摘要
目的:观察基于KANO模型的个体化延续性护理在早产儿中的应用效果。方法:选取2023年6月—2024年6月于长沙市第四医院出生的早产儿100例作为研究对象,以随机抽签法分为对照组和试验组,每组50例。对照组实施常规延续性护理,试验组实施基于KANO模型的个体化延续性护理。比较两组护理效果。结果:出院1、3个月后,两组身长、头围、体质量均增加(P<0.05),且试验组增加幅度大于对照组(P<0.001)。出院后3个月,两组早产儿照护者焦虑情况、疾病不确定感评分降低,育儿胜任感评分升高,且试验组改善幅度大于对照组(P<0.001)。试验组早产儿再入院率低于对照组(P=0.027)。结论:基于KANO模型的个体化延续性护理在早产儿中的应用效果显著,可促进早产儿生长发育,减轻早产儿照护者焦虑情绪及疾病不确定感,提高其育儿胜任感,降低早产儿再次入院率。
Objective:To observe the application effect of individualized continuity of care based on KANO model in premature infants.Methods:A total of 100 premature infants born in the Fourth Hospital of Changsha from June 2023 to June 2024 were selected as the study subjects.They were divided into the control group and the experimental group by random lottery method,with 50 cases in each group.Control group received routine continuity of care,while experimental group received individualized continuity of care based on KANO model.The nursing effects of the two groups were compared.Results:At 1 month and 3 months after discharge,the body length,head circumference,and body weight in the two groups increased(P<0.05),and the increase in the experimental group was greater than that in the control group(P<0.001).At 3 months after discharge,the scores of anxiety and illness uncertainty of caregivers of premature infants decreased,and the scores of parenting sense of competence increased in the two groups,and the improvement in the experimental group was greater than that in the control group(P<0.001).The readmission rate of premature infants in the experimental group was lower than that in the control group(P=0.027).Conclusion:The individualized continuity of care based on KANO model has a significant effect in premature infants,and can promote the growth and development of premature infants,relieve the anxiety and illness uncertainty of caregivers of premature infants,improve their parenting sense of competence,and reduce the readmission rate of premature infants.
作者
朱再云
黄英
刘海燕
Zhu Zaiyun;Huang Ying;Liu Haiyan(Department of Pediatrics,The Fourth Hospital of Changsha,Changsha 410006,Hunan Province,China)
出处
《中国社区医师》
2025年第22期82-84,共3页
Chinese Community Doctors
基金
湖南省卫生健康委科研计划项目(编号:D202314046774)。
关键词
早产儿
KANO模型
个性化延续性护理
Premature infants
KANO model
Individualized continuity of care
