摘要
目的构建基于应激适应理论的早产儿精细化护理策略并探讨其应用价值。方法选取2021年8月至2023年8月徐州医科大学附属医院东院收治的104例早产儿,根据随机数表法将其分为对照组和观察组,每组52例。对照组实施常规护理,观察组实施基于应激适应理论的精细化护理策略。比较2组的喂养效果、生长发育情况、智力神经发育情况及喂养不耐受率。结果观察组胃管留置、全胃肠营养及住院的时间均短于对照组,喂养不耐受总发生率低于对照组(P均<0.05)。观察组在干预1个月后的身长、头围及体重的数据,以及智力神经发育大运动、精细动作、适应性、语言和社交各项评分均高于对照组(P均<0.05),且2组均较干预前升高(P均<0.05)。结论构建基于应激适应理论的早产儿精细化护理策略,有助于提升早产儿的喂养效果,促进其生长发育和智力神经发育,减少喂养不耐受的发生。
Objective To construct the refined nursing strategies for preterm infants based on stress adaptation theory and to investigate its application value.Methods A total of 104 preterm infants admitted to the East Branch of the Affiliated Hospital of Xuzhou Medical University from August 2021 to August 2023 were randomly divided into a control group and an observation group using a random number table method,with 52 cases in each group.The control group received routine nursing,while the observation group received refined nursing strategies based on stress adaptation theory.The feeding effects,growth and development,intellectual and neurological development,and feeding intolerance rate between the two groups were compared.Results The observation group exhibited shorter time for gastric tube retention,total parenteral nutrition,and hospital stay compared to the control group,and the rate of feeding intolerance was lower than those in the control group(P<0.05).After one month of intervention,the observation group demonstrated higher scores in body length,head circumference,and weight,as well as scores related to intellectual and neurological development in major motor skills,fine motor skills,adaptability,language,and social skills compared to the control group(P<0.05).Both groups showed an increase compared to the preintervention levels(P<0.05).Conclusion The construction of the refined nursing strategies for preterm infants based on stress adaptation theory can help improve the feeding effectiveness of preterm infants,promote their growth and intellectual development,and reduce the occurrence of feeding intolerance.
作者
马珊
蒋琳
昝辉
MA Shan;JIANG Lin;ZAN Hui(East Branch of the Affiliated Hospital of Xuzhou Medical University,Xuzhou,Jiangsu,221000,China)
出处
《中西医结合护理(中英文)》
2025年第3期13-16,共4页
Journal of Clinical Nursing in Practice
关键词
早产儿
应激适应理论
精细化护理
生长发育
喂养效果
preterm infant
stress adaptation theory
refined nursing
growth and development
feeding effect
