摘要
目的基于阶梯式护理模式构建早产儿睡眠管理方案并评价其应用效果,为临床上早产儿睡眠的保护和干预提供借鉴。方法选取2023年9—12月于温州医科大学附属第一医院新生儿科住院的60例早产儿作为研究对象,按照入院先后顺序分为观察组和对照组,各30例,对照组采用常规护理,观察组在对照组的基础上应用早产儿睡眠管理方案进行护理。比较2组早产儿24h平均睡眠时长、日间平均睡眠时长、夜间平均睡眠时长、平均体质量增长速度、平均心率、平均住院时间及平均血氧饱和度。结果观察组24h平均睡眠时长[(18.40±1.87)h]、日间平均睡眠时长[9.00(8.7510.00)h]均长于对照组[(16.00±2.45)h、7.00(6.00,8.00)h,P<0.001];2组夜间平均睡眠时长差异无统计学意义[9.00(8.00,10.00)hvs.9.00(8.00,10.00)h,P>0.05]。观察组平均体质量增长速度为(20.50±0.43)g/(kg·d),快于对照组[(16.37±0.50)g/(kg·d)],平均心率为(135.83±13.91)次/min,慢于对照组[(145.07±12.25)次/min],差异均有统计学意义(P<0.05)。2组平均住院时间、平均血氧饱和度比较差异均无统计学意义「25.50(20.00,32.00)dvs.30.00(25.00,37.00)d、(95.13±3.15)%vs.(96.20±2.80)%,P>0.05。结论基于阶梯式护理模式的早产儿睡眠管理方案能增加早产儿睡眠时长、降低早产儿心率、提高体质量增长速度,值得在临床推广。
Objective To develop and evaluate a stepped-care-based sleep protocol for preterm infants,with a view to guiding clinical sleep protection and intervention.Methods From September to December of 2023,a total of 60 infants born preterm(as defined by a gestational age of less than 37 weeks)were enrolled in the study.These infants were recruited from a designated neonatal unit and were subsequently divided into two groups comprising 30 individuals each.The control group received routine care,while the intervention group received the sleep protocol in addition to routine care.The outcomes encompassed a range of metrics,including 24 h/daytime/nighttime sleep duration,weight gain velocity,heart rate,number of days spent in hospital,and oxygen saturation levels.Results The intervention group exhibited a greater duration of average sleep over a 24-h period[(18.40±1.87)hours]and during daytime[9.00(8.75,10.00)hours]vs.control group[(16.00±2.45)hours and 7.00(6.00,8.00)hours,both P<0.001].Nighttime sleep showed no difference[9.00(8.00,10.00)h vs.9.00(8.00,10.00)h,P>0.05].A significant difference was observed in weight gain velocity[(20.50±0.43)g/(kg·d)vs.(16.37±0.50)g/(kg·d)]and heart rate[(135.83±13.91)times/min vs.(145.07±12.25)times/min](P<0.05).Hospitalization days[25.50(20.00,32.00)d vs.30.00(25.00,37.00)d]and oxygen saturation[(95.13±3.15)%vs.(96.20±2.80)%]were comparable(P>0.05).Conclusion The stepped-care protocol has been demonstrated to enhance sleep duration,heart rate,and weight gain in preterm infants,thus offering significant clinical benefits in terms of promotion.
作者
黄小夏
高萍
胡思思
郑冰清
陈霜
徐小群
HUANG Xiaoxia;GAO Ping;HU Sisi;ZHENG Bingqing;CHEN Shuang;XU Xiaoqun(Neonatal Intensive Care Unit,the First Affiliated Hospital of Wenzhou Medical University,Wenzhou,Zhejiang 325015,China)
出处
《中华全科医学》
2026年第1期155-159,共5页
Chinese Journal of General Practice
基金
浙江省医药卫生科技计划项目(2023KY144)。
关键词
早产儿
阶梯式护理模式
睡眠
管理方案
Premature infants
Stepped care models
Sleep
Management plan
