个性化半需求喂养法改善早产儿经口喂养的效果评价  

Evaluation of the Effect of Personalized Semi Demand Feeding Method on Improving Oral Feeding of Premature Infants

作　　者：张明华 张明娟 ZHANG Minghua;ZHANG Mingjuan(Department of Neonatology,Xiamen Maternal and Child Health Hospital,Xiamen,Fujian 361003,China)

机构地区：[1]厦门市妇幼保健院新生儿科,福建厦门361003

出　　处：《中国医药指南》2025年第11期161-164,共4页Guide of China Medicine

摘　　要：目的探讨采取个性化半需求喂养法对于改善早产儿经口喂养的效果。方法选取厦门市妇幼保健院2022年3月至2024年2月接收的220例早产儿作为研究对象,按照护理干预方法不同分成对照组(110例)与观察组(110例)。对照组早产儿接受常规护理干预以及普通喂养方式,观察组早产儿则在对照组的基础上增加个性化半需求喂养法干预。评价并对比两组的喂养达标情况和胃管留置时间指标、随访3个月生长发育指标、不良反应情况以及家长满意度情况。结果干预后,观察组早产儿开始经口喂养时间(9.85±1.35)d、完全经口喂养时间(12.42±1.85)d、喂养达标时间(2.71±0.46)d、胃管留置时间(11.17±1.49)d均短于对照组[(11.45±1.71)d、(15.22±2.41)d、(4.55±0.62)d、(13.88±1.62)d](P<0.05)。随访3个月,观察组的早产儿身长(65.52±4.78)cm、体重(2101.15±104.15)g、头围(31.51±1.45)cm均高于对照组[(58.86±4.61)cm、(1886.25±97.22)g、(29.04±1.37)cm](P<0.05)。观察组的不良反应总发生率2.73%低于对照组11.82%(P<0.05)。观察组早产儿家长的总满意度90.83%高于对照组77.57%(P<0.05)。结论个性化半需求喂养法的干预方式能够缩短早产儿的喂养达标以及胃管留置时间,促进其生长发育,减少不良反应发生,提高家长满意度。Objective To explore the effect of adopting personalized semi demand feeding method on improving oral feeding of premature infants.Methods A total of 220 premature infants admitted to our hospital from March 2022 to February 2024 were selected as the research subjects,and were divided into a control group(110 cases)and an observation group(110 cases)according to different nursing intervention methods.The control group of premature infants received routine nursing interventions and regular feeding methods,while the observation group of premature infants received personalized semi demand feeding intervention on the basis of the control group.Evaluate and compare the feeding compliance,gastric tube retention time,growth and development indicators,adverse reactions,and parental satisfaction between the two groups during a 3-month follow-up.Results After intervention,the observation group of premature infants had shorter starting time for oral feeding(9.85±1.35)days,complete oral feeding time(12.42±1.85)days,feeding standard time(2.71±0.46)days,and gastric tube retention time(11.17±1.49)days compared to the control group[(11.45±1.71)days,(15.22±2.41)days,(4.55±0.62)days,(13.88±1.62)days](P<0.05).During a 3-month follow-up,the length(65.52±4.78)cm,weight(2101.15±104.15)g,and head circumference(31.51±1.45)cm of premature infants in the observation group were all higher than those in the control group[(58.86±4.61)cm,(1886.25±97.22)g,(29.04±1.37)cm](P<0.05).The total incidence of adverse reactions in the observation group was 2.73%,which was lower than that in the control group(P<0.05).The overall satisfaction rate of parents of premature infants in the observation group was 90.83%higher than that in the control group(P<0.05).Conclusions The intervention method of personalized semi demand feeding can shorten the feeding standards and gastric tube retention time of premature infants,promote their growth and development,reduce the occurrence of adverse reactions,and improve parental satisfaction.

关 键 词：个性化半需求喂养法 早产儿 经口喂养 生长发育 

分 类 号：R473.72[医药卫生—护理学]