以家庭为中心的多元化延伸服务在早产儿视网膜病变中的应用

Application of family-centered diversified extended services in treating retinopathy of premature infants

目的观察以家庭为中心的多元化延伸服务在早产儿视网膜病变(ROP)中的应用效果。方法选取ROP早产儿100例,采用随机数字表法分为对照组和观察组,每组50例。对照组行常规护理服务,观察组行以家庭为中心的多元化延伸服务。比较2组患儿家长依从性、患儿眼部参数情况、患儿家长照护过程测量表-20(MPOC-20)评分及中文版育儿胜任感量表(C-PSOC)评分。结果观察组家长依从性优于对照组,观察组患儿干预1个月后眼压下降程度高于对照组,距巩膜突500μm处房角角度(ACA500)、中央前房深度(CACD)及距巩膜突500μm处房角开放距离(AOD500)大于对照组,干预后观察组家长MPOC-20、C-PSOC评分高于对照组,差异均有统计学意义(P<0.05)。结论以家庭为中心的多元化延伸服务,可以提高患儿家长参与治疗的依从性以及对护理服务的满意度,改善ROP患儿眼部情况,增强患儿家长育儿胜任感,对ROP患儿预后恢复具有积极作用。

Objective To observe the application effect of family-centered diversified extended services in treating retinopathy(ROP)of premature infants.Methods A total of 100 premature infants with ROP were selected and randomly divided into control group and observation group,with 50 cases in each group.The control group received routine nursing services,while the observation group received family-centered diversified extended services.The compliance of parents of infants,ocular parameters of infants,the 20-item Measure of Processes of Care(MPOC-20)score by parents and the Chinese version of Parenting Sense of Competence Scale(C-PSOC)score were compared between the two groups.Results The compliance of parents in the observation group was significantly better than that in the control group(P<0.05);one month after intervention,the decrease of intraocular pressure,the anterior chamber angle at 500μm from the scleral spur(ACA500),central anterior chamber depth(CACD),and anterior chamber angle opening distance at 500μm from the scleral spur(AOD500)in the observation group were significantly greater than those in the control group(P<0.05);after intervention,the MPOC-20 and C-PSOC scores of parents in the observation group were significantly higher than those in the control group(P<0.05).Conclusion Family-centered diversified extended services can improve the compliance of parents in participating in treatment and their satisfaction degree with nursing services,improve ocular conditions in ROP children,enhance parents′sense of parenting competence,and have a positive effect on the prognostic recovery of ROP patients.