延续性护理对早期早产儿生长发育和再住院率的影响
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摘要
目的研究延续性护理对早期早产儿生长发育和再住院率的影响。方法将我院2016年11月至2017年2月的70例早期早产儿随机分为试验组和常规组,各35例。试验组给予常规护理+延续性护理,常规组给予常规护理。比较两组的护理效果。结果护理后,试验组的活动能力、原始反射、主动肌张力及被动肌张力评分均显著优于常规组和护理前,差异具有统计学意义(P<0.05)。试验组早产儿出生后6、12个月的运动与智力发育指数评分均高于常规组,差异具有统计学意义(P<0.05)。试验组早产儿患病率与再住院率均低于常规组,差异具有统计学意义(P<0.05)。试验组早产儿家属的护理满意度高于常规组,差异具有统计学意义(P<0.05)。结论对早期早产儿实施延续性护理能有效促进其生长发育,改善早产儿神经发育行为,降低其自身患病率与再次住院率,提高早产儿家属的护理满意度,值得临床推广应用。
Objective To study the effects of continuous nursing on growth and development and re-hospitalization rate of early preterm infants. Methods Seventy early preterm infants in our hospital from November 2016 to February 2017 were randomly divided into experimental group and conventional group, with 35 cases in each group. The experimental group was given routine nursing and continuous nursing, while the conventional group was given routine nursing. The nursing effects of the two groups were compared. Results After nursing, the scores of activity ability, primitive reflex, active and passive muscle tension in the experimental group were significantly better than those in the conventional group and before nursing, and the differences were statistically significant(P<0.05). The scores of motor and intellectual development index for preterm infants in the experimental group at 6 and 12 months after birth were higher than those in the conventional group, and the differences were statistically significant(P <0.05). The morbidity and re-hospitalization rate of preterm infants in the experimental group were lower than those in the conventional group, and the differences were statistically significant(P<0.05). The nursing satisfaction of family members of preterm infants in the experimental group was higher than that in the conventional group, and the difference was statistically significant(P <0.05). Conclusion Continuous nursing for early preterm infants can effectively promote their growth and development, improve their neurodevelopmental behavior, reduce their own morbidity and re-hospitalization rate, and improve the nursing satisfaction of family members of preterm infants, which is worthy of clinical promotion and application.
Objective To study the effects of continuous nursing on growth and development and re-hospitalization rate of early preterm infants. Methods Seventy early preterm infants in our hospital from November 2016 to February 2017 were randomly divided into experimental group and conventional group, with 35 cases in each group. The experimental group was given routine nursing and continuous nursing, while the conventional group was given routine nursing. The nursing effects of the two groups were compared. Results After nursing, the scores of activity ability, primitive reflex, active and passive muscle tension in the experimental group were significantly better than those in the conventional group and before nursing, and the differences were statistically significant(P<0.05). The scores of motor and intellectual development index for preterm infants in the experimental group at 6 and 12 months after birth were higher than those in the conventional group, and the differences were statistically significant(P <0.05). The morbidity and re-hospitalization rate of preterm infants in the experimental group were lower than those in the conventional group, and the differences were statistically significant(P<0.05). The nursing satisfaction of family members of preterm infants in the experimental group was higher than that in the conventional group, and the difference was statistically significant(P <0.05). Conclusion Continuous nursing for early preterm infants can effectively promote their growth and development, improve their neurodevelopmental behavior, reduce their own morbidity and re-hospitalization rate, and improve the nursing satisfaction of family members of preterm infants, which is worthy of clinical promotion and application.
引文
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[12]刘晓燕,刘爱娜.早期综合护理干预对早产儿胃肠功能紊乱的影响[J].中国继续医学教育,2018,10(3):163-165.
[2]谭建平.改良康复支持护理模式在早产儿早期护理中的应用[J].中国医药科学,2018,8(14):188-190,212.
[3]赵梁育.早产儿脑损伤的临床分析及防治措施[J].齐齐哈尔医学院学报,2016,37(36):4529-4530.
[4]郝培娟.早期护理教育干预对早产儿生长发育的影响[J].全科护理,2018,16(15):1887-1888.
[5]张慧,陈创鑫,肖静吟.早期综合护理干预对早产儿呼吸暂停影响的临床分析[J].吉林医学,2018,39(3):566-568.
[6]刘燕.探讨早期护理干预在早产儿智能发育过程中的效果[J].中国继续医学教育,2016,8(22):240-241.
[7]孙茂梅,李慧珠.早期综合性护理干预对早产儿体质量及神经运动发育的影响[J].实用临床医药杂志,2017,21(20):214-215,218.
[8]张伟新.胎儿炎症反应综合征早产儿血清降钙素原水平与脑损伤的关系[J].中国妇幼保健,2017,32(15):3583-3585.
[9]谢甜,郝波,周敏,等.家庭干预对早产儿早期神经心理发育效果研究[J].中国儿童保健杂志,2017,25(5):452-455.
[10]郝建花,刘瑞香.不同的早期护理干预对早产儿病理性黄疸的影响研究[J].中外医疗,2017,36(7):140-142.
[11]项崇悟,高丽娟,王传光,等.早期标准化微量喂养支持护理对早产儿生长发育的影响[J].中国现代医生,2016,54(35):146-149.
[12]刘晓燕,刘爱娜.早期综合护理干预对早产儿胃肠功能紊乱的影响[J].中国继续医学教育,2018,10(3):163-165.