早产儿生长发育中鸟巢式体位护理应用及效果.docVIP

早产儿生长发育中鸟巢式体位护理应用及效果 　　[摘要] 目的 明确“鸟巢式”体位护理在早产儿生长发育护理中的应用效果。 方法 选择2015年8月～2016年2月在我院新生儿重症监护病房收治的100例早产儿为研究对象，将所有符合条件入选的患儿根据治疗期间所采用的护理方式分为“鸟巢式”体位护理组（A组）和常规监护体位护理组 （B组），每组50例。记录患儿出生后当天（T1）、第7天（T2）、第15天（T3）患儿的一般情况、体重（体重增长速度）、体温、黄疸监测结果、出暖箱时间、日睡眠时间、平均住院时间、住院期间发生并发症等数据。 结果 两组患儿在一般情况方面比较差异无统计学意义（P0.05）；在平均住院时间、出暖箱时间、日睡眠时间、体重增长速度方面，A组与B组比较差异有统计学意义（P0.05）；A组患儿在治疗期间不同时间内体温变化相对恒定，且A组患儿T3时黄疸指数已较T2时显著降低，A组在T2、T3两个时间点体温变化与黄疸指数监测结果与B组比较差异有统计学意义（P0.05）；在患儿不良反应发生情况方面，B组患儿术后不良反应的发生率显著高于A组，A组与B组比较差异有统计学意义（P0.05）。 结论 采用“鸟巢式”护理体位开展新生儿护理工作能提高患儿的舒适度，缩短住院时间，增加患儿的体重，减少并发症发生，促进患儿的生长发育。 　　[关键词] 早产儿；鸟巢式；生长发育；体位 　　[中图分类号] R473.72；R722.1 [文献标识码] B [文章编号] 1673-9701（2016）15-0160-04 　　[Abstract] Objective To identify the effects of bird nest type nursing care in the growth and development of premature infants. Methods 100 premature infants treated in neonatal intensive care unit （NICU） of our hospital from August 2015 to Februray 2016 were selected as the research objects. All the eligible infants were divided into group A （bird nest type nursing care， n=50） and group B（routine type nursing group， n=50）. And the general conditions， body weights（increase rates of body weight）， body temperatures， jaundice monitoring results， time of take out from the warm case， daily sleep time， average period of hospitalization and complications during hospitalization on the day of birth （T1）， the 7th day （T2） and the 15th day （T3） of the birth of the infants were recorded. Results There was no statistically significant difference between two groups in general conditions （P0.05）； But there were statistically significant differences between two groups in average period of hospitalization， time to take out of the warm case， daily sleep time and the growth rate of body weight （P0.05）； infants of group A had relatively stable temperature during different time points of the treatments， the jaundice index of group A at T3 was significantly reduced compared with that at T2； there were statistically significant differen