极低出生体重儿开放式探视的可行性研究

发布时间：2019-02-16 08:48

【摘要】：目的探讨对极低出生体重儿实施开放式探视的可行性并观察其效果。方法选择符合入选标准的极低出生体重儿作为研究对象,实验组36例,在采用新生儿个体化发育支持护理模式的基础上实施开放式探视,制订相关制度及流程,规订母亲参与实施的内容,对照组38例采用新生儿个体化发育支持护理模式。收集并记录两组院内感染发生率、达到完全经口喂养胎龄、住院期间体重增长情况、住院期间母乳喂养率、出院后30 d母乳喂养率、住院时间、出院后30 d再入院率。结果实验组完全经口喂养胎龄小于对照组,住院期间体重增长速度快于对照组,出院30 d母乳喂养率高于对照组,住院时间短于对照组,出院后30 d再入院率低于对照组,以上差异均具有统计学意义(均P0.05)。两组院内感染发生率和住院期间母乳喂养率比较,差异均无统计学意义(均P0.05)。结论对极低出生体重儿实施开放式探视可缩短极低出生体重儿完全经口喂养时间,促进患儿体重增长,提高出院后30 d母乳喂养率,缩短住院时间,降低出院后30 d再入院率,且未增加院内感染发生率。
[Abstract]:Objective to explore the feasibility and effect of open visiting for very low birth weight infants. Methods 36 cases of very low birth weight infants who met the selection criteria were selected as the study subjects. Based on the nursing model of individualized development support for newborns, the open visiting was carried out, and the related system and procedure were worked out. In the control group, 38 cases were treated with individualized development support nursing model. The incidence of nosocomial infection in the two groups was collected and recorded to reach full oral feeding gestational age, weight gain during hospitalization, breast feeding rate at 30 days after discharge, hospitalization time and readmission rate at 30 days after discharge. Results the gestational age of the experimental group was shorter than that of the control group, the weight increased faster during hospitalization than that of the control group, the breast feeding rate at 30 days after discharge was higher than that in the control group, the hospitalization time was shorter than that in the control group, and the readmission rate at 30 days after discharge was lower than that in the control group. All the above differences were statistically significant (P0.05). There was no significant difference in the incidence of nosocomial infection and breast feeding rate during hospitalization between the two groups (P0.05). Conclusion Open visit to very low birth weight infants can shorten the time of complete oral feeding, promote the weight gain, increase the breast-feeding rate at 30 days after discharge, shorten the hospitalization time and reduce the readmission rate at 30 days after discharge. The incidence of nosocomial infection was not increased.
【作者单位】：苏州市立医院新生儿科;
【分类号】：R473.72

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