摘要
目的探讨互联网+上门服务对早产儿居家护理及预后的影响。方法选择2018年7月至2019年7月西安大兴医院新生儿科接诊的早产儿98例进行研究,按照随机数表法分为观察组和对照组各49例,对照组采用常规居家护理,观察组在对照组基础上进行互联网+上门服务,两组早产儿均持续干预2个月。比较两组早产儿干预前、干预2个月后的营养指标[白蛋白(ALB)、前白蛋白(PA)、转铁蛋白(TRF)]、发育情况[身长、头围、体质量]、新生儿行为神经评分(NBNA)的变化及干预期间两组早产儿的并发症发生情况。结果干预后,观察组早产儿的血清ALB、PA、TRF、身长、头围、体质量、NBNA评分分别为(43.16±2.39)g/L、(295.48±18.62)mg/L、(1.97±0.52)g/L、(54.17±2.08)cm、(38.52±1.16)cm、(4.67±0.39)kg、(38.36±0.49)分,明显高于对照组的(37.33±2.14)g/L、(281.63±18.40)mg/L、(1.70±0.31)g/L、(51.69±1.94)cm、(35.00±1.08)cm、(4.20±0.32)kg、(35.23±1.02)分,差异均有统计学意义(P<0.05);观察组早产儿干预期间的并发症总发生率为6.12%,明显低于对照组的20.41%,差异有统计学意义(P<0.05)。结论互联网+上门服务能提高早产儿营养指标水平,从而促进早产儿的生长及大脑发育,值得推广应用。
Objective To explore the influence of internet+door-to-door service on home care and prognosis of premature infants.Methods Ninety-eight premature infants admitted to Department of Neonatology,Xi'an Daxing Hospital from July 2018 to July 2019 were selected for the study.According to the random number table method,they were divided into an observation group and a control group,with 49 cases in each group.The premature infants in the control group received routine home care,and the premature infants in the observation group received internet plus door-to-door service on the basis of the control group,both for 2 months.The nutritional indicators[albumin(ALB),prealbumin(PA),transferrin(TRF)],developmental conditions[length,head circumference,body weight],newborn infants,changes of the neonatal behavioral neural score(NBNA)before intervention and after two months of intervention,and the complications in both groups during the intervention were compared between the two groups.Results After intervention,the serum ALB,PA,TRF,body length,head circumference,body weight,and NBNA scores in the observation group were(43.16±2.39)g/L,(295.48±18.62)mg/L,(1.97±0.52)g/L,(54.17±2.08)cm,(38.52±1.16)cm,(4.67±0.39)kg,(38.36±0.49)points,which were significantly higher than(37.33±2.14)g/L,(281.63±18.40)mg/L,(1.70±0.31)g/L,(51.69±1.94)cm,(35.00±1.08)cm,(4.20±0.32)kg,(35.23±1.02)points in the control group(P<0.05).The total incidence of complications during the intervention period in the observation group was 6.12%,which was significantly lower than 20.41%in the control group(P<0.05).Conclusion Internet plus door-to-door service can improve the level of nutritional indicators of premature infants,thus promote the growth and brain development of premature infants,which is worth popularizing and applying.
作者
边改维
孙璐
谈永芳
BIAN Gai-wei;SUN Lu;TAN Yong-fang(Department of Neonatology,Xi'an Daxing Hospital,Xi'an 710016,Shaanxi,CHINA;Special Care Neonatal Unit,the Second Affiliated Hospital of Shaanxi University of Traditional Chinese Medicine,Xi'an 712099,Shaanxi,CHINA;Department of Obstetrics,Xi'an Daxing Hospital,Xi'an 710016,Shaanxi,CHINA)
出处
《海南医学》
CAS
2023年第15期2265-2268,共4页
Hainan Medical Journal
关键词
早产儿
互联网
上门服务
营养
发育
Premature infants
Internet
Door-to-door service
Nutrition
Growth
