以家庭为中心的护理模式在早产儿监护病房的应用研究

Study on the application of family-centered nursing model in intensive care unit of premature infants

目的 研究以家庭为中心的护理模式在早产儿监护病房中的应用效果.方法 选取我院2017年6月~2018年5月收治的早产儿共计200例,将其随机分为护理组(n=100)和对比组(n=100),对比组实施常规护理,护理组实施以家庭为中心的护理模式,比较分析不同组别早产儿体质量增长速度、神经行为发育评分及早产儿母亲焦虑评分.结果 两组早产儿住院期间体质量增长速度比较差异无统计学意义(P>0.05),出院60d后护理组早产儿体质量增长速度明显高于对比组,差异有统计学意义(P<0.05);两组早产儿的原始反射、被动肌张力和主动肌张力比较差异无统计学意义(P>0.05),但两组新生儿的行为能力比较差异有统计学意义(P<0.05);两组早产儿母亲产后当天焦虑评分比较差异无统计学意义(P>0.05),经一段时间护理后,护理组早产儿母亲在产后30d焦虑评分明显低于对比组,差异有统计学意义(P<0.05).结论 以家庭为中心的护理模式能够有效改善早产儿体质量增长和神经行为发育,减轻母亲产后焦虑症状,家庭照护质量明显提高,应在临床中推广并应用.

Objective To investigate the application effect of family-centered nursing model in intensive care unit of premature infants.Methods 200 premature infants admitted to our hospital from June 2017 to May 2018 were selected and randomly divided into the nursing group(n=100)and the comparison group(n=100).The comparison group was given conventional nursing and the nursing group was given family-centered nursing model.The body mass growth rate,neurobehavioral development scores and anxiety scores for the mothers of premature infants in the two groups were compared.Results There was no significant difference in the body mass growth rate between premature infants in the two groups during hospitalization(P>0.05).The body mass growth rate in the nursing group 60 days after discharge was significantly higher than that in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in raw reflex,passive muscle tone and active muscle tone between t premature infants in the two groups(P>0.05),but there were statistically significant differences in the comparison of behavioral ability between premature infants in the two groups(P<0.05).There was no significant difference in the anxiety scores for the mothers of premature infants between the two groups on the day after birth(P>0.05).After a period of nursing,the anxiety scores on postnatal day 30 for the mothers of premature infants in the nursing group were significantly lower than the control group,and the difference was statistically significant(P<0.05).Conclusion The family-centered nursing model can effectively improve the body mass growth and neurobehavioral development of premature infants,reduce the symptoms of postpartum anxiety of their mothers,and significantly improve the quality of family care,which should be popularized and applied in clinical practice.