家长参与式护理在早产儿中的应用效果

Application effects of parental participation nursing in premature infants

目的探讨家长参与式护理在早产儿中的应用效果。方法选取我院新生儿重症监护病房(NICU)2017年1月~2018年4月收治的早产儿120例进行研究。经重症监护病房治疗病情稳定后,随机分为对照组和观察组,两组均继续进行常规医学治疗,对照组于重症监护病房接受常规护理,观察组于母婴同室病房接受家长参与式护理。记录患儿出生时、出生6个月时体质量、身长、头围变化,比较母乳喂养率、住院时间、再次入院率以及总满意率。结果出生6个月后,两组早产儿体质量、身长、头围等指标均明显增加,观察组[(6827.45±352.47)g、(58.12±5.17)cm、(43.78±3.98)cm]上述各指标均高于对照组[(5982.57±358.89)g、(53.28±4.87)cm、(40.18±3.87)cm],差异有统计学意义(P<0.05)。观察组母乳喂养率(91.67%)明显高于对照组(76.67%),住院天数(9.17±2.24)d短于对照组(11.70±2.31)d,再入院率(5.00%)低于对照组(18.33%),差异有统计学意义(P<0.05)。观察组的总满意率(95.00%)明显高于对照组(78.33%),差异有统计学意义(P<0.05)。结论家长参与式护理对早产儿生长发育有积极促进作用,可提高母乳喂养率,缩短住院时间,降低再次入院率,提高家属对护理功能的满意率,值得临床推广使用。

Objective To investigate the application effects of parental participation nursing in premature infants.Methods 120 premature infants admitted and treated in the neonatal intensive care unit(NICU)of our hospital from January 2017 to April 2018 were selected for the study.After the condition became stable after treatment in the intensive care unit,the premature infants were randomly divided into the control group and the observation group.Both groups continued with routine medical treatment.The control group received routine nursing in the intensive care unit,while the observation group received parental participation nursing in the maternal and infant ward.The changes in body mass,body length,and head circumference at birth and after 6 months of birth were recorded.The breastfeeding rate,duration of hospitalization,readmission rate,and overall satisfaction rate were compared.Results After 6 months of birth,the body mass,body length,head circumference and other indexes of premature infants in the two groups were increased significantly;the above indexes in the observation group[(6827.45±352.47)g,(58.12±5.17)cm,(43.78±3.98)cm]were all higher than those in the control group[(5982.57±358.89)g,(53.28±4.87)cm,(40.18±3.87)cm],with statistically significant difference(P<0.05).In the observation group,the breast-feeding rate(91.67%)was significantly higher than that in the control group(76.67%),the duration of hospitalization[(9.17±2.24)d]was shorter than that in the control group[(11.70±2.31)d],and the readmission rate(5.00%)was lower than that in the control group(18.33%),with statistically significant difference(P<0.05).The overall satisfaction rate in the observation group(95.00%)was significantly higher than that in the control group(78.33%),with statistically significant difference(P<0.05).Conclusion Parental participation nursing has a positive effect on the growth and development of premature infants,can improve the breast-feeding rate,shorten the duration of hospitalization,reduce the readmission rate,and improve the satisfaction rate on nursing function of family members,which is worthy of clinical promotion and use.