新生儿重症监护室至家庭过渡期护理在早产儿中的应用效果

doi:10.20047/j.issn1673-7210.2023.23.38

Abstract
Figure/Table
References (25)
Related Citation (15)

Download: PDF (558 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To explore the effects of transitional nursing from neonatal intensive care unit to home in preterm infants. Methods A total of 98 premature infants admitted to Huaibei Maternal and Child Health Hospital in Anhui Province from January 2021 to January 2022 were selected as the study objects. They were divided into control group and observation group according to random number table method, with 49 cases in each group. The control group received routine nursing, and the observation group received transitional nursing from neonatal intensive care unit to home. The breastfeeding rate, growth, and development of preterm infants and their main caregivers’ mood and parenting skills were compared between the two groups. Results The breastfeeding rates of the observation group at discharge and 1, 3, and 6 months after discharge were higher than those of the control group (P＜0.05); the overall analysis found that the body length and head circumference differences between groups, time point comparison and interaction were statistically significant (P＜0.05); further pairwise comparison showed that there were statistically significant differences in weight, body length and head circumference between the two groups at each time point (P＜0.05); the weight, body length and head circumference of the observation group were higher than that of the control group at three and six months after discharge (P＜0.05), the length of stay, the incidence of nosocomial infection and the rate of re-hospitalization in the observation group were lower than those in the control group (P＜0.05). At discharge, the score of parenting ability of the main caregivers in both groups were higher than when admitted, and the observation group was higher than that in the control group (P＜0.05). The self-rating anxiety scale score of the two groups was lower than that of the first day of admission, and the observation group was lower than that of the control group (P＜0.05). Conclusion Transitional nursing from neonatal intensive care unit to home can increase breastfeeding rates, promote growth, and development of preterm infants, improve the parenting skills of their primary caregivers, reduce anxiety, reduce the number of days in hospital for preterm infants without increasing the risk of hospital-acquired infections.

Key words： Premature infants Transitional nursing Breast feeding rate Growth and development

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	CHENG Fangling ZHOU Yongying ZHU Li

Cite this article:

CHENG Fangling ZHOU Yongying ZHU Li. Application effect of transitional nursing from neonatal intensive care unit to home in premature infants[J]. 中国医药导报, 2023, 20(23): 173-176.

URL:

https://www.yiyaodaobao.com.cn/EN/10.20047/j.issn1673-7210.2023.23.38 OR https://www.yiyaodaobao.com.cn/EN/Y2023/V20/I23/173

[1] Rajendram S，Nadarajah K，Leong L，et al. Dilemmas of modern neonatology：care of extremely preterm infants [J]. CMAJ，2023，195（7）：37-38.
[2] 胡海英，许东宝，陈小慧，等.胎龄<32周早产儿中重度支气管肺发育不良危险因素的多中心回顾性分析[J].中国当代儿科杂志，2022，24（10）：1104-1110.
[3] Salazar EG，Handley SC，Greenberg LT，et al. Association Between Neonatal Intensive Care Unit Type and Quality of Care in Moderate and Late Preterm Infants [J]. JAMA Pediatr，2023， 177（3）：278-285.
[4] 常敏，李静，王慧，等.ICU日记干预对早产儿母亲疾病不确定感和希望水平的影响[J].护理学杂志，2022，37（18）：4-7.
[5] Nyaloko M，Lubbe W，Moloko-Phiri SS，et al. Exploring cul- tural determinants to be integrated into preterm infant care in the neonatal intensive care unit：an integrative literature review [J]. BMC pregnancy and childbirth，2023，23（1）：1024- 1026.
[6] 傅亚丽，张先红，李禄全，等.早产儿住院期间家庭参与式护理方案的构建[J].中国护理管理，2022，22（8）：1170- 1175.
[7] 李娜，刘丽君，冯艳萍，等.新生儿重症监护室VAP危险因素及防控措施效果评价[J].现代预防医学，2018，45（11）：2090-2093.
[8] 张莹.新生儿重症监护病房实施家庭整合护理对早产儿及其父母的影响：一项多国多中心集群随机对照试验[J].中国感染控制杂志，2018，17（4）：334.
[9] 肖银娟.心理护理干预对心绞痛患者焦虑自评量表、抑郁自评量表评分的干预效果观察[J].临床合理用药杂志，2019，12（26）：139-140.
[10] 周瑞茜，倪王平，柯若，等.家庭参与式护理模式下支气管肺发育不良早产儿2岁内再入院的影响因素分析[J].中华护理杂志，2022，57（12）：1481-1485.
[11] Enlow E，Herbert SL，Jovel IJ，et al. Neonatal intensive care unit to home：the transition from parent and pediatrician perspectives，a prospective cohort study [J]. J Perinatol，2014，34（10）：761-766.
[12] Sunyi Y. Simulation Training Needs of Nurses for Nursing High-Risk Premature Infants：A Cross-Sectional Study [J]. Healthcare，2022，10（11）：208-213.
[13] 李正中，林梅，黄芝蓉，等.“互联网+护理”在早产儿延续照护中的应用研究进展[J].护理研究，2022，36（4）：695-698.
[14] 彭梦思，刘胜锋，张凯，等.作业治疗在新生儿重症监护病房的应用现状[J].中国康复医学杂志，2021，36（7）：896-904.
[15] 程莉萍，李磊，高榕瑛，等. 庭化护理模式在超早产儿重症监护病房的应用效果[J].护士进修杂志，2023，38（3）：263-266.
[16] 何利，谭彦娟，黑明燕.新生儿重症监护病房实施家庭参与式综合管理对住院早产儿母亲紧张焦虑情绪影响的自身前后对照研究[J].中国循证儿科杂志，2015，10（6）：409-413.
[17] 田朴，周乐山，金梦，等.新生儿重症监护室护士对家庭参与式护理的认知及态度的研究进展[J].中华护理教育，2021，18（6）：568-571.
[18] 胡晓静，张玉侠，李丽玲，等.极低出生体质量早产儿NICU住院期间母乳喂养模式的构建[J].中国护理管理，2020，20（S1）：14-17.
[19] 赵宏，钟春霞，宋霞梅，等.以家庭为中心的护理在NICU支气管肺发育不良早产儿中的应用研究[J].中华护理杂志，2018，53（3）：285-289.
[20] 钱晶京，姚希，任军红，等.袋鼠式护理对新生儿重症监护病房医院感染的影响[J].中华医院感染学杂志，2020， 30（22）：3503-3506.
[21] 胡琴燕，秦雪兰，曹萍，等.喂养延续护理对营养风险早产儿生长发育的影响[J].护理学杂志，2020，35（21）：101- 104.
[22] 向希盈，李颖，李卓颖，等.中国新生儿重症监护病房中实施家长参与早产儿住院期间综合管理与常规护理平行对照研究[J].中国循证儿科杂志，2016，11（3）：177-181.
[23] 王洁，郭庆玲，赵珍珍，等.家长参与式护理模式在早产儿护理中的应用效果[J].解放军护理杂志，2013，30（3）：20-22.
[24] 乐琼，刘义兰，吴丽芬，等.家庭综合音乐疗法在早产儿护理中的应用[J].护理学杂志，2020，35（20）：23-26.
[25] 谭彦娟，杨斯钰，陈羽双，等.家庭参与式护理在缓解NICU早产儿操作性疼痛中的应用[J].中国护理管理，2020，20（7）：1103-1107.