临床护理路径在NICU早产儿家庭参与式护理中的应用效果研究
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摘要
目的探讨临床护理路径在NICU早产儿家庭参与式护理中的应用效果。方法将138例早产儿随机分为观察组和对照组各69例。对照组开展传统的家庭参与式护理,观察组以临床护理路径为指导,制订和规范家庭参与式护理标准流程。结果观察组患儿家长满意度明显高于对照组(P<0.01)、患儿住院天数缩短2.86 d(P<0.01)、家长护理能力较对照组有显著提升(P<0.01)。结论将临床护理路径应用到NICU早产儿家庭参与式护理中,能够提高家长满意度,缩短住院日,提升家长护理早产儿能力,促进早产儿健康成长。
Objective To explore the application effect of clinical nursing pathway in family integrated care(FIC) for premature infants in NICU.Methods Totally,138 premature infants were divided into observation group and control group with 69 cases in each.The control group carried out traditional FIC,while the observation group made and modified standard FIC process under the guidance of clinical nursing pathway.Results The nursing satisfaction degree of parents in the observation group were significantly higher than that in the control group(P<0.01).The average days of hospitalization in observation group was shortened 2.86 days(P<0.01),and the nursing ability of parents were highly improved comparing with the control group(P<0.01).Conclusion Applying clinical nursing pathway in FIC of NICU premature infants can increase parents' satisfaction degree with FIC,shorten the number of days in hospital,improve the ability of parents caring premature infants,and promote the healthy growth of premature infants.
Objective To explore the application effect of clinical nursing pathway in family integrated care(FIC) for premature infants in NICU.Methods Totally,138 premature infants were divided into observation group and control group with 69 cases in each.The control group carried out traditional FIC,while the observation group made and modified standard FIC process under the guidance of clinical nursing pathway.Results The nursing satisfaction degree of parents in the observation group were significantly higher than that in the control group(P<0.01).The average days of hospitalization in observation group was shortened 2.86 days(P<0.01),and the nursing ability of parents were highly improved comparing with the control group(P<0.01).Conclusion Applying clinical nursing pathway in FIC of NICU premature infants can increase parents' satisfaction degree with FIC,shorten the number of days in hospital,improve the ability of parents caring premature infants,and promote the healthy growth of premature infants.
引文
[1]王英杰,李杨.以家庭为中心的教育干预在儿科护理中的应用现状[J].中华护理杂志,2016,51(1):98-102.DOI:10.3761/j.issn.0254-1769.2016.01.021.
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[4]冯浩.临床路径的基本概念及其应用[J].临床医药文献电子杂志,2016,3(49):9871-9872.DOI:10.3877/j.issn.2095-8242.2016.49.165.
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[6]马秀君,王卫忠,叶文琴.临床路径式健康教育在蝮蛇咬伤患者中的应用[J].护理管理杂志,2014,14(6):445-447.
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[12]王明弘,关青,于艳霞,等.照护过程测量表在家庭为中心服务评价中的应用[J].中国卫生统计,2014,31(5):812-815.
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[15]左敏琮.临床路径护理对冠心病患者自我效能及生活质量的影响[J].基层医学论坛,2018,22(32):4597-4598.DOI:10.19435/j.1672-1721.2018.32.066.
[16]魏硕华,李艳玲,朱桂红.临床护理路径在母乳喂养指导中的应用研究[J].护理管理杂志,2015,15(11):826-828.
[17]马盼盼,李杏良,刘亭君,等.以家庭为中心护理模式在极早产儿护理中的应用[J].护理管理杂志, 2015,15(11):833-834.
[18]成磊,陆春梅,张玉侠,等.提升早产儿出院家庭准备度最佳循证实践方案的制订和应用[J].中华护理杂志,2016,51(7):787-791.DOI:10.3761/j.issn.0254-1769.2016.07.003.
[19]姚婉晴,陈海花,张岚,等.家庭主要照护者对早产儿连续护理认知水平测评量表的编制与信效度检测[J].医学研究生学报,2017,31(1):95-99. DOI:10. 16571/j.Cnki.1008-8199.2017.01.020.
[20]方娇娇,张岚,殷秀,等.延续性护理模式在促进早产儿生长发育中的实践研究[J].护理管理杂志, 2017,17(8):556-559.
[2]姜楠,李小寒,范玲.以家庭为中心的护理模式在儿科的应用现状[J].护理研究,2016,30(3):264-270.DOI:10.3969/j.issn.1009-6493.2016.03.003.
[3]王勉,刘建珍,潘亮,等.家长参与式护理模式在早产儿生长发育中的应用研究[J].护士进修杂志,2016,31(18):1665-1667.DOI:10.16821/j.cnki.hsjx.2016.18.012.
[4]冯浩.临床路径的基本概念及其应用[J].临床医药文献电子杂志,2016,3(49):9871-9872.DOI:10.3877/j.issn.2095-8242.2016.49.165.
[5]李明子.临床路径的基本概念及其应用[J].中华护理杂志,2010,45(1):59-61.DOI:10.3761/j.issn.0254-1769.2010.01.023.
[6]马秀君,王卫忠,叶文琴.临床路径式健康教育在蝮蛇咬伤患者中的应用[J].护理管理杂志,2014,14(6):445-447.
[7]陈超.早产儿管理指南[J].中华儿科杂志,2006,44(3):188-191.
[8]周明芳,藤本荣子,晏玲,等.新生儿重症监护室出院早产儿母亲育儿生活体验的质性研究[J].中华护理杂志,2012,47(8):680-682. DOI:10. 3761/j. issn. 0254-1769.2012.08.002.
[9]熊晓菊,陈锦秀,叶天惠.家庭参与式照护模式在加拿大NICU应用现状及对我国早产儿护理的启示[J].护理研究,2017,31(2):652-655. DOI:10. 3969/j. issn. 1009-6493.2017.06.005.
[10]KING S,KING G,ROSENBAUM P.Evaluating health serv-ice delivery to children with chronic conditions and theirfamilies:development of a refined measure of processes ofcare(MPOC-20)[J].Journal of the Association for theCare of Children in Hospitals,2004,33(1):35-57.
[11]王英杰,李杨.针对儿童癫痫患者以家庭为中心教育干预效果的研究[D].北京:北京协和医学院,2013.
[12]王明弘,关青,于艳霞,等.照护过程测量表在家庭为中心服务评价中的应用[J].中国卫生统计,2014,31(5):812-815.
[13]SCHREIBER J,BENGER J,SAILS J,et al.Parent perspec-tives on rehabilitation services for their children with disa-bilities:a mixed methods approach[J].Physical&Occupa-tional Therapy in Pediatrics,2011,31(3):225-238.
[14]何悦,陈京立.以家庭为中心的护理在新生儿重症监护室的应用现状[J].解放军护理杂志,2014,31(7):29-32.DOI:10.3969/j.issn.1008-9993.2014.07.008.
[15]左敏琮.临床路径护理对冠心病患者自我效能及生活质量的影响[J].基层医学论坛,2018,22(32):4597-4598.DOI:10.19435/j.1672-1721.2018.32.066.
[16]魏硕华,李艳玲,朱桂红.临床护理路径在母乳喂养指导中的应用研究[J].护理管理杂志,2015,15(11):826-828.
[17]马盼盼,李杏良,刘亭君,等.以家庭为中心护理模式在极早产儿护理中的应用[J].护理管理杂志, 2015,15(11):833-834.
[18]成磊,陆春梅,张玉侠,等.提升早产儿出院家庭准备度最佳循证实践方案的制订和应用[J].中华护理杂志,2016,51(7):787-791.DOI:10.3761/j.issn.0254-1769.2016.07.003.
[19]姚婉晴,陈海花,张岚,等.家庭主要照护者对早产儿连续护理认知水平测评量表的编制与信效度检测[J].医学研究生学报,2017,31(1):95-99. DOI:10. 16571/j.Cnki.1008-8199.2017.01.020.
[20]方娇娇,张岚,殷秀,等.延续性护理模式在促进早产儿生长发育中的实践研究[J].护理管理杂志, 2017,17(8):556-559.