袋鼠式护理改善无创辅助通气超未成熟儿喂养的效果评价
作者:
作者单位:

作者简介:

通讯作者:

基金项目:

深圳市医疗卫生三名工程项目(SZSM201612045);深圳市妇幼保健院2018年度院内科研基金项目(FYB2018002);2018年广东省护理学会自选课题一般项目(gdhlxueh20192L052)


Effect of kangaroo mother care on feeding results of extremely preterm infants requiring noninvasive assisted ventilation
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
    摘要:

    目的 探讨袋鼠式护理对无创辅助通气超未成熟儿达到完全肠道内喂养及母乳喂养的影响。方法 将 NICU 体质量低于1000g、无创辅助通气的超低出生体质量儿按数字表法随机分为对照组(62例)和干预组(61例)。对照组实施常规护理;干预组在常规护理基础上,入院3周后生命体征平稳即实施袋鼠式护理,每天1次,每次3h,持续干预2周。结果 干预组袋鼠式护理过程中无管道滑脱、呛奶等不良事件发生。干预组达到完全肠内外喂养时间显著短于对照组,出院前24h纯母乳喂养率显著高于对照组(P<0.05,P<0.01)。调整性别、孕周和出生体质量、日龄、分娩方式、产前激素应用、试管婴儿、宫内窘迫后,袋鼠式护理干预有助于缩短达到完全肠内喂养时间(P<0.01),提高出院前24h纯母乳率(OR=4.526,P<0.05)。结论 对无创辅助通气超未成熟儿应用袋鼠式护理,可缩短达到完全肠道内喂养时间,提高纯母乳喂养率。

    Abstract:

    Objective To investigate the effects of kangaroo mother care on the time to total enteral feeding and breastfeeding rates for extremely preterm infants requiring noninvasive assisted ventilation.Methods Totally, Extremely preterm infants with a weight of less than 1 000 g were randomized into a control group (n=62), who received routine care, and an intervention group (n=61), who were additionally subjected to kangaroo mother care sessions,once a day, 3 h each session, for 2 weeks, starting from 3 weeks after admission when the infants′ vital signs were stable.Results There were no such adverse events as tube dislodgement, chokes on milk, etc., in the intervention group. The time to total enteral feeding was shorter and exclusive breastfeeding rate within 24 h before discharge was higher in the intervention group than in the control group (P<0.05,P<0.01).After adjusting such factors as genders, gestatio-nal weeks, weight at birth, days after birth, modes of birth, whether using pre-birth hormones or not, whether being a test-tube baby or not, fetal distress, kangaroo mother care shortened the time to total enteral feeding (P<0.01) and enhanced exclusive breastfeeding rates within 24 h before discharge was higher (OR=4.526,P<0.05).Conclusion The use of kangaroo mother care for extremely preterm infants requiring noninvasive assisted ventilation could shorten the time to total enteral feeding and enhance exclusive breastfeeding rates.

    参考文献
    相似文献
    引证文献
引用本文

熊小云,谢小华,杨传忠,孙盼盼,陈丽莲,张剑,汪云云,邓丽萍.袋鼠式护理改善无创辅助通气超未成熟儿喂养的效果评价[J].护理学杂志,2019,34(15):1-4

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
历史
  • 收稿日期:2019-03-16
  • 最后修改日期:2019-05-10
  • 录用日期:
  • 在线发布日期: 2022-08-09