追踪式母乳喂养护理在低体重早产儿中的应用效果

Application effects of follow-up breastfeeding nursing in low-birth-weight premature infants

目的:观察追踪式母乳喂养护理在低体重早产儿中的应用效果。方法:选取2020年7月至2022年7月该院收治的94例低体重早产儿进行前瞻性研究,按随机数字表法将其分为对照组与观察组各47例。对照组采取常规护理,观察组采取追踪式母乳喂养护理。比较两组护理前后生长发育指标(身长、头围、体质量)水平、神经行为发育[新生儿神经行为测定(NBNA)]评分、喂养不耐受发生率和家长护理满意度。结果:护理后,两组身长、头围、体质量均大于护理前,且观察组大于对照组,差异有统计学意义(P<0.05);两组非条件反射、行为能力、被动肌张力、主动肌张力、一般反应能力等NBNA评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组喂养不耐受发生率低于对照组,差异有统计学意义(P<0.05);观察组家长护理满意度高于对照组,差异有统计学意义(P<0.05)。结论:追踪式母乳喂养护理应用于低体重早产儿可提高生长发育指标水平、NBNA评分和家长护理满意度,以及降低喂养不耐受发生率的效果优于常规护理。

Objective:To observe application effects of follow-up breastfeeding nursing in low-birth-weight premature infants.Methods:A prospective study was conducted on 94 low birth weight premature infants admitted to the hospital from July 2020 to July 2022.According to the random number table method,they were divided into control group and observation group,47 cases in each group.The control group received routine nursing,while the observation group received the follow-up breastfeeding nursing.The growth and development indexes(body length,head circumference,body mass)levels,the neurobehavioral development[neonatal behavioral neurological assessment(NBNA)]score before and after the nursing,the incidence of feeding intolerance,and the parental nursing satisfaction were compared between the two groups.Results:After the nursing,the body length,the head circumference and the body weight of the two groups were higher than those before the nursing,those of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).After the nursing,the NBNA scores of unconditional reflex,behavioral ability,passive muscle tension,active muscle tension and general reaction ability in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The incidence of feeding intolerance in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Further,the parental nursing satisfaction in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusions:The follow-up breastfeeding nursing in the low-birth-weight premature infants can improve the levels of growth and development indexes,the NBNA scores and the parental nursing satisfaction,and reduce the incidence of feeding intolerance.Moreover,it is superior to the routine nursing.