延续性护理干预在极低出生体质量新生儿生长发育的效果观察

Effect research of transitional care on very low birth weight infant growth and development

目的探讨延续性护理干预在极低出生体质量新生儿生长发育的效果观察。方法选择住院并分娩的符合入选标准的极低出生体质量儿97例,按照采用的护理方式不同,分为接受常规健康护理的对照组和采用延续性护理干预的实验组。通过对婴儿进行随访12月,比较两间体格发育情况以及神经心理发育情况。结果通过两因素重复测量方差分析比较可以看出,极低出生体质量儿的各项指标的时间、组间以及与时间的交互作用的整体情况,差异有统计学意义(P<0.05)。组内比较:两组极低出生体质量儿的各项指标随着时间的进展,均呈上升趋势(P<0.05);组间比较:实验组的体质量和头围和对照组相比均明显增长,差异有统计学意义(P<0.05),身长差异无统计学意义(P>0.05)。两组极低出生体质量儿总平均发育商,发现实验组在6月龄、9月龄以及12月龄时均较对照组增加,两组比较差异有统计学意义(P<0.01)。结论延续性护理干预能有效的促进极低出生体质量新生儿体格发育以及神经心理发育,有助于改善极低出生体质量新生儿的生活质量。

Objective To explore the effect of transitional care on very low birth weight infant growth and development.Methods Ninety-seven cases of infants were selected,who conformed to the criteria of very low birth weight.The infants were assigned into control group and experimental group according to the different nursing approaches.The control group was treated with routine health nursing,while the experimental group was treated with transitional care.The babies were followed up for 12 months,and the physical development and neuropsychological development were compared between the two groups.Results There were significant differences in the time of indicators of very low birth weight,components,and the interaction of components with the time indicated by two factors repetitive measure analysis （P〈0.05）.The indicators in both groups had a tendency of rise as time progressed （P〈0.05）;Weight and head circumference of the experimental group increased significantly compared with the control group;the difference was statistically significant （P〈0.05）.There was no statistically significant difference in body length （P〉0.05）.Very low birth weight of two groups,The total average development inthe experimental group was higher than the control group at 6 months,9 months and 12 months,the difference between which was statistically significant （P〈0.01）.Conclusions Transitional care can effectively promote the physical development and neuropsychological development of very low birth weight infants,and improve the quality of life of the infants.