation group were significantly higher than those(30.2% and 51.2%) of the infants in the control group. The newborn weight in the observation group was significantly higher than that of the infants in the control group. The durations of the night sleep and the out of the incubator of the infants in the observation group were significantly longer than those of the infants in the control group. The duration of NICU stay(11.1±2.5d) of the infants in the observation group was significantly shorter than that(13.6±3.9d) of the infants in the control group. The scores of the medical information, the nursing and treatment, the department of hospital setting, the medical staff attitude and the parental participation in the observation group were significantly higher than those in the control group. The complication rate(2.0%) and the re-hospitalization rate(2.0%) of the infants in the observation group were significantly lower than those(13.9% and 16.3%) of the infants in the control group(all P<0.05). Conclusion: Parental participation intervention for the premature infants in NICU can significantly improve their breastfeeding effect,and it is c

关 键 词：早产儿 新生儿重症监护室 父母参与式干预 母乳喂养 住院时长 再住院 

分 类 号：R47[医药卫生—护理学]