观察鸟巢式护理干预对新生儿睡眠质量及生理功能的影响

To Observe the Effect of Bird Nest Nursing Intervention on Sleep Quality and Physiological Function of Neonates

目的:观察鸟巢式护理干预对新生儿睡眠质量及生理功能的影响。方法:选取2019年2月至2021年3月福建医科大学附属第一医院新生儿科出生的新生儿90例作为研究对象,按照随机数字表法随机分为观察组和对照组,每组45例。对照组给予常规护理干预,观察组在对照组基础上给予鸟巢式护理干预,并对2组新生儿睡眠时间、出暖箱时间、体质量、身高、肠道功能、并发症、神经发育情况给予对比分析。结果:护理干预后,观察组睡眠时间比对照组长;观察组出暖箱时间比对照组短;观察组体质量与身高均比对照组高;观察组进奶量增加、排便次数均比对照组多;观察组胎便转黄时间比对照组短;观察组并发症发生率低于对照组,2组比较差异有统计学意义(P<0.05);出生1个月后,2组新生儿的神经发育情况均高于出生时,观察组出生后1个月的神经发育评分高于对照组,2组比较差异有统计学意义(P<0.05);观察组新生儿的每日哭闹次数少于对照组,体温波动幅度小于对照组,2组比较差异有统计学意义(P<0.05)。结论:新生儿给予鸟巢式护理的临床价值显著,可有效改善新生儿的睡眠质量与生理功能,减少并发症出现,促进新生儿的健康发育。

Objective:To observe the effect of nest nursing intervention on sleep quality and physiological function of neonates.Methods:A total of 90 neonates born in the Department of Neonatology of the First Affiliated Hospital of Fujian Medical University from February 2019 to March 2021 were selected as the research objects,and randomly divided into the observation group and control group according to the random number table,with 45 cases in each group.The control group was given routine nursing intervention,and the observation group was given bird nest nursing intervention on the basis of the control group.The sleep time,time out of the incubator,body mass,height,intestinal function,complications,and nerve development of the two groups of children were compared and analyzed.Results:After nursing intervention,the sleep time of the observation group was longer than the control group;the time out of the incubator in the observation group was shorter than the control group;the body weight and height of the observation group were higher than the control group;The milk intake and defecation frequency of the observation group were more than the control group;The time of fetal stool turning yellow in the observation group was shorter than the control group;The incidence of complications in the observation group was lower than the control group,and the difference between the 2groups was statistically significant(P<0.05);After one month of birth,the neural development of newborns in both groups was higher than that at birth,and the neural development score in the observation group was higher than the control group one month after birth,with a statistically significant difference between 2 groups(P<0.05);The daily crying frequency of newborns in the observation group was less than the control group,and the temperature fluctuation amplitude was less than the control group.The difference between the 2 groups was statistically significant(P<0.05).Conclusion:The clinical value of bird’ s nest nursing for newborn is significant,which can effectively improve the sleep quality and physiological function of newborn,reduce the occurrence of complications,and promote the healthy development of newborn.