中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2014年
26期
3326-3328
,共3页
极低出生体重儿%喂养不耐受%音乐疗法%抚触法%非营养性吸吮法
極低齣生體重兒%餵養不耐受%音樂療法%撫觸法%非營養性吸吮法
겁저출생체중인%위양불내수%음악요법%무촉법%비영양성흡전법
Very low birth weight infant%Feeding intolerance%Music therapy%Massage%Non-nutritional sucking
目的：探讨音乐疗法、抚触法、非营养性吸吮法联合应用的“三合一”护理法对预防极低出生体重儿早期肠内喂养不耐受的效果。方法选择2010年1月-2013年1月收治的极低出生体重儿120例，按随机数字表法分为干预组和对照组，各60例。两组均给予同质胃肠外营养加微量配方奶肠内喂养，对照组同时给予抚触法、非营养性吸吮法辅助喂养；干预组给予“三合一”护理法辅助喂养，即按规定程序将音乐疗法、抚触法、非营养性吸吮法结合进行应用。比较两组喂养效果。结果干预组采用“三合一”护理法，极低出生体重儿恢复出生体质量所用时间（2．9±2．1）d，体质量增长（17．8±7．9）g，胃肠外营养时间为（7．7±3．1）d，达足量肠内喂养时间（17．4±6．3）d，住院时间（19．6±5．9）d，均优于对照组，差异有统计学意义（t值分别为7．685，9．001，7．061，11．047，17．438，14．225；P＜0．05）。干预组喂养不耐受发生率为6．67％，对照组为20．00％，两组比较差异有统计学意义（χ2＝12．005，P＜0．01）。结论“三合一”护理法可以使极低出生体重儿的早期肠内喂养效果更为优质，有效提高常规抚触法、非营养性吸吮法的作用，降低喂养不耐受发生率。
目的：探討音樂療法、撫觸法、非營養性吸吮法聯閤應用的“三閤一”護理法對預防極低齣生體重兒早期腸內餵養不耐受的效果。方法選擇2010年1月-2013年1月收治的極低齣生體重兒120例，按隨機數字錶法分為榦預組和對照組，各60例。兩組均給予同質胃腸外營養加微量配方奶腸內餵養，對照組同時給予撫觸法、非營養性吸吮法輔助餵養；榦預組給予“三閤一”護理法輔助餵養，即按規定程序將音樂療法、撫觸法、非營養性吸吮法結閤進行應用。比較兩組餵養效果。結果榦預組採用“三閤一”護理法，極低齣生體重兒恢複齣生體質量所用時間（2．9±2．1）d，體質量增長（17．8±7．9）g，胃腸外營養時間為（7．7±3．1）d，達足量腸內餵養時間（17．4±6．3）d，住院時間（19．6±5．9）d，均優于對照組，差異有統計學意義（t值分彆為7．685，9．001，7．061，11．047，17．438，14．225；P＜0．05）。榦預組餵養不耐受髮生率為6．67％，對照組為20．00％，兩組比較差異有統計學意義（χ2＝12．005，P＜0．01）。結論“三閤一”護理法可以使極低齣生體重兒的早期腸內餵養效果更為優質，有效提高常規撫觸法、非營養性吸吮法的作用，降低餵養不耐受髮生率。
목적：탐토음악요법、무촉법、비영양성흡전법연합응용적“삼합일”호리법대예방겁저출생체중인조기장내위양불내수적효과。방법선택2010년1월-2013년1월수치적겁저출생체중인120례，안수궤수자표법분위간예조화대조조，각60례。량조균급여동질위장외영양가미량배방내장내위양，대조조동시급여무촉법、비영양성흡전법보조위양；간예조급여“삼합일”호리법보조위양，즉안규정정서장음악요법、무촉법、비영양성흡전법결합진행응용。비교량조위양효과。결과간예조채용“삼합일”호리법，겁저출생체중인회복출생체질량소용시간（2．9±2．1）d，체질량증장（17．8±7．9）g，위장외영양시간위（7．7±3．1）d，체족량장내위양시간（17．4±6．3）d，주원시간（19．6±5．9）d，균우우대조조，차이유통계학의의（t치분별위7．685，9．001，7．061，11．047，17．438，14．225；P＜0．05）。간예조위양불내수발생솔위6．67％，대조조위20．00％，량조비교차이유통계학의의（χ2＝12．005，P＜0．01）。결론“삼합일”호리법가이사겁저출생체중인적조기장내위양효과경위우질，유효제고상규무촉법、비영양성흡전법적작용，강저위양불내수발생솔。
Objective To explore the effect of three-in-one nursing including the music therapy , massage and non-nutritional sucking on the prevention of feeding intolerance in very low birth weight infant . Methods One hundred and twenty very low birth weight infants from January 2010 to January 2013 were chosen and randomly divided into the control group and the intervention group , each with 60 cases.All patients received the homogeneous parenteral nutrition and a little formula through enteral feeding , and at the same time the control group received the massage and non-nutritional sucking , and the intervention group received the three-in-one nursing .The feeding effect was compared between two groups .Results The time of recovery of birth weight , the weight gain every day , and the time of parenteral nutrition and reaching enough enteral feeding, the length of time were respectively (2.9 ±2.1)d, (17.8 ±7.9)g and (7.7 ±3.1) d,(17.4 ±6.3)d, (19.6 ±5.9)d in the intervention group, and were better than those of the control group , and the differences were statistically significant (t=7.685, 9.001, 7.061,11.047,17.438,14.225, respectively;P<0.05).The incidence rate of feeding intolerance was 6.67% in the intervention group , and was 20.00% in the control group, and the difference was statistically significant (χ2 =12.005,P<0.01).Conclusions Three-in-one nursing can improve the early enteral feeding in very low birth weight infant , and improve the function of the routine massage and non-nutritional sucking , and reduce the incidence rate of feeding intolerance .
