延续性护理模式在促进早产儿生长发育中的实践研究

Practical research on continuous nursing model in promoting the growth and development of premature infants

目的探讨延续性护理模式在早产儿生长发育中的应用效果。方法选取新生儿重症监护室早产儿122例为研究对象,按入住时间分为对照组60例和实验组62例,对照组接受常规护理,实验组以Ahmadi延续性护理模式为理论依据构建早产儿从入院、住院至居家的延续性护理方案。于早产儿2月龄、3月龄、4月龄、5月龄、6月龄收集两组早产儿体格发育状况、再入院率及神经心理发育检查评估得分。结果实验组早产儿身长、头围、体质量均高于对照组(P<0.01或P<0.05),再入院率低于对照组(P<0.05),神经心理发育各能区及总发育商高于对照组(P<0.01或P<0.05)。结论以Ahmadi延续性护理模式为理论依据的早产儿生长发育延续性护理方案,可有效促进早产儿的生长发育,降低再入院率。

Objective To explore the effect of continuous nursing model in the growth and development of preterm infants.Methods Totally,122 patients were divided into control group （n =60） and experimental group （n =62） according to the time of admission.The control group recieved routine nursing.The experimental group was based on the continuous nursing model of Ahmadi to construct the continuous nursing program of premature children from admission to hospital.The physical development status,hospitalization rate and neuropsychological development assessment score of premature infants were collected at 2 months olds,3 months old,4 months old,5 months old and 6 months old.Results The body length,head circumference and body weight of the experimental group were higher than those of the control group （P 〈 0.01 or P 〈 0.05）.The readmission rate was lower than the control group （P 〈 0.05）,neuropsychological development of the energy and the total development of the experimental were higher than those of the control group （P 〈 0.01 or P 〈 0.05）.Conclusion Continuous nursing model of premature infants with Ahmadi continuous nursing model can effectively promote the growth and development of preterm infants and reduce the readmission rate.