摘要
目的:探究连续性护理模式干预对早产极低出生体重儿生长发育的影响。方法:选取2017年5月-2018年6月本院收治的早产极低出生体重儿60例为研究对象。根据随机数字表法将其分为对照组(常规护理干预)和观察组(连续性护理干预),各30例。比较两组干预前后的头围、身长、体重及24 h呼吸暂停次数,比较两组纠正胎龄后的NBNA评分和CDCC评分,比较两组氧疗时间、住院时间、再次住院率及其他不良情况发生率。结果:干预4、8周后,观察组头围、身长及体重均显著高于对照组,24 h呼吸暂停次数均显著低于对照组,差异均有统计学意义(P<0.05);纠正胎龄后2、4周,观察组NBNA各项评分均显著高于对照组,差异均有统计学意义(P<0.05);纠正胎龄后6、12个月,观察组CDCC各项评分均显著高于对照组,差异均有统计学意义(P<0.05);观察组氧疗时间及住院时间均短于对照组,再次住院率及其他不良情况发生率均低于对照组,差异均有统计学意义(P<0.05)。结论:应用连续性护理模式对早产极低出生体重儿生长发育的影响较好,应用价值较高。
Objective:To explore the effect of continuous nursing mode intervention on the growth and development of preterm very low birth weight infants.Method:From May 2017 to June 2018,60 premature infants with very low birth weight in our hospital were selected as the study objects.According to the method of random number table,they were divided into control group(routine nursing intervention)and observation group(continuous nursing intervention),30 cases in each group.The head circumference,body length,body weight and the number of 24 h apnea were compared before and after the intervention,the NBNA and CDCC scores after correction of gestational age were compared between the two groups,the oxygen therapy time,hospitalization time,the readmission rate and the incidence of other adverse conditions were compared between the two groups.Result:After 4 and8 weeks of intervention,the head circumference,body length and weight of the observation group were significantly higher than those of the control group,and the number of apnea at 24 hours were significantly lower than those of the control group,the differences were statistically significant(P<0.05).The NBNA scores of observation group were significantly higher than those of control group at 2 and 4 weeks after the correction of gestational age,the differences were statistically significant(P<0.05).After 6 and 12 months of gestational age correction,the scores of CDCC in the observation group were significantly higher than those in the control group,the differences were statistically significant(P<0.05).The time of oxygen therapy and hospitalization in the observation group were shorter than those in the control group,and the rate of readmission and other adverse conditions in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion:The influence of continuous nursing mode for growth and development of premature infant with very low birth weight are better,and has a higher application value.
作者
岳秋征
欧阳红梅
周艳君
YUE Qiuzheng;OUYANG Hongmei;ZHOU Yanjun(Guangzhou Huadu District Maternal and Child Health Hospital,Guangzhou 510800,China)
出处
《中国医学创新》
CAS
2020年第3期84-88,共5页
Medical Innovation of China
基金
2017年度花都区医疗卫生一般科研专项项目立项项目(17-HDWS-013)。
关键词
连续性护理模式
早产极低出生体重儿
生长发育
Continuous nursing mode
Preterm very low birth weight infants
Growth and development
