早产儿综合护理管理干预及效果分析

The comprehensive preterm infant nursing and management intervention and its effect

目的探讨早产儿综合护理管理的干预措施,为临床护理提供依据。方法选择2012年1—6月我院早产儿及其家长,随机分为对照组和干预组,各50例。对照组采用常规护理,干预组在常规护理基础上应用综合护理措施。结果干预组家长掌握日常护理、生长发育知识、正确喂养技能分别为94.0%,92.0%和88.0%,显著高于对照组的68.0%,70.0%和62.0%;干预组开奶时间为(1.90±0.41)d,短于对照组的(3.43±0.60)d(P<0.05);干预组7 d后吃奶量为(219.52±20.14)m L,高于对照组的(175.82±16.31)m L(P<0.05);干预组黄疸持续时间为(11.29±2.43)d,低于对照组的(14.52±2.71)d(P<0.05);干预组发生感染和营养不良分别为5例和13例,低于对照组的11例和19例(P<0.05);干预组体质量和身长增长分别为(21.42±2.01)g/d和(0.91±0.15)mm/d,均高于对照组的(18.13±1.80)g/d和(0.85±0.27)mm/d(P<0.05)。结论在常规护理基础上采用临床综合护理干预措施,可以有效提高家属健康知识和技能,促进早产儿健康生长发育。

Objective To explore the comprehensive preterm infant nursing management intervention and pro- vide the basis for clinical nursing. Methods The preterm infants from January to June of 2012 in our hospital were randomly divided into a control group and an intervention group, 50 cases in each group. The control group were treated with conventional care while the intervention group, based on the above treatment, were given integrated nursing measurement. Results The parents who master infants nursing, health knowledge and proper feeding skills in the intervention group were respectively 94.0% ,92.0% and 88.0%, significantly higher than those of the control group of 68.0%, 70.0% and 62.0%. The milk open time in the intervention group was （ 1.90±0.41 ） days, shorter than that in the control group （3.43±0.60） days （P〈0.05） ; the feeding amount in the intervention group was （219.52±20.14） mL after 7 days, higher than that of the control group （ 175.82 ±16.31 ） mL （ P〈 0.05）. The jaundice duration of the intervention group was （11.29±2.43） days, lower than that of the control group （14.52±2.71） days （P〈0.05）. Infection and malnutrition in the intervention group were 5 cases and 13 cases, lower than those in the control group of 11 cases and 19 cases （P〈0.05）. The body weight and length growth in the intervention group were （21.42±2.01） g/d and （0.91±0.15 ） mm/d, higher than those in the control group of （18.13±1.80） g/d and （0.85±0.27） mm/d （P〈0.05）. Conclusion The comprehensive nursing management intervention based on the conventional care can improve family health knowledge and, skills and promote the healthy growth and development of pretenn infants.