结构-过程-结果三维评价模式在早产儿护理管理中的应用
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摘要
目的:探讨结构-过程-结果三维评价模式在早产儿护理管理中的应用效果。方法:将上海美兰湖妇产科医院收治的92例早产儿根据随机数字表分为观察组和对照组各46例,对照组住院期间行早产儿常规性护理,出院后行延续性护理;观察组应用结构-过程-结果三维评价模式。两组干预时间为6个月,比较两组干预前及干预1、3、6个月后生长发育情况及智能[采用计算发育商(DQ)]发育情况。结果:干预1、3、6个月,观察组体重、身高、头围均优于对照组(P<0.01),总DQ及各维度评分均高于对照组(P<0.01)。结论:结构-过程-结果三维评价模式能有效提高早产儿延续护理管理质量,有利于患儿远期生长发育及智能发育,值得临床推广。
Objective: To explore the application effect of structure-process-result three-dimensional evaluation model in nursing management of premature infants. Methods: A total of 92 cases of preterm infants admitted to Shanghai Lake Malaren Obstetrics and Gynecology Hospital from June 2017 to June 2018 were divided into the observation group and the control group according to the random number table,46 cases in each group. The control group received routine nursing during hospitalization and routine continuous nursing after discharge,while the observation group was conducted with structure-process-result three-dimensional evaluation model. The intervention time of two groups was 6 months. Between the two groups,the growth development and intelligence development [using Development quotient( DQ) ]before intervention and after 1,3 and 6 months intervention were compared. Results: After intervention for 1,3 and 6 months,the body weight,height and head circumference of the observation group were better than control group( P < 0. 01),the total developmental quotient( DQ) and the scores of each dimension were higher than control group( P < 0. 01). Conclusion: The three-dimensional evaluation model of structure-process-results can effectively improve the quality of continuous nursing management in premature infants,which is beneficial to infants' long-term growth and intelligent development,which is worthy of clinical promotion.
Objective: To explore the application effect of structure-process-result three-dimensional evaluation model in nursing management of premature infants. Methods: A total of 92 cases of preterm infants admitted to Shanghai Lake Malaren Obstetrics and Gynecology Hospital from June 2017 to June 2018 were divided into the observation group and the control group according to the random number table,46 cases in each group. The control group received routine nursing during hospitalization and routine continuous nursing after discharge,while the observation group was conducted with structure-process-result three-dimensional evaluation model. The intervention time of two groups was 6 months. Between the two groups,the growth development and intelligence development [using Development quotient( DQ) ]before intervention and after 1,3 and 6 months intervention were compared. Results: After intervention for 1,3 and 6 months,the body weight,height and head circumference of the observation group were better than control group( P < 0. 01),the total developmental quotient( DQ) and the scores of each dimension were higher than control group( P < 0. 01). Conclusion: The three-dimensional evaluation model of structure-process-results can effectively improve the quality of continuous nursing management in premature infants,which is beneficial to infants' long-term growth and intelligent development,which is worthy of clinical promotion.
引文
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[11]邱嵘,花芸,周倩,等.采用结构-过程-结果三维质量评价模式实施产前体质量管理的实践[J].中国实用护理杂志,2015,31(29):2197-2201.
[12]刘桂华,钱小芳,欧萍,等.延续护理干预对极低及超低出生体重早产儿生长发育的影响[J].中华护理杂志,2015,50(6):697-703.
[2]刘敏杰,张兰凤,刘谆谆,等.采用结构-过程-结果三维质量评价模式实施延续护理的实践[J].中华护理杂志,2015,50(1):74-78.
[3]汤淑斌,杜亚梅,胡春维,等.早期综合干预对早产儿早期发育商的影响[J].中国儿童保健杂志,2014,22(12):1331-1333.
[4]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.
[5]方娇娇,张岚,殷秀,等.延续性护理模式对早产儿母亲育儿认知与心理健康的影响[J].中华护理杂志,2017,52(8):938-943.
[6]崔慧敏,孙彩霞,李胜玲,等.家庭功能对早产儿延续性护理需求的影响[J].中国妇幼保健,2017,32(13):2997-2999.
[7]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.
[8]潘关凤,陈新,王平蓝,等.出院早产儿延伸护理服务需求的调查研究[J].护理实践与研究,2018,15(11):8-10.
[9]敬洁,顾凤娇,蒋文春,等.基于结构-过程-结果三维质量评价模式构建手术室护理管理质量评价体系[J].护理研究,2017,31(29):3659-3662.
[10]蒙景雯,陈华,李变,等.以家庭为中心的护理方案对早产儿家长照顾能力的影响[J].护理学杂志,2017,32(9):5-7.
[11]邱嵘,花芸,周倩,等.采用结构-过程-结果三维质量评价模式实施产前体质量管理的实践[J].中国实用护理杂志,2015,31(29):2197-2201.
[12]刘桂华,钱小芳,欧萍,等.延续护理干预对极低及超低出生体重早产儿生长发育的影响[J].中华护理杂志,2015,50(6):697-703.