基于Ahmadi理论的袋鼠式延续性护理在足月儿中的应用

Application of kangaroo mother care in term infants based on Ahmadi theory

目的探讨基于Ahmadi理论的袋鼠式延续性护理在足月儿中的应用效果。方法选取2021年5—10月出生的足月新生儿160例为研究对象,按照组间基线资料可比的原则分为观察组和对照组,各80例。对照组给予产科常规护理措施与出院指导,观察组在对照组的基础上给予基于Ahmadi理论的袋鼠式延续性护理,比较两组新生儿出生时、出院后42 d、出院后90 d的身高、体质量、头围及纯母乳喂养率;比较两组母亲相同时间点的母乳喂养自我效能得分。结果护理干预后,观察组新生儿出生后90 d的身高、体质量、头围优于对照组,差异有统计学意义(P<0.05);观察组新生儿出生后3 d、42 d、90 d的纯母乳喂养率均高于对照组(P<0.05)。结论基于Ahmadi理论的袋鼠式延续性护理能够促进足月新生儿的体格发育及母乳喂养,且经济安全、便捷有效。

Objective To explore the application effect of kangaroo mother care in term infants based on Ahmadi theory.Methods A total of 160 full-term neonates born from May to October 2021 were selected as study subjects and divided into observation group and control group with 80 cases in each group according to the principle of comparable baseline data between groups.The control group was given routine obstetric nursing measures and discharge guidance,and the observation group was given kangaroo mother care based on Ahmadi theory on the basis of the control group.The height,body mass,head circumference and exclusive breastfeeding rate of newborns in the two groups were compared at birth,42 d after discharge and 90 d after discharge.Breastfeeding self-efficacy scores were compared between the two groups at the same time point.Results After nursing intervention,the height,body weight and head circumference of newborns in the observation group were better than the control group at 90 days after birth,and the difference was statistically signifi cant(P<0.05).The rate of exclusive breastfeeding at 3 d,42 d and 90 d after birth in the observation group was higher than that in the control group(P<0.05).Conclusion Kangaroo mother care based on Ahmadi theory can promote physical development and breastfeeding of full-term newborns,and is economical,safe,convenient and effective.