母乳喂养闭环管理在NICU患儿中的应用效果

Effect of the application effect of breastfeeding closed-loop management in NICU patient children

目的探讨母乳喂养闭环管理在新生儿重症监护病房(NICU)患儿中的应用效果。方法选取2020年1月至2021年1月浙江省台州医院接收的NICU住院早产儿377例,根据随机数字表分法将其分为常规组(190例)、闭环管理体系组(187例),分别给予两组常规干预及母乳喂养闭环管理体系干预。比较两组母乳喂养自我效能、技能、知识及时间能力,评估早产儿发育情况,分析不同时段内母乳喂养率。结果干预后,两组早产儿头围大于干预前,身高、体重高于干预前,且闭环管理体系组早产儿头围大于常规组,身高、体重高于常规组(P<0.05);两组产妇内心活动度、技能及总分及喂养技能、喂养知识、实践能力评分均高于干预前,且闭环管理体系组高于常规组(P<0.05);闭环管理体系组首次母乳喂养日龄、纯母乳喂养时间、静脉营养时间短于常规组,喂养不耐受时间低于常规组(P<0.05);闭环管理体系组住院期间及出院1个月后母乳喂养率均高于常规组(P<0.05)。结论对NICU早产儿建立母乳喂养闭环管理体系,降低早产儿母乳喂养不耐受情况,促进其发育;显著改善产妇母乳喂养自我效能,提升母乳喂养率,有效帮助产妇对母乳喂养树立积极心态,临床应用价值较高。

Objective To probe the effect of closed loop management of breastfeeding in neonatal intensive care unit(NICU)patient children.Methods A total of 377 premature infants admitted to NICU of Taizhou Hospital in Zhejiang Province from January 2020 to January 2021 were selected,according to the random number table method,they were divided into the conventional group(190 cases)and the closed-loop management system group(187 cases),two groups were given routine intervention and breastfeeding closed-loop management system.Breastfeeding self-efficacy,skills,knowledge,and time ability were compared between the two groups,the development of preterm infants was assessed,and the breastfeeding rate in different periods was analyzed.Results After intervention,the head circumference of preterm infants in the two groups was greater than that before intervention,and the height and weight of preterm infants in the closed-loop management system group were higher,while the height and weight of preterm infants in the conventional group were higher than those in the conventional group(P<0.05);the scores of inner activity,skills and total scores,feeding skills,feeding knowledge,and practical ability in both groups were higher than those before intervention,and the closed-loop management system group was higher than the conventional group(P<0.05).The scores of inner activity,skills and total scores,feeding skills,feeding knowledge,and practical ability of the two groups were higher than those before intervention,and the closed-loop management system group was higher than the conventional group(P<0.05);the first breastfeeding age,exclusive breastfeeding time,and intravenous nutrition time in the closed-loop management system group were shorter than those in the conventional group,and the feeding intolerance was lower than that in the conventional group(P<0.05).The breastfeeding rate during hospitalization and one month after discharge in the closed-loop management system group were higher than those in the conventional group(P<0.05).Conclusion Closed-loop breastfeeding management system is established for premature infants in NICU to reduce their intolerance to breastfeeding and promote their development.Significantly improve the self-efficacy of maternal breastfeeding,improve the rate of breastfeeding,effectively help maternal breastfeeding to establish a positive attitude,high clinical application value.