中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2012年
10期
1117-1120
,共4页
剖宫产术%婴儿,新生%早期护理干预%健康状况
剖宮產術%嬰兒,新生%早期護理榦預%健康狀況
부궁산술%영인,신생%조기호리간예%건강상황
Cesarean section%Infant,new born%Early nursing intervention%Health
目的 探讨早期护理干预对剖宫产新生儿健康的影响.方法 对1 206例剖宫产新生儿按随机数字法分为观察组606例和对照组600例,观察组回房后母子皮肤接触,并吸吮乳汁,随后隔2～3h喂副宫产奶粉1次(含有生物活性肽),喂奶前可施行抚触及平衡训练,出院后依据0～3岁小儿智能发育规律及教育大纲,并随访干预治疗至2岁；对照组在常规观察护理的基础上,按照传统的方法进行喂养.比较两组效果.结果 观察组与对照组副宫产新生儿神经行为(NBNA)出生后30 d视觉[(1.89±0.30)分比(1.54±0.15)分]、听觉[(1.90±0.46)分比(1.53±0.40)分]、触觉[(1.95±0.63)分比(1.56±0.35)分]等适应能力比较差异均有统计学意义(t分别为8.886,5.472,4.861；P ＜0.01).观察组剖宫产新生儿近期并发症发生率25.92％,对照组62.83％,两组比较差异有统计学意义(x2=11.392,P＜0.01)；远期影响比较差异有统计学意义(x2分别为4.076,6.041,4.076,4.969;P ＜0.05)；在3,6,12,18,24个月龄观察组剖宫产新生儿发育商(DQ)明显优于对照组(t分别为5.503,3.833,6.861,7.514,7.693；P＜0.01).结论 早期护理干预对剖宫产新生儿健康安全有效的治疗方法,有利于提高新生儿的生活质量,此方法简便、易行,值得推广.
目的 探討早期護理榦預對剖宮產新生兒健康的影響.方法 對1 206例剖宮產新生兒按隨機數字法分為觀察組606例和對照組600例,觀察組迴房後母子皮膚接觸,併吸吮乳汁,隨後隔2～3h餵副宮產奶粉1次(含有生物活性肽),餵奶前可施行撫觸及平衡訓練,齣院後依據0～3歲小兒智能髮育規律及教育大綱,併隨訪榦預治療至2歲；對照組在常規觀察護理的基礎上,按照傳統的方法進行餵養.比較兩組效果.結果 觀察組與對照組副宮產新生兒神經行為(NBNA)齣生後30 d視覺[(1.89±0.30)分比(1.54±0.15)分]、聽覺[(1.90±0.46)分比(1.53±0.40)分]、觸覺[(1.95±0.63)分比(1.56±0.35)分]等適應能力比較差異均有統計學意義(t分彆為8.886,5.472,4.861；P ＜0.01).觀察組剖宮產新生兒近期併髮癥髮生率25.92％,對照組62.83％,兩組比較差異有統計學意義(x2=11.392,P＜0.01)；遠期影響比較差異有統計學意義(x2分彆為4.076,6.041,4.076,4.969;P ＜0.05)；在3,6,12,18,24箇月齡觀察組剖宮產新生兒髮育商(DQ)明顯優于對照組(t分彆為5.503,3.833,6.861,7.514,7.693；P＜0.01).結論 早期護理榦預對剖宮產新生兒健康安全有效的治療方法,有利于提高新生兒的生活質量,此方法簡便、易行,值得推廣.
목적 탐토조기호리간예대부궁산신생인건강적영향.방법 대1 206례부궁산신생인안수궤수자법분위관찰조606례화대조조600례,관찰조회방후모자피부접촉,병흡전유즙,수후격2～3h위부궁산내분1차(함유생물활성태),위내전가시행무촉급평형훈련,출원후의거0～3세소인지능발육규률급교육대강,병수방간예치료지2세；대조조재상규관찰호리적기출상,안조전통적방법진행위양.비교량조효과.결과 관찰조여대조조부궁산신생인신경행위(NBNA)출생후30 d시각[(1.89±0.30)분비(1.54±0.15)분]、은각[(1.90±0.46)분비(1.53±0.40)분]、촉각[(1.95±0.63)분비(1.56±0.35)분]등괄응능력비교차이균유통계학의의(t분별위8.886,5.472,4.861；P ＜0.01).관찰조부궁산신생인근기병발증발생솔25.92％,대조조62.83％,량조비교차이유통계학의의(x2=11.392,P＜0.01)；원기영향비교차이유통계학의의(x2분별위4.076,6.041,4.076,4.969;P ＜0.05)；재3,6,12,18,24개월령관찰조부궁산신생인발육상(DQ)명현우우대조조(t분별위5.503,3.833,6.861,7.514,7.693；P＜0.01).결론 조기호리간예대부궁산신생인건강안전유효적치료방법,유리우제고신생인적생활질량,차방법간편、역행,치득추엄.
Objective To investigate nutrition and nursing intervention on the health effects of caesarean section of infants.Methods 1 206 cases of cesarean section on infants were randomly divided into two groups.The observation group included 606 cases and the controlled group included 600 cases.The cases of the observation group came back into the wards after skin contact with mother,and were given the milk from mother,and then were given milk (which has biological active peptides)every 2 to 3 hours.The skin contact and balance training were given before feeding.The cesarean section children were followed up to 2 years old which was based on the regularly intellect development and education outlines.600 cases of the controlled group were fed by traditional methods,based on the routine observation.Results The neurobehavioral (NBNA) of observation group on visual,hearing,touch and ability of adaption assessment after 30 days birth were better than the controlled group,the values in observation group were ( 1.89 ±0.3),( 1.90 ±0.46),( 1.95 ± 0.63 ) ; and those in the control group were ( 1.54 ± 0.15),( 1.53 ± 0.40) and ( 1.56 ± 0.35),difference had statistical significance ( t =8.886,5.472,4.861,respectively ; P ＜ 0.01 ).Two groups were significantly difference on the short impacls,25.92％ in observation group and 62.83％ in the control group,which had a significant difference (x2 =11.392,P＜0.01).Two groups were significantly difference on the long impacts,which had significant difference ( x2 =4.076,6.041,4.076,4.969,respectively; P ＜ 0.05) ; The development quotient of 3,6,12,18,24 months of the observation cesarean children was better than the controlled cesarean children,which had a significant difference (t=5.503,3.833,6.861,7.514,7.693,respectively; P＜0.01).Conclusions Nursing intervention was a safe and effective method which can improve the life quality and it was simple,easy and worth promoting.
