摘要
目的了解早产后母婴分离状态下父亲的护理服务需求。方法运用质性现象学研究方法,以半结构式深度访谈法,现场录音收集21名早产儿父亲在早产后3d内的真实体验,以内容分析法对资料整理归纳和分析。结果提炼出4个护理需求:需要得到新生儿病情信息并希望尽早参与照顾新生儿;需要获得母乳喂养的帮助和支持;需要给予产褥期护理指导;希望得到护理人员对父亲角色的心理支持和帮助。结论对于早产后母婴分离状态下父亲,护理人员要重视父亲角色的积极作用,适时给予帮助和指导,促进家庭健康。
Objective：To observe the compatibility of Huangqi（Astragalus） and Danggui（Angelica） different doses and the proportions of experimental pulmonary fibrosis in mice lung morphology and hydroxyproline（HYP）contents in lung tissue. Methods：SPF 80 male ICR mice,weighed 18 to 22 g,were randomly divided into normal control group,model group and six different ratios and dosages of Huangqi（Astragalus）and Danggui（Angelica） Chinese medicine treatment groups[1.Huangqi（Astragalus）：Danggui（Angelica）=5∶1;2.Huangqi（Astragalus）：Danggui（Angelica）=1∶1;3.Huangqi（Astragalus）：Danggui（Angelica）=1 ∶ 5;4. Huangqi（Astragalus）：Danggui（Angelica） 5∶1;5. Huangqi（Astragalus）：Danggui（Angelica）=1∶1;6. Huangqi（Astragalus）：Danggui（Angelica）=1∶5],10 in each group. In addition to the normal control group,the rest of the group used endotracheal doxycycline injection（5 mg/kg）to copy the model of pulmonary fibrosis in mice. On the second day,normal control group and model group was given lavage with saline water and six Chinese medicine treatment groups given different ratios and dosages of Huangqi（Astragalus） and Danggui（Angelica） decoction. Mice were executed 28 days later and we observed the lung tissue＇s pathology change and the content of hydroxyproline. Results：HE staining showed bronchial and alveolar interval around in model mice with a large number of inflammatory cells infiltration,thickening of alveolar walls,alveolar structure damage and even disappeared,alveolar interval fibrosis significantly. WU Zhaofa simplified Mallory＇s collagen staining showed model group around the small bronchial wall had large blue collagen deposition. Those of six Chinese medicine treatment groups were improved compared with those of the model group and 1 and 6 Chinese medicine treatment groups improved significantly and the alveolar structure have been restored. Compared with model group,1 and 6 traditional Chinese medicine groups＇ mice lung tissue＇s Hyp significantly reduced with statistically significant difference（P0.01）.Conclusion：Large dose of astragalus angelica group to reduce the lung tissue 5∶1 Hyp content and improving the structure of the alveolar effect is remarkable.
基金
2014年宜昌市医疗卫生科研项目(A14301-15)
关键词
早产儿
父亲
母亲
母婴分离
护理需求
质性研究
pulmonary fibrosis
hydroxyproline
Huangqi（Astragalus）
Danggui（Angelica）
