互联网+延续护理对极早产儿出院后生长发育的影响

Effects of continuous care based on internet plus on the growth and development of extremely premature infants after discharge

目的探讨互联网+延续护理对极早产儿出院后生长发育的影响。方法选取2022年8月-2023年2月罗湖区人民医院新生儿科收治的60例极早产儿为研究对象,按照入院后顺序进行分组,将2022年8-11月收治的30例极早产儿作为对照组,将2022年12月-2023年2月收治的30例极早产儿作为观察组,对照组采用常规随访,观察组采用互联网+延续护理干预,比较两组早产儿生长发育情况、照顾者护理知识及技能以及照顾者育儿胜任感。结果干预后6个月后,观察组早产儿身长、体质量、头围均高于对照组(t=2.352,P=0.022;t=2.900,P=0.005;t=2.044,P=0.045);观察组照顾者护理知识及技能的掌握程度好于对照组(t=2.815,P=0.006),育儿胜任感高于对照组(t=5.554,P<0.001)。结论互联网+延续护理可有效促进极早产儿出院后的生长发育,提升极早产儿照顾者的照顾知识和技能,提升其育儿胜任感。

Objective To explore the effect of internet plus based continuous care on the growth and development of extremely premature infants after discharge.Methods Totally extremely premature infants in the department of neonatology of Luohu district people′s hospital between August 2022 and February 2023 were selected.According to the order of admission,30 cases of extremely premature infants admitted from August to November 2022 were used as the control group,and 30 cases of extremely premature infants admitted from December 2022 to February 2023 were used as the observation group.Both groups received routine follow-up,while the observation group was additionally provided with internet plus continuous nursing.The growth and development of children,the mastery of caregivers′nursing knowledge and skills for premature infants,and the changes of caregivers′parenting sense of competence(PSOC)were compared between the two groups.Results After the intervention,the body length,body weight and head circumference of the observation group were significantly higher than that of the control group(t=2.352,P=0.022;t=2.900,P=0.005;t=2.044,P=0.045).Moreover,the knowledge and skills of preterm infants care of the observation group were significantly better than that of the control group(t=2.815,P=0.006),with significantly higher PSOC than the latter group(t=5.554,P<0.001).Conclusion The continuous care based on internet plus can effectively improve the cognition and self-efficacy of parents of extremely preterm infants,and promote their growth and development after discharge.