鸟巢式护理在新生儿中的应用效果.docVIP

鸟巢式护理在新生儿中的应用效果 　　[摘要] 目的 探讨鸟巢式护理在新生儿中的应用效果，分析其临床有效性和安全性。 方法96例新生儿随机分为观察组和对照组，每组各48例，对照组仅予以传统常规护理，观察组在此基础上给予鸟巢式护理，观察并对比两组新生儿体质量、体温波动、出暖箱时间、睡眠时间等指标及并发症的发生情况。 结果 与对照组比较，观察组新生儿体质量增长速度明显加快，血氧饱和度升高，体温波动幅度小，差异有统计学意义（P0.05）；睡眠时间和出暖箱时间均明显缩短（P0.05）；对照组呼吸暂停次数、皮肤溃损、硬肿、喂养不耐受等并发症的发生率均明显高于观察组（P0.05）。 结论 鸟巢式护理可以使新生儿的体质量和体温在短期内恢复正常，同时可减少呼吸暂停次数和出暖箱时间，提高营养摄入，有利于新生儿的生长发育。 　　[关键词] 鸟巢式护理；新生儿；应用 　　[中图分类号] R473.72 [文献标识码] B [文章编号] 2095-0616（2015）01-148-03 　　[Abstract] Objective To investigate the effect of the bird nest nursing for newborns， and analysis of its clinical efficacy and safety. Methods 96 cases of neonates were randomly assigned into observation group and control group 48 cases. The control group was only given traditional and conventional nursing， while the observation group was given the bird nest nursing in addition to the conventional nursing， to observe and compare the difference of body quality， temperature fluctuations， incubator time， sleep time and complications between the two groups. Results The observation group the weights of neonatal went up quicker， SaO2 was higher and temperature fluctuation was smaller then those in the control group with statistically significant difference（P0.05）； Sleep time and out of the incubator time were significantly shortened（P0.05）； Control group number of apnea， skin damage， hard swollen， the incidence of complications such as feeding intolerance were significantly higher than the observation group（P0.05）. Conclusion With bird nest nursing for newborn babies， the body quality and temperature returned to normal in a short time， which can reduce the number of apnea and incubator time， increase the nutrient intake， the bird nest type nursing plays a facilitative role in growth and development of the newborn. 　　[Key words] The bird nest nursing； The newborn； Application 　　新生儿时期是人一生中生长发育起步的关键时期，同时也是抵抗力最弱、发病率和死亡率最高的特殊时期[1]。因此，为提高新生儿的生存质量，改善并维持其体内环境，促进生长发育，探索出一种较传统护理方法更为有效的护理模式具有重大意义。鸟巢式护理模拟胎儿孕育在母亲子宫内的稳定环境，避免新生儿因安置于暖箱内，四肢暴露于外在空间