路径化健康教育在新生儿家庭病房中的应用研究  

Research on the application of health education pathway in neonatal home wards

作　　者：余静 熊秋兰 刘露 李华 YU Jing;XIONG Qiulan;LIU Lu;LI Hua(Jiangxi Provincal Children′s Hospital,Nanchang,Jiangxi 330000,China)

机构地区：[1]江西省儿童医院,江西南昌330000

出　　处：《现代医药卫生》2025年第3期694-697,702,共5页Journal of Modern Medicine & Health

基　　金：江西省卫生健康委员会科技计划项目(202311053)。

摘　　要：目的 探讨路径化健康教育在新生儿家庭病房中的应用效果。方法 选取2022年11月至2024年2月在该院新生儿家庭病房住院的新生儿家庭(79例)作为研究对象,采用随机数字表法分为研究组(39例)和对照组(40例)。对照组予常规医疗护理,研究组在常规医疗护理下给予路径化健康教育。对比2组新生儿家属心理状况(焦虑自评量表、抑郁自评量表评分)、护理知识知晓率、家属满意度,以及出院1个月新生儿体格发育情况与再住院率。结果 研究组新生儿家属出院当天焦虑自评量表评分(44.52±3.65)分、抑郁自评量表评分(50.24±3.12)分均明显低于对照组[分别为(49.24±3.86)、(52.16±3.69)分],护理知识总知晓率92.31%(36/39)、家属总满意度94.87%(37/39)均明显高于对照组[分别为75.00%(30/40)、72.50%(29/40)],新生儿出院1个月身长(61.12±2.50)cm、体重(4.78±0.78)kg、头围(39.85±1.46)cm均明显优于对照组[分别为(59.98±2.12)cm、(4.35±0.67)kg、(37.78±1.32)cm],差异均有统计学意义(P<0.05);再住院率2.56%(1/39)与对照组12.50%(5/40)比较,差异无统计学意义(P>0.05)。结论 在新生儿家庭病房中采用路径化健康教育可缓解新生儿家属的心理状况,提高其护理知识知晓率与满意度,促使新生儿体格发育。Objective To explore the application effect of health education pathway in neonatal home wards.Methods A total of 79 newborn families hospitalized in the neonatal home ward from November 2022 to February 2024 were selected as the research subjects.They were randomly divided into the research group(39 cases)and the control group(40 cases)by random number table method.The control group received routine medical care,while the research group received health education pathway based on routine medical care.The psychological status of family members(self-rating anxiety Scale,self-rating depression scale score),nursing knowledge awareness rate,family satisfaction rate,physical development and re-hospitalization rate of children 1 month after discharge were compared between the two groups.Results The scores of SAS(44.52±3.65)points and SDS(50.24±3.12)points in the study group were significantly lower than those in the control group[(49.24±3.86)points,(52.16±3.69)points].The total awareness rate of nursing knowledge[92.31%(36/39)]and the total satisfaction of family members 94.87%(37/39)in the control group were significantly higher than those in the control group[75.00%(30/40),72.50%(29/40)].One month after discharge,the length(61.12±2.50)cm,weight(4.78±0.78)kg and head circumference(39.85±1.46)cm of the children in the control group were significantly better than those in the control group[(59.98±2.12)cm,(4.35±0.67)kg,(37.78±1.32)cm].The differences were statistically significant(P<0.05).There was no significant difference in re-hospitalization rate between the two groups[2.56%(1/39)vs.12.50%(5/40),P>0.05].Conclusion The application of health education pathway in neonatal family wards can alleviate the psychological status of the family members of newborns,improve their awareness rate of nursing knowledge and satisfaction,and promote the physical development of children.

关 键 词：家庭病房 路径化健康教育 心理状况 

分 类 号：R722.1[医药卫生—儿科]