抚触护理联合体位护理在新生儿重症监护室早产儿中的应用价值分析

Application Value of Touch Nursing Combined Postural Nursing in Neonatal Intensive Care Unit

目的:分析抚触护理联合体位护理在新生儿重症监护室早产儿中的应用效果。方法:选取2022年1月—2023年5月泰安市妇幼保健院新生儿科收治的早产儿82例作为研究对象,随机分为对照组和观察组,各41例。对照组给予常规护理,观察组给予抚触护理联合体位护理。比较两组早产儿主要临床指标、并发症发生情况、生长发育指标、神经行为发育评分。结果:观察组早产儿的日平均睡眠时间、日平均摄奶量大于对照组,最大体温差小于对照组,出保温箱时间、首次排便时间、胎便转黄时间、恢复出生体质量时间、足量喂养日龄短于对照组,差异有统计学意义(P<0.05)。观察组早产儿的高胆红素血症、呼吸窘迫综合征、喂养不耐受、呼吸暂停、反流误吸发生率低于对照组,差异有统计学意义(P<0.05)。观察组早产儿矫正胎龄40周时的体质量、头围、身高大于对照组,差异有统计学意义(P<0.05)。干预后,观察组早产儿矫正胎龄40周时的神经行为发育评分高于对照组,差异有统计学意义(P<0.05)。结论:抚触护理联合体位护理可以改善早产儿的各项临床指标,降低其并发症发生率,显著提升早产儿的生长发育和神经行为发育水平。

Objective:To analyze the effect of touch nursing combined postural nursing in neonatal intensive care unit.Methods:A total of eighty-two premature infants admitted to the neonatal department of Tai'an Maternal and Child Health Hospital from January 2022 to May 2023 were selected as the study objects,and randomly divided into control group and observation group,with forty-one cases in each group.The control group was given routine nursing,and the observation group was given touch nursing combined postural nursing.The main clinical indicators,complications,growth and development indicators,and neurobehavioral development scores were compared between the two groups.Results:The average daily sleep time and average daily milk intake in the observation group were higher than those in the control group,and the maximum temperature difference was lower than that in the control group,the time of exit from the incubator,the time of first defecation,the time of fetal stool turning yellow,the time of recovery of birth weight and the age of full feeding were shorter than those of the control group,and the differences were statistically significant(P<0.05);the incidence of hyperbilirubinemia,respiratory distress syndrome,feeding intolerance,apnea and reflux aspiration in observation group was lower than that in control group,and the difference was statistically significant(P<0.05);the body mass,head circumference and height of preterm infants at 40 weeks of corrected gestational age in observation group were higher than those in control group,and the differences were statistically significant(P<0.05);after the intervention,the neurobehavioral development score of the observation group at 40 weeks of corrected gestational age was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:The touch nursing combined postural nursing can improve the clinical indicators of preterm infants,reduce the incidence of complications,and significantly improve the growth and neurobehavioral development of preterm infants.