首页|医护家庭一体化管理模式对极低出生体重儿出院后生长发育的影响

医护家庭一体化管理模式对极低出生体重儿出院后生长发育的影响

扫码查看
目的 探究医护家庭一体化管理模式对极低出生体重儿出院后状况及生长发育的影响。方法 本研究为随机对照研究。选取2019年1月至2023年8月期间清远市妇幼保健院新生儿科收治的80名极低出生体重儿,随机数字表法分为试验组和对照组,每组40名。试验组孕周(34。92±0。89)周,男 21 人(52。5%),女 19 人(47。5%);对照组孕周(34。70±0。67)周,男 26人(65。0%),女 14 人(35。0%)。对照组患儿实施常规护理,试验组患儿在常规护理的基础上予以医护家庭一体化管理模式。收集两组患儿一般状况、出院后30d内再入院、喂养状况及各时间点(出生时、出生后1个月、3个月和6个月)的生长发育指标等数据。采用t检验、x2检验进行组间比较。结果 试验组患儿出院后30d内再入院率为15。0%(6/40),低于对照组的30。0%(12/40);试验组患儿中有5。0%(2/40)母乳喂养,对照组中有10。0%(4/40)母乳喂养;两组比较差异均无统计学意义(P=0。108、0。396)。试验组患儿在出生后6个月各项生长发育指标均超过对照组(均P<0。05)。结论 医护家庭一体化管理模式对减少极低出生体重儿出院后再入院比例,促进极低出生体重儿健康生长发育有着积极作用。
Effect of medical-nursing-family integrated management mode on status and growth of very low birth weight infants after discharge
Objective To investigate the effect of the medical-nursing-family integrated management mode on the status and growth of very low birth weight infants after discharge.Methods Eighty very low birth weight infants admitted to Department of Neonatology,Qingyuan Maternal and Child Health Hospital from January 2019 to August 2023 were selected for the randomized controlled trial,and were divided into an experimental group and a control group by the random number table method,with 40 cases in each group.There were 21 boys and 19 girls in the experimental group;their gestational weeks were(34.92±0.89).There were 26 boys and 16 girls in the experimental group;their gestational weeks were(34.70±0.67).The control group were managed conventionally;in addition,the experimental group were managed by the integrated medical-nursing-family management mode.The general conditions,readmission rates within 30 days after discharge,feeding status,and growth indicators at birth and 1,3,and 6 months after birth in both groups were collected.t and x2 tests were used to compare the data between the two groups.Results There was no statistical difference in the readmission rate within 30 days after discharge between the experimental group and the control group[15.0%(6/40)vs.30.0%(12/40),P=0.108].5.0%(2/40)of the children in the experimental group were breastfed,and 10.0%(4/40)of the control group(P=0.396).All the growth indicators in the experimental group were better than those in the control group 6 months after birth(all P<0.05).Conclusion The medical-nursing-family integrated management mode can reduce the readmission rate after discharge and promote healthy growth and development of very low birth weight infants.

GrowthMedical-nursing-family integrationVery low birth weight infants

余碧仪、王雪、曾海权、谭俊杰、凡伟

展开 >

清远市妇幼保健院新生儿科,清远 511510

生长发育 医护家庭一体化 极低出生体重儿

广东省医学科学技术研究基金清远市社会发展领域自筹经费科技计划清远市社会发展领域自筹经费科技计划

A2022128200518094564295221101187687947

2024

国际医药卫生导报
中华医学会,国际医药卫生导报社

国际医药卫生导报

影响因子:0.781
ISSN:1007-1245
年,卷(期):2024.30(11)