| 刘蓓蓓,王 楠,徐业芹,丁 培,徐 微.袋鼠式护理对极低出生体重早产儿喂养、行为及体格发育的影响[J].上海护理,2019,19(10): |
| 袋鼠式护理对极低出生体重早产儿喂养、行为及体格发育的影响 |
| Effect of kangaroo nursing on feeding, behavior and physical development of ultra-low birth weight premature infantsLIU Beibei, WANG Nan,XU Yeqin, et al. Department of Neonatal, Obstetrics and Gynecology Hospital,Affiliated to Nanjing Medical University,Nanjing 210004,CHINA |
| DOI： |
| 中文关键词: 袋鼠式护理 极低出生体重 早产儿 喂养 行为发育 体格发育 |
| 英文关键词:Kangaroo Care Very-low birth weight Premature Infants Feeding Behavioral Development Physical Development |
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| 中文摘要: |
| 目的 探讨袋鼠式护理对极低出生体质量早产儿喂养、行为及体格发育的影响。方法 选择2017年2月至2019年2月本院新生儿科收治的极低出身体质量早产儿162例，按照实施的护理干预方法不同分为两组，各81例。对照组行常规护理，观察组实施本研究袋鼠式护理，比较两组喂养相关指标，分析干预后两组体格发育情况及干预后两组NBNA神经行为测定结果变化情况。结果 观察组平均加奶速度大于对照组（P<0.05），达全肠内营养日龄早于对照组（P<0.05），母乳喂养率大于对照组（P<0.05），干预后观察组体格发育指标中，身长增长、体重增长及头围增长情况均显著大于对照组（P<0.05），观察组NBNA神经行为测定结果中，行为能力、被动肌张力、主动肌张力、非条件反射、一般反应能力得分均明显高于对照组（P<0.05）。结论 针对极低出生体质量早产儿的袋鼠式护理，能有效的提高患儿母乳喂养效率，促进机体体格及行为能力发展，且干预过程中不良反应少，安全性高，值得临床推广。 |
| 英文摘要: |
| Objective To explore the effect of kangaroo nursing on feeding, behavior and physical development of preterm infants with very-low birth weight. Methods 162 cases of very low birth weight infants admitted to our hospital from February 2017 to February 2019 were selected and divided into two groups according to different nursing intervention methods, 81 cases in each group. The control group received routine nursing, while the observation group received kangaroo nursing. The feeding related indexes of the two groups were compared. The physical development of the two groups after the intervention and the changes of NBNA neurobehavioral measurement results after the intervention were analyzed. ResultsThe average milk feeding rate of the observation group was higher than that of the control group (P<0.05), the day of reaching total enteral nutrition was earlier than that of the control group (P<0.05),in the physical development indexes of the observation group after intervention, the growth of body length, body weight and head circumference were significantly higher than that of the control group (P<0.05). in the NBNA neurobehavioral measurement results of the observation group, The scores of behavior ability, passive muscle tension, active muscle tension, Unconditioned Reflex and general reaction ability in the observation group were significantly higher than those in the control group (P<0.05).Conclusion Kangaroo nursing for very low-weight premature infants can effectively improve the breast-feeding efficiency of children and promote the development of body physique and behavior ability. Besides, there are few adverse reactions and high safety in the intervention process, which is worthy of clinical promotion. |
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