以家庭为中心的群组式干预在新生儿抚触护理中的应用

Application of family-centered group intervention in touch nursing of neonates

目的探究以家庭为中心的群组式干预在新生儿抚触护理中的临床价值。方法选取2019年6月至2020年6月在复旦大学附属妇产科医院出生的健康新生儿104例作为观察对象,以随机抛硬币的方式分为观察组和对照组,各52例。对照组给予常规抚触护理,观察组在对照组的基础上给予家庭为中心的群组式干预护理,观察记录的时间设定为6个月。比较两组新生儿体格检查指标及喂养状态、黄疸消退情况、家庭的照顾能力。结果干预前对照组与观察组的体重、身长、头围比较,差异无统计学意义(P>0.05),干预后与对照组比较,观察组的体格发育较好(P<0.05);两组干预后喂养状态比较,观察组的母乳喂养率为96.67%,高于对照组的87.25%;观察组黄疸消退时间比对照组快,首次排便时间、胎便转黄时间也快于对照组,黄疸指数较对照组低,差异有统计学意义(P<0.05);两组护理满意度比较,观察组护理满意度高于对照组,差异有统计学意义(P<0.05)。结论以家庭为中心的群组式干预新生儿抚触,可有效促进新生儿的体格发育、改善喂养状态、减轻新生儿黄疸症状,因此,可用于临床实践中推广。

Objective To explore the clinical value of family-centered group intervention in touch nursing of neonates.Methods A total of 104 healthy newborns born in Obstetrics and Gynecology Hospital Affiliated to Fudan University from June 2019 to June 2020 were selected as the observation objects and were divided into observation group and control group by random coin toss,with 52 cases in each group.The control group was given routine touch nursing,while the observation group was given family-centered group intervention nursing on the basis of the control group.The time of observation and recording was set to 6 months.The physical examination indicators and feeding status,jaundice subsidence and family care ability were compared between the two groups of neonates.Results There were no significant differences in body weight,body length and head circumference between control group and observation group before intervention(P>0.05),and the physical development was better in the observation group compared to the control group after intervention(P<0.05).After intervention,the breastfeeding rate of the observation group(96.67%)was higher than that of control group(87.25%).The time of jaundice resolution in the observation group was faster than that in the control group,and the time of first defecation and time of meconiun turning yellow were also faster than those of the control group,and the jaundice index was lower than that of the control group,and the differences were statistically significant(P<0.05).Comparing the nursing satisfaction between the two groups,the nursing satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusions Family-centered group intervention of neonatal touch can effectively promote the physical development,improve the feeding status and relieve the symptoms of neonatal jaundice.Therefore,it can be used in clinical practice.