个体化发育支持护理对新生儿监护室早产儿的影响

摘要

目的：探讨个体化发育支持护理（DSC）对新生儿监护室（NICU）早产儿的影响。方法选取NICU收治的68例早产儿，将其随机分为对照组和观察组，各34例。对照组采用常规护理模式，观察组在此基础上实施个体化DSC模式，比较两组早产儿的腹胀消退时间、开始经口喂养时间及达足量喂养时间，以及出生后第7天和第14天的进奶量与体质量。结果观察组早产儿的腹胀消退时间、开始经口喂养时间及达足量喂养时间均短于对照组，差异有统计学意义（P＜0.05）；出生后第7天和第14天，观察组早产儿的进奶量和体质量均大于对照组，差异有统计学意义（P＜0.05）。结论个体化发育支持护理能有效减少不良环境对早产儿的刺激，模仿子宫环境，延长深睡眠时间，促进早产儿尽早建立吸吮吞咽反射和胃肠道功能发育，有效促进其生长发育。%Objective To investigate the impact of individualized developmentally supportive care (DSC) on premature children in neonatal intensive care unit (NICU). Methods Sixty-eight cases of premature children admitted to NICU were randomly assigned into the control group (n=34) and observation group (n=34). The control group received routine care model, while the observation group was given individual DSC model on the basis of routine care model. The time differences of bloating subsided, oral feeding and sufficient amount of feeding, and volume of milk intake and body weight 7 days and 14 days after birth were compared. Results The time of bloating subsided, oral feeding and sufficient amount of feeding in the observation group was significantly shorter than the control group (P<0.05). The volume of milk intake and body weight in the observation group were significantly more than the control group (P<0.05). Conclusion Individualized developmentally supportive care can effectively promote the growth and development of preterm children.