家庭综合音乐疗法联合袋鼠护理对NICU早产儿行为神经能力和母亲心理状态的影响

Effect of Family Music Therapy Combined with Kangaroo Nursing on the Behavioral and Neurological Abilities of Premature Infants in NICU and the Psychological State of Mothers

目的探讨家庭综合音乐疗法(FMT)联合袋鼠护理对新生儿重症监护室(NICU)早产儿行为神经能力和母亲心理状态的影响.方法选择2020年6月—2023年9月威海市妇幼保健院收治的84例早产儿为研究对象,按随机数字表法将其分为对照组和观察组,各47例.对照组实施常规护理,观察组实施FMT联合袋鼠护理.对比两组的早产儿行为神经能力、体格发育、母亲心理状态.结果护理前,两组新生儿神经行为测定量表(NBNA)评分、头围、身长、体重对比,组间差异无统计学意义(P>0.05);护理后,观察组NBNA评分高于对照组,头围大于对照组,身长长于对照组,体重重于对照组,组间差异有统计学意义(P<0.05).护理前,两组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分对比,组间差异无统计学意义(P>0.05);护理后,观察组SAS、SDS评分均低于对照组,组间差异有统计学意义(P<0.05).结论在NICU早产儿中实施FMT联合袋鼠护理,能够有效改善早产儿的行为神经能力,加强其体格发育,还可缓解早产儿母亲的心理状态.

Objective To explore the effects of family music therapy(FMT)combined with kangaroo nursing on the behavioral and neurological abilities of premature infants in the neonatal intensive care unit(NICU)and the psychological status of mothers.Methods 84 NICU premature infants admitted to Weihai Maternal and Child Health Hospital from June 2020 to September 2023 were selected as the research subjects.They were randomly divided into a control group and an observation group,with 47 cases in each group.The control group received routine care,while the observation group received FMT combined with kangaroo nursing.Compare the behavioral and neurological abilities,physical development,and maternal psychological status of premature infants between two groups.Results Before nursing,there was no statistically significant difference in the scores of the Neonatal Behavioral Neurological Assessment(NBNA),head circumference,body length,and weight between the two groups(P>0.05);after nursing,the NBNA score of the observation group was higher than that of the control group,with a head circumference larger than that of the control group,a body length longer than that of the control group,and a weight heavier than that of the control group,and the differences between the groups were statistically significant(P<0.05).Before nursing,there was no statistically significant difference in the scores of the Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)between the two groups(P>0.05);after nursing,the SAS and SDS scores of the observation group were lower than those of the control group,and there was a statistically significant difference between the groups(P<0.05).Conclusion Implementing FMT combined with kangaroo nursing in NICU premature infants can effectively improve their behavioral and neurological abilities,enhance their physical development,and alleviate the mother's psychological state.