CAJ | 학술논문

目的：探讨鸟巢式护理在新生儿中的应用效果，分析其临床有效性和安全性。方法96例新生儿随机分为观察组和对照组，每组各48例，对照组仅予以传统常规护理，观察组在此基础上给予鸟巢式护理，观察并对比两组新生儿体质量、体温波动、出暖箱时间、睡眠时间等指标及并发症的发生情况。结果与对照组比较，观察组新生儿体质量增长速度明显加快，血氧饱和度升高，体温波动幅度小，差异有统计学意义（P＜0.05）；睡眠时间和出暖箱时间均明显缩短（P＜0.05）；对照组呼吸暂停次数、皮肤溃损、硬肿、喂养不耐受等并发症的发生率均明显高于观察组（P＜0.05）。结论鸟巢式护理可以使新生儿的体质量和体温在短期内恢复正常，同时可减少呼吸暂停次数和出暖箱时间，提高营养摄入，有利于新生儿的生长发育。
목적：탐토조소식호리재신생인중적응용효과，분석기림상유효성화안전성。방법96례신생인수궤분위관찰조화대조조，매조각48례，대조조부여이전통상규호리，관찰조재차기출상급여조소식호리，관찰병대비량조신생인체질량、체온파동、출난상시간、수면시간등지표급병발증적발생정황。결과여대조조비교，관찰조신생인체질량증장속도명현가쾌，혈양포화도승고，체온파동폭도소，차이유통계학의의（P＜0.05）；수면시간화출난상시간균명현축단（P＜0.05）；대조조호흡잠정차수、피부궤손、경종、위양불내수등병발증적발생솔균명현고우관찰조（P＜0.05）。결론조소식호리가이사신생인적체질량화체온재단기내회복정상，동시가감소호흡잠정차수화출난상시간，제고영양섭입，유리우신생인적생장발육。
Objective To investigate the effect of the bird nest nursing for newborns,and analysis of its clinical efficacy and safety. Methods 96 cases of neonates were randomly assigned into observation group and control group 48 cases. The control group was only given traditional and conventional nursing, while the observation group was given the bird nest nursing in addition to the conventional nursing, to observe and compare the difference of body quality, temperature fluctuations, incubator time, sleep time and complications between the two groups. Results The observation group the weights of neonatal went up quicker, SaO2 was higher and temperature fluctuation was smaller then those in the control group with statistically significant difference(P < 0.05); Sleep time and out of the incubator time were significantly shortened(P<0.05);Control group number of apnea, skin damage, hard swollen, the incidence of complications such as feeding intolerance were significantly higher than the observation group(P<0.05). Conclusion With bird nest nursing for newborn babies, the body quality and temperature returned to normal in a short time, which can reduce the number of apnea and incubator time, increase the nutrient intake, the bird nest type nursing plays a facilitative role in growth and development of the newborn.