延续护理服务对出院早产儿生长发育的影响

Influence of extended nursing intervention on growth and development of premature infants after discharge

目的探讨延续护理服务对出院早产儿生长发育的影响。方法将122例早产儿随机分为对照组和观察组各61例。对照组接受常规的健康教育和出院指导;观察组实施延续护理服务,包括住院期间指导家长掌握早产儿喂养、护理知识,出院后进行电话咨询、上门访视、预约早产儿专家门诊、开通网络服务,及时解决家长护理早产儿过程中出现的各种问题等。结果 3个月后,两组生长发育指标及1年后患病率比较,除鹅口疮外,差异有统计学意义(P<0.05,P<0.01)。结论延续护理服务模式可促进早产儿的生长发育,降低早产儿患病及再住院率。

Objective To evaluate the influence of extended nursing intervention on growth and development of premature infants after discharge. Methods Totally,122 discharged premature infants were randomly divided into an observation group（n=61） and a control group（n=61）.The control group received routine post-discharge nursing instruction and follow-ups.The observation group were subjected to an extended nursing intervention program：their parents were taught by nurses about how to feed and nurse premature babies;they were visited by two designated nurses at home after discharge;they were given telephone follow-up;a specia-list-appointment system and internet service were initiated for parents to solve problems during home care. Results After 3 months,the proportion of babies whose development reached the standard in the observation group was higher than that in the control group;after 1 year,the incidence of common diseases（except thrush） in the observation group was lower than that in the control group（P0.05,P0.01）. Conclusion Extended nursing intervention has positive influence on the growth and development of premature infants and can improve their health and quality of life.