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• 专科管理 • 上一篇    下一篇

早产儿口腔运动干预的循证护理实践

张岚 王玉梅 乐琼 吴丽芬 喻姣花   

  1. 华中科技大学同济医学院附属协和医院儿科,430022 武汉市(张岚,乐琼,吴丽芬);老年科(王玉梅);护理部(喻姣花)
  • 出版日期:2018-05-25 发布日期:2018-05-25
  • 基金资助:
    2017华中科技大学同济医学院附属协和医院院内课题护理基金(02.02.1017-266)

Evidence-based nursing practice of oral movement intervention in premature infants

  • Online:2018-05-25 Published:2018-05-25

摘要: 目的:评价循证护理方法应用于早产儿口腔运动干预的效果。方法:选择2017年1-8月在我院新生儿重症监护病房(NICU)住院的早产儿58例为研究对象,对照组28例(2017年1-4月),观察组30例(2017年5-8月),对照组实施早产儿常规护理,观察组在此基础上给予口腔运动干预;比较两组患儿非营养性吸吮系统评分(NNS)、全经口喂养过渡时间及住院时间。结果:两组患儿NNS得分均逐渐提高,于胃肠内营养开始后第9天呈现出统计学差异(P<0.05);观察组全经口喂养过渡时间明显低于对照组,差异具有统计学意义(P<0.05);住院时间无统计学差异(P>0.05)。结论:基于循证的早产儿口腔运动干预能有效提高早产儿经口喂养能力,缩短其全经口喂养过渡时间,可为新生儿科早产儿喂养提供参考。

Abstract: Objective: To explore the effectiveness of evidence-based nursing practice of oral movement intervention in premature infants. Methods: Totally 58 premature infants in NICU were selected from January to August, 2017. Twenty-eight cases (from January to April) were included in the control group and 30 cases (from May to August) were included in the observation group. The control group was given routine nursing care while the observation group was given oral movement intervention on the basis of routine nursing care. Then we compared the NNS scores, the transition time of full mouth feeding and the length of hospital stay between the two groups. Results: The NNS scores were increased gradually in both group, and the difference showed statistical significant on the ninth day (P<0.05). The transition time of full mouth feeding in the observation group was significantly lower than that in the control group, and the difference was statistically significant (P<0.05). There was no significant difference in the length of hospital stay (P>0.05). Conclusion: Evidence-based nursing practice of oral movement intervention can effectively improve the ability of oral feeding of premature infants and shorten the transition time of full mouth feeding, which can provide reference for the feeding of preterm infants in neonatal department.