抚触护理干预在早产儿喂养不耐受中的应用价值研究

Study on the application value of touch nursing intervention in the feeding intolerance of premature infants

目的分析在早产儿喂养不耐受中应用抚触护理干预的临床价值。方法将2014年1月~2016年12月入住我院新生儿重症监护室的238例早产儿随机均分为观察组、对照组进行研究,对照组早产儿给予常规护理干预,观察组早产儿在常规护理基础上加行抚触护理干预,对两组临床总有效率、护理前后生长发育情况、相关症状改善时间、MOT水平进行分析和比较。结果护理干预后,观察组临床总有效率(94.96%)明显比对照组临床总有效率(78.99%)高;护理干预后,两组早产儿体重、身长、上臀围三项生长发育指标水平均得到提高,观察组这些指标水平提高幅度比对照组高;护理干预后,两组早产儿腹胀、呕吐、胃潴留等症状均得到有效改善,观察组改善时间明显比对照组早;护理干预前,两组MOT水平比较无统计学差异,护理干预后,观察组MOT水平明显比对照组高。结论在早产儿喂养不耐受中应用抚触护理干预不仅可以有效提高生长发育水平,还可以及早改善不良症状,提高早产儿对喂养的耐受程度,具有显著临床价值。

Objective To analyze the clinical value of touch nursing intervention in feeding intolerance of premature infants. Methods 238 preterm infants in the neonatal intensive care unit from January 2014 to December 2016 were divided into the observation group and the control group. The control group was treated with routine nursing intervention. On the basis of routine nursing, the observation group was treated with touch nursing intervention. The total effective rate of two groups, the growth and development before and after nursing, the improvement time of the related symptoms and the level of MOT were analyzed and compared. Results After the intervention, the total effective rate （94.96%） in the observation group was significantly higher than that in the control group （78.99%）. After the nursing intervention, the growth and development indexes of weight, length and hip circumference of the two groups were improved, and the level of these indexes in the observation group was higher than that of the control group. After the nursing intervention, the symptoms of bloating, vomiting and gastric retention in premature infants of the two groups were improved, and the improvement time of the observation group was earlier than that of the control group. Before nursing intervention, there was no significant difference in MOT levels between the two groups. After nursing intervention, the MOT level in the observation group was significantly higher than that in the control group. Conclusion Application of touch nursing intervention in premature infants with feeding intolerance can not only effectively improve the growth and development level, but also improve early symptoms and improve the tolerance of premature infants to feeding, which has significant clinical value.