摘要
目的分析在新生儿重症监护室早产儿的护理中采用发展性照顾模式的效果。方法方便选取2016年1月—2017年12月该院新生儿重症监护室收治的147例早产儿为观察组,选取同期该院新生儿重症监护室收治的145例早产儿为对照组。对照组予新生儿重症监护室常规护理干预,观察组在此基础上采用发展性照顾模式。比较两组早产儿入院时、住院第7、14天的摄奶量、体重及睡眠时间。结果入院时,两组患儿摄奶量、体质重及睡眠时间差异无统计学意义(t体质重=0.2159,t摄奶量=0.2326,t睡眠时间=0.6089,P>0.05);住院第7、14天,观察组患儿的体重、摄奶量及睡眠时间均优于对照组,差异有统计学意义[第7天:(2 021.52±29.83)g vs.(1 998.72±30.24)g(t体质重=6.485 9),(205.17±36.82)mL vs.(155.42±38.04)mL(t摄奶量=11.355 7),(21.52±3.05)h vs.(20.41±2.96)h(t睡眠时间=5.1553);第14天:(2 320.46±35.69)g vs.(2 085.94±34.17)g (t体质重=57.3409),(460.11±45.60) mL vs.(326.91±42.18) mL (t摄奶量=25.902 6),(22.44±3.67)h vs.(20.87±3.24)h(t睡眠时间=3.873 3)(P<0.05)];观察组患儿出生后7 d至出院体重每日增长量大于对照组[(21.24±8.73)g/d vs.(14.11±7.14) g/d(t=7.633 6,P<0.05)]。结论在新生儿重症监护室早产儿的护理中采用发展性照顾模式可促进早产儿摄奶量增加,体重增长速度加快,睡眠时间延长。
Objective To analyze the effect of adopting a developmental care model in the care of preterm infants in neonatal intensive care unit.Methods A total of 147 preterm infants admitted to the neonatal intensive care unit of the hospital from January 2016 to December 2017 were enrolled.The 145 preterm infants admitted to the neonatal intensive care unit of the hospital were selected as the control group.The control group was given routine nursing intervention in the neonatal intensive care unit,and the observation group used the developmental care model on this basis.The milk intake,body weight and sleep time of the two groups of premature infants at admission,on the 7th and 14th day of hospitalization were compared.Results At admission,there was no significant difference in milk intake,body weight and sleep time between the two groups (t body weight = 0.2159,t milk intake = 0.2326,t sleep time = 0.6089,P > 0.05); hospitalization seventh,After 14 days,the weight,milk intake and sleep time of the observation group were superior to the control group,and the difference was statistically significant [Day 7:(2 021.52 ± 29.83) g vs.(1 998.72 ± 30.24) g (t Body weight = 6.485 9),(205.17 ± 36.82) mL vs.(155.42 ± 38.04 mL)(t milk intake = 11.357 7),(21.52 ± 3.05) h vs.(20.41 ± 2.96 h)(t sleep time = 5.1553); Day 14:(2 320.46 ± 35.69) g vs.(2 085.94 ± 34.17) g (t body weight = 57.340 9),(460.11 ± 45.60) mL vs.(326.91 ± 42.18) mL (t milk intake =25.902 6),(22.44 ± 3.67) h vs.(20.87 ± 3.24) h (t sleep time = 3.873 3)(P < 0.05)]; the daily growth of the observed group from 7 days after birth to discharge weight was greater than The control group [(21.24±8.73) g/d vs.(14.11±7.14) g/d (t=7.633 6,P<0.05)].Conclusion The developmental care model in the care of premature infants in neonatal intensive care unit can promote the increase of milk intake in premature infants,increase the rate of weight gain and prolong sleep time.
作者
施春兰
SHI Chun-lan(Department of Neonatology, Quanzhou First Hospital Affiliated to Fujian Medical University, Quanzhou, Fujian Province, 362000 China)
出处
《中外医疗》
2018年第35期137-139,共3页
China & Foreign Medical Treatment
关键词
发展性照顾模式
新生儿重症监护室
早产儿
护理
Developmental care model
Neonatal intensive care unit
Premature infant
Nursing
