基于智能交互系统的全程管理模式在极低出生体重儿中的应用

Full course care for Very Low Birth Weight Infant with intelligent interactive system

目的:评价基于智能交互系统的全程管理模式在极低出生体重儿中的应用效果,为建立极低出生体重儿全程管理体系提供参考。方法:将2021年1月—12月及2022年1月—12月厦门市某三级医院收治的极低出生体重儿及其父母分别设置为对照组(n=42)及实验组(n=49)。对照组患儿住院期间接受责任护士的常规护理,出院后随访由随访中心的护士负责;实验组患儿接受由护理组长为主导的基于智能交互系统的全程管理模式。比较两组患儿体格生长与神经心理发育水平、父母满意度及随访依从性的差异。结果:实验组患儿父母满意度显著高于对照组(P<0.05);实验组患儿在纠正月龄1、3、6个月时的体格生长水平均优于对照组(P<0.05);纠正月龄3、6个月时,实验组随访依从性高于对照组(P<0.05);纠正月龄6个月时,实验组患儿的精细运动、适应性、个人-社交得分均高于对照组(P<0.05)。结论:借助智能交互系统实施以护理组长为主导的极低出生体重儿的全程管理,可促进患儿体格与智能发育,提高患儿父母的满意度及随访依从性。

Objective:To explore the effects of the full course care with intelligent interactive system on Very Low Birth Weight Infant(VLBWI)for providing a reference for establishing the whole-process management system of these infants.Methods:Totally 91 VLBWI and their parents were enrolled at a tertiary hospital in Xiamen from Jan 1,2021 to Dec 31,2022.The preterm who admitted from Jan,2022 to Dec,2022 were selected as experimental group(n=49),and those admitted from Jan,2021 to Dec,2021 were selected as control group(n=42).The experimental group received the full course care with intelligent interactive system.The control group received inpatient care and follow up by primary nurse and clinic nurse,respectively.Parental satisfaction at discharge,infants'anthropometric assessment and follow-up compliance and infants'neurodevelopment were compared.Results:Parental satisfaction of experimental group was higher than those of control group(P<0.05).The height and weight of the preterm infants in the experimental group were better than those of control group at the corrected age of 1,3 and 6 months(P<0.05).The follow-up compliance of experimental group were higher than those of control group at the corrected age of 3 and 6 months(P<0.05).In addition,the scores of fine motor,adaptability and social contact of infants in experimental group were higher than those of infants in control group at the corrected age of 6 months(P<0.05).Conclusion:With the help of intelligent interactive system,the full course care of VLBWI can realize integrated management of inpatient care and follow-up,which has significant clinical value for promoting the physical and intelligent development of infants,improving their parents'satisfaction and compliance.