“鸟巢式”护理在新生儿游泳中的应用研究

Application research on “bird nest” nursing in neonatal swimming

目的探讨"鸟巢式"护理在新生儿游泳中的应用效果。方法以本院足月出生的188例新生儿为研究对象,将其随机分成两组,观察组(94例)采取"鸟巢式"游泳护理,对照组(94例)采取常规游泳护理,观察记录两组出院时体重、体温差、皮肤破损、胎便初排时间、胎便排清时间、胎便次数、摄乳量、易惊反应、哭闹持续时间、睡眠时间,自行设计问卷调查两组患儿家属的满意度。结果两组出院时体重变化、体温差、胎便初排时间比较差异无统计学意义(P>0.05),观察组皮肤破损率、胎便排清时间、胎便次数、易惊反应次数、哭闹持续时间、睡眠时间、摄乳量各项指标均明显好于对照组(P<0.05),观察组家属满意度95.74%,对照组家属满意度80.85%,组间比较差异有统计学意义(P<0.05)。结论 "鸟巢式"游泳护理有助于新生儿身心的健康成长,是一项值得推广的保健项目。

Objective To explore the application effect of ＂bird nest＂ nursing in neonatal swimming. Methods 188 cases of full-time neonatal in our hospital were selected and randomly divided into observation group and control group with 94 cases in each. Neonatal in observation group were given ＂bird nest＂ swimming nursing, and neonatal in control group were given routine swimming nursing. Weight at discharge, temperature difference, skin damage, the first meconium time, clearing time for fetal, meconium times, milk intake, shock response, duration of crying, sleep time of the two groups were recorded. Self-designed questionnaire was used to investigate satisfaction of children family of the two groups. Results There were no statistical significances on change of body weight, temperature difference at discharge, the first meconium time of the two groups（P 〉 0.05）. The indexes of skin damage rate, clearing time for fetal, meconium times, shock response times, duration of crying, sleep time, milk intake were all significantly better than those of control group（P 〈 0.05）. Family satisfaction of observation group was 95.74%, and family satisfaction of control group was 80.85%. The difference between the two groups was statistically significant（P 〈 0.05）. Conclusion The ＂bird nest＂ swimming nursing is benefit to physically and mentally healthy growth of newborn. It is a worthy promotion of health care project.