摘要
目的探讨系统化喂养管理策略对超低出生体质量早产儿喂养及生长的影响。方法 2008年1月至2016年12月,便利抽样法选取北京市某三级甲等综合性医院新生儿重症监护室超低出生体质量早产儿48例为研究对象,根据入院时间顺序,将其分为对照组(21例)和观察组(27例)。对照组患儿给予常规喂养护理,干预组患儿给予系统化喂养管理策略护理。结果两组患儿在首次开奶时间、母乳喂养开始时间、第7天奶量、第7天母乳喂养率、经口喂养开始时间、母乳喂养量大于总喂养量50%患儿数、母乳添加剂添加时间、住院期间体质量增长速率、宫外生长迟缓率等方面比较,干预组各项指标均优于对照组,差异均有统计学意义(均P<0.05)。结论系统化喂养管理策略可促进超低出生体质量早产儿喂养进程,提高超低出生体质量早产儿生长发育水平。
Objective To explore the effects of systematic feeding management strategy on the feeding and growth of extremely low birth weight(ELBW)infants.Methods By convenience sampling,48 cases were selected and divided into control group(n=21)and observation group(n=27).The control group received routine nursing care,while the observation group received systematic feeding management strategy nursing method.Results The difference of initial enteral feeding time,breast milk feeding time,feeding volume and breastfeeding rate at the end of the first week,oral feeding time,breastfeeding volume with more than 50%,the time to initiate human milk fortifier,the weight gain rate from birth to discharge,the extrauterine growth retardation ratio at discharge in observation group were all signficantly better than those of control group(all P<0.05).Conclusion The systematic feeding management strategy can promote the feeding process and increase the growth and development level of ELBW infants.
作者
冯淑菊
王亚静
唐娜
李悦
谢羽庭
陈妍君
薄海欣
Feng Shuju;Wang Yajing;Tang Na;Li Yue;Xie Yuting;Chen Yanjun;Bo Haixin(Chinese Academy of Medical Sciences,Peking Union Medical College Hospital,Beijing 100730,China)
出处
《解放军护理杂志》
CSCD
北大核心
2018年第1期57-61,共5页
Nursing Journal of Chinese People's Liberation Army
关键词
超低出生体质量早产儿
系统化喂养管理
extremely low birth weight infants
systematic feeding management
