摘要
目的探究医护一体化管理对新生儿重症监护室(NICU)极低出生体质量儿的母乳喂养及其相关并发症的影响。方法选取我院2021年11月至2022年7月收治的92例极低出生体质量儿为研究对象,按照患儿入院时间的先后顺序编号,单号为对照组,双号为观察组,分为两组,每组46例。给予对照组患儿常规护理方法,观察组患儿在此基础上给予医护一体化管理方法,比较两组患儿一般资料情况、母乳喂养情况(母乳喂养率、初次母乳喂养开始时间、住院期间母乳喂养天数)、相关并发症发生率(Ⅱ期及以上坏死性小肠结肠炎、晚发型败血症)。结果观察组患儿的初次母乳喂养开始时间显著早于对照组,差异有统计学意义(P<0.05);两组患儿母乳喂养率、住院期间母乳喂养天数,差异无统计学意义(P>0.05);两组患儿Bell分期Ⅱ期及以上坏死性小肠结肠炎和晚发型败血症的发生率,观察组低于对照组,但组间差异无显著性(P>0.05)。结论对NICU极低出生体质量儿实施医护一体化管理,可以改善母乳喂养情况,减少住院期间相关并发症的发生。
Objective To explore the effect of integrated nursing management on breastfeeding and related complications of very low birth weight infants in neonatal intensive care unit(NICU).Methods A total of 92 very low birth weight infants admitted to our hospital from November 2021 to July 2022 were selected as the research objects.They were numbered according to the order of admission time of the infants,with single number as the control group and even number as the observation group,and divided into two groups with 46 cases in each group.The control group was given routine nursing method,and the observation group was given integrated nursing management method on the basis of this.The general data,the breastfeeding situation(breatfeeding rate,the start time of initial breastfeeding,the number of days of breastfeeding during hospitalization)and the incidence of related complications(stage Ⅱ and above necrotizing enterocolitis,late-onset sepsis)were compared between the two groups.Results The first time of breast-feeding in the observation group was significantly earlier than that in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in breast-feeding days between the two groups during hospitalization(P>0.05).The incidence of stage Ⅱ and above necrotizing enterocolitis and late-onset septicemia in the observation group was lower than that in the control group,but there was no significant difference between the two groups(P>0.05).Conclusion The integrated management of medical care for very low birth weight NICU infants can improve the situation of breastfeeding and reduce the occurrence of related complications during hospitalization,which is worthy of clinical application.
作者
吴丽丽
郑月英
林琴
苏君琴
林颖
WU Lili;ZHENG Yueying;LIN Qin;SU Junqin;LIN Ying(Fujian Medical University Maternal and Child Clinical Medicine School/Department of Neonatal Pediatrics,Fujian Provincial Maternal and Child Health Hospital,Fuzhou 350001,Fujian)
出处
《中国医药指南》
2023年第13期69-71,共3页
Guide of China Medicine
基金
福建省妇幼保健院2020科技创新启动基金家庭参与式NICU综合管理模式对母乳喂养及早产儿结局的影响(编号:妇幼YCXMH20-09)。
关键词
医护一体化管理
极低出生体质量儿
母乳喂养
并发症
Integrated health care management
Very low birth weight infants
Breastfeeding
Complications
