CAJ | 학술논문

目的探讨早期发育支持护理对早产儿生长发育的影响.方法将132例同期转入NICU的早产儿按随机数字表法分为干预组67例和对照组65例,两组患者遵医嘱给予常规治疗护理的基础上,干预组患儿实施早期发育支持护理干预,即出生后24h内建立新生儿监护期、病情恢复期及婴幼儿期随访为一体的早期发育支持护理模式；对照组按传统的方法施行早产儿常规护理.结果干预组早产儿腹胀缓解时间、吸吮吞咽功能建立时间、达足量喂养时间、体重增长分别为(2.57±1.02)h,(5.27±1.32)d,(9.37±2.03)d,(14.87±2.15) g/d,对照组分别为(5.32±2.19)h,(8.75±2.14)d,(13.62±2.87)d,(11.42±2.74)g/d,两组比较差异有统计学意义(t分别为9.29,11.28,9.85,8.06;P＜0.01).干预组对安慰的反应、前臂弹回速度、下肢弹回速度、手握持能力得分分别为(1.83±0.15),(1.78 ±0.21),(1.75±0.18),(1.85±0.13)分,对照组分别为(1.34±0.27),(1.31±0.29),(1.28±0.25),(1.43±0.27)分,两组比较差异均有统计学意义(t分别为12.94,10.69,12.42,11.44;P＜0.01).干预组应用静脉营养时间、监护时间、住暖箱时间及住院时间分别为(8.51±2.04),(5.63±2.17),(8.52±2.15),(14.17±2.43)d,对照组分别为(12.87±2.52),(8.94±2.82),(13.87±3.64),(21.67±3.51)d,两组间差异均有统计学意义(t分别为10.94,7.57,10.32,14.31;P＜0.01).两组早产儿随访3,6,12个月,干预组发育商高于对照组,两组比较差异有统计学意义(P＜0.01).结论早期发育支持护理促进了婴儿生长发育,改善其预后,提高了早产儿存活率及其生存质量.
목적 탐토조기발육지지호리대조산인생장발육적영향.방법 장132례동기전입NICU적조산인안수궤수자표법분위간예조67례화대조조65례,량조환자준의촉급여상규치료호리적기출상,간예조환인실시조기발육지지호리간예,즉출생후24h내건립신생인감호기、병정회복기급영유인기수방위일체적조기발육지지호리모식；대조조안전통적방법시행조산인상규호리.결과 간예조조산인복창완해시간、흡전탄인공능건립시간、체족량위양시간、체중증장분별위(2.57±1.02)h,(5.27±1.32)d,(9.37±2.03)d,(14.87±2.15) g/d,대조조분별위(5.32±2.19)h,(8.75±2.14)d,(13.62±2.87)d,(11.42±2.74)g/d,량조비교차이유통계학의의(t분별위9.29,11.28,9.85,8.06;P＜0.01).간예조대안위적반응、전비탄회속도、하지탄회속도、수악지능력득분분별위(1.83±0.15),(1.78 ±0.21),(1.75±0.18),(1.85±0.13)분,대조조분별위(1.34±0.27),(1.31±0.29),(1.28±0.25),(1.43±0.27)분,량조비교차이균유통계학의의(t분별위12.94,10.69,12.42,11.44;P＜0.01).간예조응용정맥영양시간、감호시간、주난상시간급주원시간분별위(8.51±2.04),(5.63±2.17),(8.52±2.15),(14.17±2.43)d,대조조분별위(12.87±2.52),(8.94±2.82),(13.87±3.64),(21.67±3.51)d,량조간차이균유통계학의의(t분별위10.94,7.57,10.32,14.31;P＜0.01).량조조산인수방3,6,12개월,간예조발육상고우대조조,량조비교차이유통계학의의(P＜0.01).결론 조기발육지지호리촉진료영인생장발육,개선기예후,제고료조산인존활솔급기생존질량.
Objective To explore the effect of early development of supportive care on the growth and development of premature infants.Methods Totals of 132 premature infants transferred to the NICU over the same period were randomly divided into two groups,the intervention group( n =67 ) and control group ( n =65).On the base of conventional treatment and nursing of two groups,the intervention group received early development of nursing intervention,and the model included that establishing neonatal intensive care period within 24 h after birth,following up during the illness recovery period and the period of infant children.While the control group received the traditional care for premature infants.Results The relief time for bloating,set-up time in sucking swallowing function,up to sufficient quantities of feeding time,and the growth of body weight in the intervention group were (2.57 ± 1.02)h,(5.27 ± 1.32)d,(9.37 ±2.03)d,(14.87 ±2.15)g/d,and those of the control group were (5.32 ± 2.19) h,(8.75 ± 2.14) d,( 13.62 ± 2.87) d,( 11.42 ± 2.74) g/d,and differences between two groups were statistically significant ( t =9.29,11.28,9.85,8.06,respectively; P＜0.01).The average score of response to console,forearm bounce rate,lower limbs bounce speed,handholding capacity of the intervention group,respectively,was ( 1.83 ± 0.15 ),( 1.78 ± 0.21),( 1.75 ± 0.18 ) and (1.85 ±0.13),and that of the control group was (1.34 ±0.27),( 1.31±0.29),(1.28 ±0.25) and (1.43 ±0.27),and the difference between the two groups was statistically significant(t =12.94,10.69,12.42,11.44,respectively;P＜0.01).The parenteral nutrition time,monitoring time,living incubator time and hospital stay time in intervention group,respectively,were (8.51±2.04),(5.63 ±2.17),(8.52 ±2.15),(14.17 ±2.43)d,and those of control group were (12.87 ±2.52),(8.94 ±2.82),(13.87 ±3.64),(21.67 ±3.51)d,and the difference between the two groups was statistically significant ( t =10.94,7.57,t0.32,14.31,respectively; P＜0.01).Two groups were followed up respectively in 3,6,12 months,development quotient values of intervention group was significantly higher than that of control group ( P＜0.01).Conclusions The early development of supportive care can promote infant growth and development,improve the outcome and improve the survival rate of preterm infants and their quality of life.