父母参与的滋养性抚触在早产儿中的应用

Application of nourishing touch with parental involvement in premature infants

目的探讨父母参与的滋养性抚触在早产儿中的应用效果。方法选取2019年10月至2020年6月宜春市妇幼保健院新生儿重症监护室(NICU)收治的100例早产儿作为研究对象,采用抽签法(制作1~100数字纸签,按照抽中数字奇偶性)将其分为滋养抚触组(n=50)和常规组(n=50)。常规组采用常规发育支持进行干预,滋养抚触组采用父母参与的滋养性抚触进行干预。比较两组的体重变化、新生儿行为神经评分表(NBNA)评分、不良反应发生情况、每日睡眠时间、住院时间以及家属满意度。结果两组患者干预3周的体重均高于干预前,差异有统计学意义(P<0.05),滋养抚触组患者干预3周的体重高于常规组,差异有统计学意义(P<0.05);两组患者干预1、2、3周的NBNA评分均高于干预前,差异有统计学意义(P<0.05);滋养抚触组患者干预1、2、3周的NBNA评分均高于常规组,差异有统计学意义(P<0.05);滋养抚触组干预3周的不良反应总发生率低于常规组,差异有统计学意义(P<0.05);滋养抚触组的每日睡眠时间长于常规组,住院时间短于常规组,MPOC-20评分高于常规组,差异有统计学意义(P<0.05)。结论父母参与的滋养性抚触能够加快早产儿生长发育,降低不良反应发生率,提高家庭满意度。

Objective To explore the application effect of nourishing touch with parental involvement on premature infants.Methods A total of 100 premature infants admitted to neonatal intensive care unit(NICU)of Yichun Maternal and Child Health Care Hospital from October 2019 to June 2020 were selected as the study subjects,and they were divided into the nourishing touch group(n=50)and the routine group(n=50)according to the lottery(paper sticks with numbers 1-100 were made,according to the odevity of the numbers drawn).The routine group was given routine developmental support intervention,and the nourishing touch group was given nourishing touch with parental involvement for intervention.The body weight change,neonatal behavioral neurological assessment(NBNA),the occurrence of adverse reactions,daily sleep time,hospital stay and family satisfaction were compared between the two groups.Results The body weights of the two groups at 3 weeks of intervention were heavier than those before intervention,the differences were statistically significant(P<0.05).The body weight in the nourishing touch group at 3 weeks of intervention was heavier than that in the routine group,the difference was statistically significant(P<0.05).The NBNA scores at 1,2 and 3 weeks of intervention in the two groups were higher than those before intervention,the differences were statistically significant(P<0.05).The NBNA scores in the nourishing touch group at 1,2 and 3 weeks of intervention were higher than those in the routine group,the differences were statistically significant(P<0.05).The total incidence rate of adverse reactions at 3 weeks of intervention in the nourishing touch group was lower than that in the routine group,the difference was statistically significant(P<0.05).The daily sleep time in the nourishing touch group was longer than that in the routine group,while the hospital stay in the nourishing touch group was shorter than that in the routine group,and the measure of processes of care(MPOC-20)score in the nourishing touch group was higher than that in the routine group,the differences were statistically significant(P<0.05).Conclusion Nourishing touch with parental involvement can speed up the growth and development of premature infants,reduce the incidence rates of adverse reactions and improve the family satisfaction.