NICU中实施系统化家庭参与式管理模式对母乳喂养结局影响分析

Analysis aboutthe impact of systematic family participatory management in NICU on breastfeeding outcomes

目的观察,新生儿重症监护病房(Newborn intensive care unit,NICU)中实施系统化家庭参与式管理模式对母乳喂养结局影响。方法研究对象为我科NICU在2019年3月至2020年3月时间段中接受的120例早产儿,通过计算机随机表数字法将其分为参照组(n=60)和研究组(n=60),参照组安排应用传统管理模式,研究组安排应用系统化家庭参与式管理模式,比较两组早产儿的母乳喂养情况、喂养临床结局情况、出院一般情况以及睡眠质量情况。结果组间母乳喂养率比较,参照组显著低于研究组(40.00%<86.67%),组间配方奶喂养率以及混合喂养率比较,参照组显著高于研究组(45.00%>10.00%;15.00%>3.33%)。在恢复出生体质量日龄方面,参照组时间显著长于研究组,在恢复出生体质量后体质量增长速度方面,参照组速度显著慢于研究组(P<0.05),在达到全肠道喂养日龄方面,组间数据差异无统计学意义(P>0.05)。在住院时间方面,参照组时间显著长于研究组,在住院费用方面,参照组费用显著高于研究组,在出院体重方面,参照组体重显著低于研究组,组间数据差异均形成统计学意义(P<0.05)。研究组夜间睡眠总量、白天睡眠总量以及睡眠总量均显著长于参照组(P<0.05)。结论系统化家庭参与式管理模式在NICU中具有良好的管理应用价值,不仅可以显著改善母乳喂养结局,同时还可以进一步促进其体质量增长,提高睡眠质量,缩短住院时间。

Objective To observe the impact of the systematic family participatory management model implemented in the newborn intensive care unit(NICU)on breastfeeding outcomes.Methods 120 premature infants accepted by NICU in our department from March2019 to March 2020 were collected as research objects.They were divided into reference group(n=60)andstudy group(n=60).The reference group wastreated with the traditional management model,whilestudy group wasgiventhe systematic family participatory management model.Breast-feeding,clinical feeding outcome,general discharge and sleep quality of premature infants were compared between the two groups.Results The breast-feeding rate in the reference group(40.00%)was significantly lower than that of the study group(86.67%),and the feeding rate of formula milkand mixed feeding in reference groupwere significantly higher than that of the study group(45.00%vs 10.00%;15.00%vs 3.33%).In terms ofincreaseof birth weight,the reference group spentsignificantly moretime than the study group.In terms of the growth rate of body weight after restoration,the reference group was significantly slower than the study group(P<0.05).In terms of age,there was no statistically significant difference between two groups(P>0.05).In terms of hospital stay,the reference group was significantly longer than the study group.In terms of hospitalization costs,the cost in the reference groupwas significantly higher than that in the study group.In terms of discharge weight,the weight inreference groupwas significantly lower than that in the study group.The differences between the groups were statistically significant(P<0.05).The sleep time at night,the sleep time during the day,and the total sleep time in the study group were significantly longer than those in the reference group(P<0.05).Conclusions The systematic family participatory management model has good applicationvaluein NICU.It can not only significantly improve the breast-feeding outcome,but also further promote the growth of its body mass,improve sleep quality,and shorten the length of hospitalization.