喂养困难早产儿行抚触和非营养性吸吮护理干预的应用效果观察

Observation on the effect of touching and non-nutritive sucking nursing intervention on premature infants with feeding difficulties

目的探讨喂养困难早产儿行抚触和非营养性吸吮护理干预,对喂养改善、并发症的发生和早产儿家属护理满意度的影响。方法依据纳入与排除标准,随机选取2016年1月至2017年12月深圳市龙华区中心医院产科出生的110例喂养困难早产儿为研究对象,采用随机数字法将其分为观察组和对照组,每组55例患儿。观察组患儿在对照组护理干预的基础上给予非营养性吮吸和抚触干预方案,对照组患儿行常规护理干预方案。比较两组患儿喂养困难干预效果、治疗相关指标变化、并发症发生情况和患儿家属护理满意度。结果观察组与对照组患儿喂养困难护理干预总有效率分别为94.5%和78.2%,组间差异具有统计学意义(P<0.05)。观察组患儿治疗相关指标优于对照组患儿,观察组患儿并发症发生率低于对照组患儿,组间差异均具有统计学意义(均P<0.05)。观察组与对照组患儿家属护理干预满意度分别为92.7%和78.2%,组间差异具有统计学意义(P<0.05)。结论喂养困难早产儿行抚触、非营养性吸吮护理干预,可以改善患儿喂养困难相关表现,提高干预效果和减少并发症的发生,患儿家属护理满意度高,具有重要的临床应用价值。

Objective To explore the effect of nursing intervention of touching and non-nutritive sucking on feeding improvement, complications and nursing satisfaction of family members of premature infants with feeding difficulties. Methods According to inclusion and exclusion criteria, 110 children with related diseases born in obstetrics department of our hospital from January 2016 to December 2017 were randomly selected and divided into the control group and the observation group, 55 children in each group. The control group received routine nursing intervention, while the observation group received non-nutritive sucking and touching intervention on the basis of the control group. The intervention effect of feeding difficulties, the change of treatment related indicators, the occurrence of complications and the nursing satisfaction of children′s family members were compared between the two groups. Results The total effective rates of intervention for feeding difficulties in the observation group and the control group were 94.5% and 78.2% respectively, with statistically significant difference between the two groups(P<0.05). The treatment-related indicators of the observation group were better than those of the control group, and the incidence of the observation group was lower than that of the control group, with statistically significant differences between the two groups(all P<0.05). The satisfaction rates of nursing intervention of the family members in the observation group and the control group were 92.7% and 78.2%, respectively, with statistically significant difference between the two groups(P<0.05). Conclusions Touching and non-nutritive sucking nursing intervention for premature infants with feeding difficulties can improve the related performance of feeding difficulties, improve the intervention effect and reduce the incidence of complications. The nursing satisfaction of family members of children with feeding difficulties is high, which has important clinical significance.