微信平台探视在新生儿重症监护室中的应用研究

Application of wechat platform visit in neonatal intensive care unit

目的探讨微信平台探视在新生儿重症监护室(NICU)中的应用效果。方法收集2020年3月—2021年3月在新余市妇幼保健院新生儿重症监护室接受治疗的新生儿的父亲或者母亲80名作为研究对象,按照随机数字表法分为2组,每组各40例。对照组采用NICU常规探视方法,试验组采用NICU联合微信平台探视法。分别应用焦虑自评估量表SAS对2组患儿家属入院时、第1次探视后及出院时进行评估调查。出院后由客服部进行满意度调查,比较2组家属焦虑程度差异及满意度差异;比较患儿体格发育指标、血清神经元特异性烯醇化酶(NSE)、S100蛋白、血清胃泌素(GAS)、胃动素(MTL)水平变化情况。结果观察组和对照组入院时患儿家属的SAS评分对比,差异无统计学意义(P>0.05);观察组第1次探视、第2次探视、出院时的SAS评分,均低于对照组同时期,组间比较差异有统计学意义(P<0.05)。观察组护理满意度和对照组护理满意度分别为97.50%、75.00%,组间比较差异有统计学意义(P<0.05);观察组和对照组干预前患儿体质量、头围、身长对比,差异无统计学意义(P>0.05);观察组和对照组干预后患儿体质量、头围、身长均高于同组干预前,数据间对比差异有统计学意义(P<0.05);观察组干预后患儿体质量、头围、身长均高于对照组同指标干预后,数据间对比差异有统计学意义(P<0.05);观察组和对照组干预前血清NSE、S100蛋白水平对比,差异无统计学意义(P>0.05);观察组和对照组干预后血清NSE、S100蛋白水平均低于同组干预前,数据间对比差异有统计学意义(P<0.05);观察组干预后患儿血清NSE、S100蛋白水平均低于对照组同指标干预后,数据间对比差异有统计学意义(P<0.05);观察组和对照组干预前患儿血清GAS、MTL水平对比,差异无统计学意义(P>0.05);观察组和对照组干预后患儿血清GAS、MTL水平均高于同组干预前,数据间对比差异有统计学意义(P<0.05);观察组干预后患儿血清GAS、MTL水平均高于对照组同指标干预后,数据间对比差异有统计学意义(P<0.05)。结论微信平台探视在新生儿重症监护室中的应用效果较好,可以改善患儿家属的SAS评分,提高护理满意度。

Objectives to explore the effect of wechat platform visit in neonatal intensive care unit.Methods 80 family members of children in Departuent of Neonatology will be collected as the research objects in this project.After being approved by the medical ethics committee of the hospital,the father or mother of newborns in the neonatal intensive care unit of Xinyu Maternal and Child Health hospital from March 2020 to March 2021 will be collected as the research objects.Control group:the routine visiting method of NICU in the Xinyu materual and child health hospital was used.Experimental group joint wechat platform visit method.SAS was used to evaluate the families of the two groups at admission,after the first visit and at discharge.After discharge,the customer service department conducted a satisfaction survey to compare the differences in anxiety and satisfaction between the two groups of family members;The changes of physical development index,serum NSE,S100 protein,serum gas and MTL were compared.Results There was no significant difference in SAS scores between the observation group and the control group at admission(P>0.05).The SAS scores of the observation group at the first visit,the second visit and discharge were lower than those of the control group at the same time,and the difference between the groups was significant(P<0.05).The nursing satisfaction of the observation group and the control group were 97.50%and 75.00%respectively,with significant difference between the groups(P<0.05).There was no significant difference in body weight,head circumference and body length between the observation group and the control group before intervention(P>0.05).The body weight,head circumference and body length of the children in the observation group and the control group after the intervention were higher than those in the same group before the intervention,and the difference between the data was significant(P<0.05).The body weight,head circumference and body length of the children in the observation group were higher than those in the control group after the intervention with the same index,and the difference between the data was significant(P<0.05).There was no significant difference in serum NSE and S100 protein levels between the observation group and the control group before intervention(P>0.05).After the intervention,the serum NSE and S100 protein levels in the observation group and the control group were lower than those before the intervention in the same group,and the difference between the data was significant(P<0.05).The levels of serum NSE and S100 protein in the observation group were lower than those in the control group after the intervention with the same index,and the difference between the data was significant(P<0.05).There was no significant difference in the levels of serum gas and MTL between the observation group and the control group before intervention(P>0.05).The levels of serum gas and MTL in the observation group and the control group after the intervention were higher than those before the intervention in the same group,and the difference between the data was significant(P<0.05).The levels of serum gas and MTL in the observation group were higher than those in the control group after the intervention with the same index,and the difference between the data was significant(P<0.05).Conclusion Wechat platform visit has a good effect in neonatal intensive care unit,which can improve the SAS score of children's families and improve nursing satisfaction.