袋鼠式+抚触辅助护理对新生儿神经发育、体格发育、睡眠质量的影响

Effects of kangaroo and touch assisted nursing on neurodevelopment,physical development,and sleep quality of newborns

目的:探讨袋鼠式+抚触辅助护理对新生儿神经发育、体格发育、睡眠质量的影响。方法:选取2023年1月至2023年12月郑州大学第三附属医院出生的新生儿212例。随机分为袋鼠式+抚触组和常规组,各106例。常规组给予常规护理模式,袋鼠式+抚触组在常规护理基础上给予袋鼠式+抚触辅助护理。干预1m后,采用母乳喂养测量工具(Breastfeedingassessmenttools,BAT)评估母乳喂养情况,采用中国婴儿睡眠状况评估量表(Infantssleep assessment scales,ISAS)评估睡眠质量,采用新生儿舒适度调查问卷评估舒适度,采用新生儿神经行为测定量表(Neonatal behavioral neurological assessment,NBNA)评估神经发育情况,采用正性与负性情绪量表(Positive and negativeaffectscale,PANAS)评估母亲心理状态,比较两组干预前后体格发育情况(身长、体重、头围情况)。结果:干预后,较常规组相比,袋鼠式+抚触组BAT评分、NBNA评分、母亲PANAS-正性评分、首次母乳喂养成功率、体重、身长、头围较高,而ISAS评分、母亲PANAS-负性评分较低(P<0.05)。结论:袋鼠式+抚触辅助护理用于新生儿中不仅可提高新生儿舒适度和睡眠质量,而且可改善其母亲心理状况及母乳喂养情况,从而有效促进新生儿神经、体格的发育。

Objective:To investigate the effects of kangaroo and touch assisted nursing on neonatal neurodevelopment,physical development,and sleep quality.Methods:A total of 212 newborns born in the Third Affiliated Hospital of Zhengzhou University from January 2023 to December 2023 were selected and randomLy divided into kangaroo+touch group and routine group,106 cases in each group.The routine group received routine nursing mode,and the kangaroo+touch group received kangaroo+touch assisted nursing based on the routine nursing.After 1 month of intervention,breastfeeding assessment tools(BAT)was used to detect the breastfeeding situation,infants sleep assessment scales(ISAS)was used to detect sleep quality,newborn comfort questionnaire was used to detect the comfort,neonatal behavioral neurological assessment(NBNA)was used to detect the neurodevelopment,positive and negative affect scale(PANAS)was used to detect the maternal mental state;physical development(length,weight,head circumference)were compared before and after intervention between the two groups.Results:After intervention,compared with routine group,BAT score,NBNA score,mother PANAS-positive score,the success rate of first breastfeeding,body weight,body length and head circumference were higher,ISAS score and mother PANAS-negative score were lower in kangaroo+touch group(P<0.05).Conclusion:Kangaroo+touch assisted nursing can not only improve the comfort and sleep quality of the newborn,but also improve the psychological condition and breastfeeding of the mother,to effectively promote the development of the newborn's nerves and physique.