摘要
目的 探讨一体化连续护理模式联合综合护理干预对喂养不耐受低体重新生儿价值。方法 选取深圳市龙岗区妇幼保健院2020年6月-2021年3月收治的150例喂养不耐受低体重新生儿,将其随机分为对照组和观察组,各75例。对照组采用综合护理模式干预,观察组在对照组的基础上加用一体化连续护理模式干预。对比两组患儿喂养相关情况、喂养不耐受情况、新生儿消化功能和喂养结局。结果 观察组患儿鼻胃管留置时间、恢复出生体重时间、肠内营养达到418.4kJ/(kg·d)时间均短于对照组(P <0.05);观察组患儿腹胀、呕吐、胃残留及呼吸暂停情况均少于对照组(P <0.05);观察组患儿排便次数、总排便量均多于对照组,胃内残奶量、腹胀次数均少于对照组,胎便排完时间短于对照组(P <0.05);观察组患儿每日增加喂奶量多于对照组,喂养耐受时间短于对照组(P <0.05)。结论 采用一体化连续护理模式联合综合护理干预可有效改善喂养不耐受低体重新生儿的相关喂养情况,减少喂养不耐受的发生,提高喂养的耐受情况,改善消化功能,提高低体重新生儿的生存质量。
Objective To explore the value of integrated continuous nursing mode combined with comprehensive nursing intervention in feeding intolerant low birth weight newborns. Methods 150 cases of feeding intolerant low birth weight newborns treated in our hospital from June 2020 to March 2021 were randomly divided into control group and observation group, with 75 cases in each group. The control group was intervened by comprehensive nursing mode, and the observation group was intervened by integrated continuous nursing mode on the basis of the control group. The feeding related conditions,feeding intolerance, neonatal digestive function and feeding outcomes were compared between the two groups. Results The retention time of nasogastric tube, the time of recovering birth weight and the time of enteral nutrition reaching 418.4kj/(kg· d) in the observation group were shorter than those in the control group(P <0.05);Abdominal distension, vomiting, gastric residue and apnea in the observation group were less than those in the control group(P <0.05). The times of defecation and total defecation in the observation group were more than those in the control group, the amount of residual milk in the stomach and the times of abdominal distension were less than those in the control group, and the time of fetal defecation was shorter than that in the control group(P <0.05);The daily feeding amount of children in the observation group was more than that in the control group, and the feeding tolerance time was shorter than that in the control group(P <0.05). Conclusion The integrated continuous nursing mode combined with comprehensive nursing intervention can effectively improve the feeding situation of feeding intolerant low birth weight newborns, reduce the incidence of feeding intolerant, improve the feeding tolerance, improve the digestive function and improve the quality of life of low birth weight newborns.
作者
何幼鸣
谢映梅
肖惠玉
张杏玲
HE Youming;XIE Yingmei;XIAO Huiyu;ZANG Xingling(Neonatal Pediatrics,Shenzhen Longgang Maternal and Child Health Hospital,Shenzhen,Guangdong 518172)
出处
《智慧健康》
2022年第11期166-169,共4页
Smart Healthcare
关键词
喂养不耐受
低体重新生儿
一体化连续护理模式
综合护理
Feeding intolerance
Low birth weight newborns
Integrated continuous nursing model
Comprehensive nursing
