新生儿溢乳和睡眠护理中倾斜式卧位的应用价值体会

Experience on the Application Value of Tilting Decubitus in Neonatal Galactorrhea and Sleep Care

目的:探讨新生儿溢乳和睡眠护理中倾斜式卧位的应用价值。方法:选取2019年7月至11月厦门大学附属第一医院新生儿科的新生儿100例作为研究对象,按照随机数字表法分为观察组和对照组,每组50例,观察组新生儿采用倾斜式卧躺位,对照组新生儿采用左右交替侧睡,比较2组新生儿的开奶时间、溢奶情况、日均睡眠时间、护理满意度。结果:观察组新生儿开奶时间早于对照组新生儿;对照组新生儿溢奶发生率为32%;观察组溢奶发生率8%,观察组新生儿溢奶情况优于对照组,观察组新生儿睡眠时间长于对照组新生儿;2组比较差异有统计学意义(P<0.05)。结论:新生儿采用倾斜式卧位有效缩短开奶时间,降低溢奶的发生率,在对新生儿的护理中有着积极的效果,值得产科临床推广。

Objective:To explore the application value of inclined decubitus position in neonatal galactorrhea and sleep care.Methods:A total of 100 newborns from July to November 2019 in the Department of Neonatology,The First Affiliated Hospital of Xiamen University were selected as the research objects and divided into observation group and control group according to the random number table method,with 50 newborns in each group.In the observation group,50 neonates were placed in inclined lying position,while in the control group,50 neonates were placed in left and right alternating side sleeping.The time of opening milk,the situation of milk overflow,the average daily sleep time and nursing satisfaction were compared between the two groups.Results:Neonatal opening time in the observation group was earlier than that in the control group.The incidence of neonatal milk spillage in the control group was 32%.The incidence of milk overflow in the observation group was 8%.The condition of milk overflow in the observation group was better than that in the control group.The sleep time of newborns in the observation group was longer than that in the control group.The difference between the two groups was statistically significant(P<0.05).Conclusion:Tilting decubitus position can effectively shorten the time of milk opening and reduce the incidence of milk overflow,which has a positive effect on the nursing of newborn,and is worthy of clinical promotion of obstetrics.