基于婴儿体位评估工具的体位管理结合发育支持性护理方法在早产儿中的应用效果

Application effect of position management based on infant position assessment tool combined with developmental supportive nursing on premature infants

目的探讨基于婴儿体位评估工具的体位管理结合发育支持性护理方法在早产儿中应用效果。方法选取2021年1月至2022年2月江西省萍乡市人民医院收治的60例早产儿作为研究对象,按随机数字表法分为对照组(n=30)与研究组(n=30),两组早产儿均给予常规的发育支持性护理,对照组采用鸟巢体位支持结合,研究组使用婴儿体位评估工具指导婴儿鸟巢体位摆放,比较两组早产儿的营养支持情况、喂养情况、生长发育情况以及临床结局。结果干预后,研究组早产儿的胃管留置时间、全肠内营养时间、呼吸机使用时间均短于对照组,差异有统计学意义(P<0.05);干预后,研究组早产儿喂养状态优于对照组,差异有统计学意义(P<0.05);干预后,研究组早产儿喂养不耐受发生率低于对照组,差异有统计学意义(P<0.05);干预前,两组早产儿体重、身长和头围比较,差异无统计学意义(P>0.05),干预后,两组早产儿体重、身长和头围均大于同组出生时,差异有统计学意义(P<0.05),研究组早产儿体重、身长和头围大于对照组,差异有统计学意义(P<0.05);干预后,研究组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论基于婴儿体位评估工具的体位管理与发育支持性护理相结合,有利于提高早产儿的喂养耐受度程度,促进生长发育,改善临床结局。

Objective To explore the application effect of position management based on infant position assessment tool combined with developmental supportive nursing on premature infants.Methods A total of 60 premature infants treated in Pingxiang People′s Hospital,Jiangxi Province,from January 2021 to February 2022 were selected as the research subjects,and they were divided into the control group(n=30)and the study group(n=30)by the random number table method.The two groups of premature infants were given routine developmental supportive nursing,and the control group was supported by bird′s nest position while the study group adopted infant position assessment tool to guide the placement of bird′s nest position.The nutritional support status,feeding status,growth and development and clinical outcomes were compared between the two groups of premature infants.Results After intervention,the gastric tube indwelling time,total enteral nutrition time and ventilator use time of premature infants in the study group were all shorter than those in the control group,the differences were statistically significant(P<0.05).After intervention,the feeding status of premature infants in the study group was better compared to the control group,the difference was statistically significant(P<0.05).The incidence rate of feeding intolerance in the study group after intervention was lower than that in the control group,the difference was statistically significant(P<0.05).There were no statistical differences in the body weight,body length and head circumference between the two groups of premature infants before intervention(P>0.05).After intervention,the body weight,body length and head circumference of premature infants in the two groups were greater than those at birth,the differences were statistically significant(P<0.05),and the body weight,body length and head circumference were greater in the study group than those in the control group,the differences were statistically significant(P<0.05).The total incidence rate of complications in the study group was lower than that in the control group after intervention,the difference was statistically significant(P<0.05).Conclusion The combination of position management based on infant position assessment tool and developmental supportive nursing is beneficial to enhancing the feeding tolerance,promoting the growth and development,and improving the clinical outcomes of premature infants.