Effects of the mother's heart sound environment combined with the kangaroo mother care intervention for premature in-fants on their growth and development,bilirubin metabolism and cardiopulmonary function
Objective:To analyze the effects of the mother heart sound environment combined with the kangaroo moth-er care intervention for premature infants on their growth and development,bilirubin metabolism and cardiopulmonary function.Methods:96 premature infants who had been treated in the hospital were selected and were divided intothe control group(48 cases with the routine nursing model)and the observation group(48 cases with the indirect mother heart sound environment combined with the kangaroo mother care intervention model)by the random number table method from January 2019 to January 2022.The bilirubin metabolism situation,the cardiopulmonary function,the sleep quality and the growth and development status of the infants,and the maternal satisfaction for the nursing were compared between the two groups.Results:The transcutaneous bilirubin value of the infants in the two groups had in-creased firstly and then had decreased at 24h,72h,120h and 168h after intervention,and which(72.35±11.21μmol/L,123.69±12.47μmol/L,152.36±28.69μmol/L and 86.15±9.12μmol/L)of the infants in the observation group were significantly lower than those(78.68±12.69μmol/L,129.23±13.10μmol/L,177.58±35.52μmol/L and 91.14±11.0 2μmol/L)of the infants in the control group,and the transcutaneous bilirubin value of the infants in the two groups reached the peak at 120h after birth.The heart rate and respiratory rate of the infants in the two groups on the 4th and 7th day of intervention had decreased gradually,and the blood oxygen saturation value of the infants increased gradually,and the changes of which in the observation group were significantly greater than those of the infants in the control group(all P＜0.05).The number of the night awakening(4.45±0.98 times)of the infants in the observation group on the 28th day of intervention was significantly lower than that(5.38±1.03times)of the infants in the control group,and the night sleep time(10.85±1.38h)and daytime sleep time(9.24±1.25h)of the infants in the observation group on the 28th day of intervention were significantly higher than those(10.12±1.24h and 8.63±1.46h)of the in-fants in the control group.The values of head circumference(3.12±0.56cm),length(5.12±1.25cm)and weight(621.64±101.19g)of the infants in the observation group were significantly higher than those(2.88±0.48cm,4.45±1.31cm and 538.55±92.14g)of the infants in the control group.The total maternal nursing satisfaction(95.8％)in the control group was significantly higher than that(83.3％)in the control group(all P＜0.05).Conclusion:The mother's heart sound environment combined with kangaroo mother care model for the premature infants can effectively reduce their bilirubin level,improve their cardiopulmonary function and sleep quality,promote their growth and development and enhance the nursing satisfaction of their family members.
Premature infantNeonatal careMother's heart sound environmentKangaroo styleBilirubinCardiop-ulmonary functionSleep qualityGrowth and development
NETL
NSTL
万方数据
