以家庭为中心的护理在重症监护室支气管肺发育不良早产儿中的应用效果

The application of family-centered nursing of premature infants with bronchopulmonary dysplasia in the intensive care unit

目的研究以家庭为中心的护理在重症监护室支气管肺发育不良早产儿中的应用效果。方法选取2016年2月-2018年2月我院新生儿重症监护室收治的90例支气管肺发育不良早产儿为观察对象。通过随机抽签法将其分成实验组和对照组。对照组采用常规护理,实验组则采用以家庭为中心的护理。比较干预后2组患儿,出院时奶量以及体质量增至正常的人数占比,用氧时间与住院时间,并采用焦虑自评量表(self-rating anxiety scale,SAS)和抑郁自评量表(self-rating depression scale,SDS)评估2组患儿父母心理状况。结果出院时,实验组患儿奶量及体质量增至正常的人数多于对照组(χ^2=4.939,P=0.026;χ^2=5.075,P=0.024)。用氧时间、住院时间短于对照组(t=5.650,P<0.001;t=8.167,P<0.001)。实验组患儿父母SAS、SDS评分均低于对照组(t=5.409,P<0.001;t=7.017,P<0.001)。结论以家庭为中心的护理应用于支气管肺发育不良早产儿中效果显著,有利于促进患儿早日康复,缩短用氧时间以及住院时间,同时有利于改善患儿父母的焦虑、抑郁等不良情绪。

Objective To study the application effect of family-centered nursing of premature infants with bronchopulmonary dysplasia(BPD)in the intensive care unit.Methods Totally 90 BPD children admitted to the neonatal intensive care unit(NICU)of our hospital between February 2016 and February 2018 were selected and randomly divided into an experimental group and a control group,each of 45.The control group received routine care,while the experimental group received family-centered care.After the intervention,the percentage of infants with normal milk intake and weight,the duration of using oxygen and hospital stay were recorded and compared between the two groups.Meanwhile,the parents of both groups were assessed their psychological condition using the self-rating anxiety scale(SAS)and self-rating depression scale(SDS).Results The proportion of children with normal milk intake and weight was higher in the experimental group than that in the control group(χ^2=4.939,P=0.026;χ^2=5.075,P=0.024).Compared with the control group,the duration of oxygen use and hospital stay of the experimental group were significantly lower(t=5.650,P<0.001;t=8.167,P<0.001).After the intervention,the SAS and SDS scores of the parents of the experimental group were significantly lower than that of the control group(t=5.409,P<0.001;t=7.017,P<0.001).Conclusion Family-centered nursing has a significant effect on the BPD children,which can promote the early recovery of children,together with shortening the duration of oxygen use and hospitalization,relieving parents′anxiety and depression.