母乳喂养闭环管理在NICU患儿中的应用效果

doi:10.20047/j.issn1673-7210.2022.36.35

Abstract
Figure/Table
References (22)
Related Citation (12)

Download: PDF (663 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To probe the effect of closed loop management of breastfeeding in neonatal intensive care unit (NICU) patient children. Methods A total of 377 premature infants admitted to NICU of Taizhou Hospital in Zhejiang Province from January 2020 to January 2021 were selected, according to the random number table method, they were divided into the conventional group (190 cases) and the closed-loop management system group (187 cases), two groups were given routine intervention and breastfeeding closed-loop management system. Breastfeeding self-efficacy, skills, knowledge, and time ability were compared between the two groups, the development of preterm infants was assessed, and the breastfeeding rate in different periods was analyzed. Results After intervention, the head circumference of preterm infants in the two groups was greater than that before intervention, and the height and weight of preterm infants in the closed-loop management system group were higher, while the height and weight of preterm infants in the conventional group were higher than those in the conventional group(P＜0.05); the scores of inner activity, skills and total scores, feeding skills, feeding knowledge, and practical ability in both groups were higher than those before intervention, and the closed-loop management system group was higher than the conventional group (P＜0.05). The scores of inner activity, skills and total scores, feeding skills, feeding knowledge, and practical ability of the two groups were higher than those before intervention, and the closed-loop management system group was higher than the conventional group (P＜0.05); the first breastfeeding age, exclusive breastfeeding time, and intravenous nutrition time in the closed-loop management system group were shorter than those in the conventional group, and the feeding intolerance was lower than that in the conventional group (P＜0.05). The breastfeeding rate during hospitalization and one month after discharge in the closed-loop management system group were higher than those in the conventional group (P＜0.05). Conclusion Closed-loop breastfeeding management system is established for premature infants in NICU to reduce their intolerance to breastfeeding and promote their development. Significantly improve the self-efficacy of maternal breastfeeding, improve the rate of breastfeeding, effectively help maternal breastfeeding to establish a positive attitude, high clinical application value.

Key words： Breastfeeding Closed-loop management systems Neonatal intensive care unit Premature infant development

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	SHAO Xuehua1 CAI Zhiqin2 WANG Lizhen1 FENG Jing3▲

Cite this article:

SHAO Xuehua1 CAI Zhiqin2 WANG Lizhen1 FENG Jing3▲. Effect of the application effect of breastfeeding closed-loop management in NICU patient children[J]. 中国医药导报, 2022, 19(36): 161-164,189.

URL:

https://www.yiyaodaobao.com.cn/EN/10.20047/j.issn1673-7210.2022.36.35 OR https://www.yiyaodaobao.com.cn/EN/Y2022/V19/I36/161

[1] 张建英.剖宫产初产妇实施有针对性护理对其产后早期泌乳及其新生儿母乳喂养率的影响[J].母婴世界，2021（2）：195.
[2] Gertz B，DeFranco E. Predictors of breastfeeding non-initiation in the NICU [J]. Matern Child Nutr，2019，15（3）：e12797.
[3] 苏家慧，梁海云，文鹤群，等.袋鼠式护理对早产儿摄入量和母乳喂养率的影响[J].实用临床护理学电子杂志，2020，5（34）：73.
[4] 兰富菊.基于早产儿母乳喂养闭环系统的设计与研究[J].中国新通信，2020，22（15）：116-117.
[5] 中华医学会儿科学分会儿童保健学组，中华医学会围产医学分会，中国营养学会妇幼营养分会，等.母乳喂养促进策略指南（2018版）[J].中华儿科杂志，2018，56（4）：261- 266.
[6] 刘梅，李大春.无缝式多元专项护理结合责任亲情交互护理对初产妇母乳喂养自我效能、态度、行为及知识的影响[J].临床医学研究与实践，2021，6（7）：168-170.
[7] Porta R，Capdevila E，Botet F，et al. Breastfeeding Disparities between Multiples and Singletons by NICU Discharge [J]. Nutrients，2019，11（9）：2191.
[8] 李萌，张玲玲.家庭支持在NICU早产儿护理中的应用进展[J].中国现代医药杂志，2020，22（9）：97-100.
[9] 张倩男，杜雪燕，茹喜芳，等.基于循证的母乳喂养质量改进项目在住院早产儿中的应用[J].护理管理杂志，2022， 22（3）：191-195.
[10] 胡小珏.母乳喂养联合袋鼠式护理对低出生体重早产儿及产妇的影响[J].护理实践与研究，2022，19（9）：1382- 1386.
[11] Armstrong ES，Reynolds J，Sturdivant C，et al. Assessing Swallowing of the Breastfeeding NICU Infant Using Fiberoptic Endoscopic Evaluation of Swallowing：A Feasibility Study [J]. Adv Neonatal Care，2020，20（3）：244-250.
[12] Cerasani J，Ceroni F，De Cosmi V，et al. Human Milk Feeding and Preterm Infants’Growth and Body Composition：A Literature Review [J]. Nutrients，2020，12（4）：1155.
[13] 魏丽，朱凤，黄晨，等.NICU母乳喂养闭环信息化管理系统的开发及应用[J].中华护理杂志，2019，54（6）：891- 895.
[14] 郑锦霞，王勤，赵敏慧，等.闭环式管理模式对提高住院早产儿母乳喂养率效果研究[J].护理学报，2016，23（5）：32-34.
[15] 赵永信，张晓波，顾莺，等.新生儿病房母乳库闭环管理体系构建[J].中华医院管理杂志，2020，36（2）：169-172.
[16] 白绍蓓，董军，史慧斌.场内营养信息化闭环管理的设计与应用[J].中国卫生质量管理，2017，24（3）：13-15.
[17] 吴燕. 闭环式管理模式对提高住院早产儿母乳喂养率效果研究[J].母婴世界，2020（21）：176.
[18] 况茗露，叶彦麟，吴丕六.住院新生儿母乳喂养闭环式管理效果的研究[J].中国保健营养，2019，29（18）：57.
[19] 孟珊，曾小茜，王丽娜，等.基于行为分阶段转变理论健康教育模式对婴儿期母乳喂养情况的影响研究[J].成都医学院学报，2020，15（2）：223-226.
[20] 吴夏萍，何必子，刘登礼，等.探讨母乳喂养对早产儿肺功能发育的影响分析[J].当代医学，2021，27（29）：66-69.
[21] 刘蕾，黄芳.母乳喂养对新生儿早期运动及认知发育情况的影响探讨[J].现代消化及介入诊疗，2020（S01）：544- 545.
[22] 吴佩.家庭化产科护理对产妇母婴结局及母乳喂养能力的影响[J].中国医学创新，2022，19（28）：98-101.