|
|
Application effect of position management based on infant position assessment tool combined with developmental supportive nursing on premature infants |
JIANG Nanyu LI Xiaoxiao XIAO Xia |
Department of Pediatrics, Pingxiang People′s Hospital, Jiangxi Province, Pingxiang 337000, China |
|
|
Abstract Objective To explore the application effect of position management based on infant position assessment tool combined with developmental supportive nursing on premature infants. Methods A total of 60 premature infants treated in Pingxiang People′s Hospital, Jiangxi Province, from January 2021 to February 2022 were selected as the research subjects, and they were divided into the control group (n=30) and the study group (n=30) by the random number table method. The two groups of premature infants were given routine developmental supportive nursing, and the control group was supported by bird′s nest position while the study group adopted infant position assessment tool to guide the placement of bird′s nest position. The nutritional support status, feeding status, growth and development and clinical outcomes were compared between the two groups of premature infants. Results After intervention, the gastric tube indwelling time, total enteral nutrition time and ventilator use time of premature infants in the study group were all shorter than those in the control group, the differences were statistically significant (P<0.05). After intervention, the feeding status of premature infants in the study group was better compared to the control group, the difference was statistically significant (P<0.05). The incidence rate of feeding intolerance in the study group after intervention was lower than that in the control group, the difference was statistically significant (P<0.05). There were no statistical differences in the body weight, body length and head circumference between the two groups of premature infants before intervention (P>0.05). After intervention, the body weight, body length and head circumference of premature infants in the two groups were greater than those at birth, the differences were statistically significant (P<0.05), and the body weight, body length and head circumference were greater in the study group than those in the control group, the differences were statistically significant (P<0.05). The total incidence rate of complications in the study group was lower than that in the control group after intervention, the difference was statistically significant (P<0.05). Conclusion The combination of position management based on infant position assessment tool and developmental supportive nursing is beneficial to enhancing the feeding tolerance, promoting the growth and development, and improving the clinical outcomes of premature infants.
|
|
|
|
|
[1] |
山东省多中心极低出生体重儿预后评估协作组.极低出生体重儿宫外生长发育迟缓危险因素的多中心研究[J].中华儿科杂志,2020,58(8):653-660.
|
[2] |
李蕊,王晶,韩志英,等.IPAT 在NICU 低出生体重早产儿发育支持中的应用效果[J].护理研究,2020,34(5):857-877.
|
[3] |
Soleimani F,Azari N,Ghiasvand H,et al.Do NICU developmental care improve cognitive and motor outcomes for preterm infants? A systematic review and meta-analysis[J].BMC Pediatr,2020,20(1):67.
|
[4] |
王玉芬,刘娟.发育支持护理干预对早产低出生体质量儿营养状况的影响[J].山西医药杂志,2020,49(6):755-757.
|
[5] |
李丹,黄湘晖,叶茹明.基于信息化平台的发育支持系统在早产儿护理中的应用[J].上海护理,2021,21(5):31-35.
|
[6] |
张德碧,杜逸亭,韩雪梅,等.早期胃肠外营养对早产儿低出生体重儿出院后生长发育的影响[J].标记免疫分析与临床,2019,26(3):511-515.
|
[7] |
Coughlin M,Lohman MB,Gibbins S.Reliability and effec tiveness of an Infant Positioning Assessment Tool to standardize developmentally supportive positioning practices in the neonatal intensive care unit[J].Newborn Infant Nurs Rev,2010,10(2):104-106.
|
[8] |
邵肖梅,叶鸿瑁,丘小汕.实用新生儿学[M].4 版.北京:人民卫生出版社,2011:64-65.
|
[9] |
Mary S,Ibrahim P,Badin D,et al.Structured educational in tervention leads to better infant positioning in the NICU[J].Neonatal Netw,2018,37(2):70-77.
|
[10] |
陆红霞,吴萍,刘灿萍,等.初乳口腔免疫治疗联合口腔吞咽训练对早产儿经口喂养的影响[J].皖南医学院学报,2019,38(3):304-306.
|
[11] |
邓永锋,慕容三群,余兆聪,等.早产儿喂养不耐受的临床特征及相关影响因素[J].海南医学,2018,29(13):1821-1823.
|
[12] |
李自圆,朱越尔,袁霞,等.早产儿视网膜病变69 例临床分析[J].吉林医学,2021,42(7):1386-1389.
|
[13] |
刘亚璇,徐发林,段稳丽,等.河南省早产儿出生状况及早产原因的多中心研究[J].中国当代儿科杂志,2021,23(2):121-126.
|
[14] |
吴新萍,谷传丽,韩树萍,等.极早产儿存活率和并发症的多中心回顾性研究[J].中国当代儿科杂志,2021,23(8):814-820.
|
[15] |
张沥文,陈凌,田鹏,等.不同喂养方式对早产儿胃促生长素、瘦素和生长发育的影响[J].中国医学前沿杂志(电子版),2020,12(4):35-38.
|
[16] |
闫春梅,陈婷.婴儿体位评估工具对新生儿重症监护室低出生体重早产儿临床结局的影响研究[J].中国现代医生,2020,58(35):51-54.
|
|
|
|