集束化综合管理结合水床式鸟巢护理对早产儿神经行为、生长发育及喂养情况的影响

Effects of clustering integrated management combined with water-bed bird nest nursing on neurobehavior,growth and development and feeding of premature infants

目的探讨集束化综合管理结合水床式鸟巢护理对早产儿神经行为、生长发育及喂养情况的影响。方法将80例早产儿采用抽签法以单双号分组形式随机分为对照组与观察组,各40例。对照组采用常规护理干预,观察组在对照组基础上采用集束化综合管理结合水床式鸟巢护理干预。比较两组的干预效果。结果干预后,两组的NBNA各维度评分均升高,且观察组高于对照组(P<0.05)。干预后,两组的体质量、头围及身长均增加,且观察组大于对照组,差异具有统计学意义(P<0.05)。观察组的纯母乳喂养率高于对照组,人工喂养率低于对照组(P<0.05)。结论集束化综合管理结合水床式鸟巢护理应用于早产儿中,可改善其神经行为、生长发育情况,提高纯母乳喂养率。

Objective To explore the effects of clustering integrated management combined with water-bed bird nest nursing on neurobehavior,growth and development and feeding of premature infants.Methods A total of 80 premature infants were randomly divided into control group and observation group by lottery in the form of single and double numbers,with 40 cases in each group.The control group was given routine nursing intervention,and the observation group was given clustering integrated management combined with water-bed bird nest nursing intervention on the basis of the control group.The intervention effects of the two groups were compared.Results After the intervention,the each dimension of NBNA scores in the two groups increased,and those in the observation group were higher than the control group(P<0.05).After the intervention,the body weight,head circumference and body length in the two groups increased,and those in the observation group were greater than the control group,the differences were statistically significant(P<0.05).The exclusive breastfeeding rate in the observation group was higher than that in the control group,and the artificial feeding rate was lower than that in the control group(P<0.05).Conclusion The clustering integrated management combined with water-bed bird nest nursing applied in premature infants can ameliorate neurobehavior,growth and development,and improve the exclusive breastfeeding rate.