基于家属照护需求的延续性护理在支气管肺发育不良早产儿中的应用

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摘要目的探讨基于家属照护需求的延续性护理在支气管肺发育不良（BPD）早产儿中的应用效果。方法选取2019年7月至2021年6月珠海市妇幼保健院收治的50 例BPD 早产患儿及其家属（主要照护者）作为研究对象，采用随机数字表法分为对照组和试验组，每组各25 例。对照组给予常规护理，试验组在对照组的基础上实施基于家属照护需求的延续性护理。比较两组家属干预前后的疾病认知水平、照护负担以及患儿的氧疗时间、干预后体重、再次住院率。结果干预前两组家属的疾病认知水平和照护负担评分比较，差异无统计学意义（P＞0.05）；干预后两组家属的疾病认知水平高于干预前，照护负担低于干预前，差异有统计学意义（P＜0.05）；干预后试验组家属的疾病认知水平高于对照组，照护负担低于对照组，差异有统计学意义（P＜0.05）；同时，试验组患儿的氧疗时间短于对照组，再次住院率低于对照组，干预后体重高于对照组，差异有统计学意义（P＜0.05）。结论基于家属照护需求的延续性护理能提高BPD 早产儿家属的疾病认知水平，降低照护负担，从而促进患儿的生长发育，缩短氧疗时间，降低再次住院率。

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	王佳菊
	霍乐颍
	李世琳

关键词 ：照护需求, 延续性护理, 支气管肺发育不良, 早产儿, 家属

Abstract：Objective To explore the application effect of continuous nursing based on parental care needs in premature infants with bronchopulmonary dysplasia (BPD). Methods A total of 50 premature children with BPD and their parents(main caregivers) treated in Zhuhai Maternal and Child Health Hospital from July 2019 to June 2021 were selected as the research objects. They were divided into control group and experimental group according to random number table method, with 25 cases in each group. The control group was given routine nursing, and the experimental group implemented continuous nursing based on parental care needs on the basis of the control group. The disease cognition level, care burden, oxygen therapy time, weight after intervention and rehospitalization rate were compared between the two groups. Results There were no significant differences in disease cognition level and care burden score between the two groups before intervention (P>0.05). After the intervention, the disease cognition level of parents in the two groups was higher than that before the intervention, and the care burden was lower than that before the intervention, the differences were statistically significant (P<0.05). After the intervention, the disease cognition level of parents in the experimental group was higher than that in the control group, and the care burden was lower than that in the control group, the differences were statistically significant (P<0.05). At the same time, the duration of oxygen therapy in the experimental group was shorter than that in the control group, the rehospitalization rate was lower than that in the control group, and the weight after intervention was higher than that in the control group, the differences were statistically significant (P<0.05). Conclusion Continuous nursing based on parental care needs can improve the disease cognition level of parents of premature infants with BPD, reduce the care burden, promote the growth and development of children, shorten the time of oxygen therapy and reduce the rate of rehospitalization.

Key words： Nursing needs Continuous care Bronchopulmonary dysplasia Premature infant Parent

基金资助:广东省珠海市科技计划项目（ZH2203620121017 5PWC）

引用本文:

王佳菊,霍乐颍,李世琳. 基于家属照护需求的延续性护理在支气管肺发育不良早产儿中的应用[J]. 中国当代医药, 2022, 29(24): 177-180.
WANG Jiaju,HUO Leying,LI Shilin. Application of continuous nursing based on parental care needs in premature infants with bronchopulmonary dysplasia. 中国当代医药, 2022, 29(24): 177-180.

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https://www.dangdaiyiyao.com/CN/ 或 https://www.dangdaiyiyao.com/CN/Y2022/V29/I24/177

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