刘玲伶

[摘要] 目的 分析極低出生体重早产儿院外延续性护理干预价值。方法 方便选择2015年8月—2016年8月该院收治的200例极低体重新生儿为研究对象，将其分为两组，每组100例。对照组接受常规出院指导护理，以此为基础，观察组接受延续性护理，分析结果。结果 出院前，两组的护理技能分数差异无统计学意义（χ2=1.236，P>0.05），和治疗前相比，治疗后患儿母亲的护理技能明显提升，就提升程度来看，观察组明显比对照组多（95.00% vs 85.00%，χ2=5.296，P<0.05）两组患儿智能发育情况为：和出院3个月时相比，出院6、12月的智能发育项目指标两组组间数据差异有统计学意义（P<0.05）。就改善程度来看，观察组的大运动、精细运动以及DQ情况发育更好（P<0.05）。两组患儿和出院3个月时相比，体格发育存在明显差异。[对照组，观察组干预12月后大运动、精细运动以及DQ分数为（75.89±9.63）、（79.52±11.28）、（69.58±8.52）以及（82.93±11.28）、（86.93±13.12）和（80.25±10.25）（t=10.23、11.27、12.09，P<0.05）]就改善程度来看，两组受试者的体格发育情况相差不大（P>0.05）[对照组以及观察组的干预12月后的身高以及体重值分别为（69.32±2.58）cm、（8.87±0.91）kg，（73.26±2.59）cm、（9.19±0.96）kg，（t=3.02、1.22）]。结论 对于极低体重新生儿，开展家庭式延续性护理，可全面促进患儿智力发育，并在一定程度上促进体格发育，但影响不存在显著意义。开展此项护理，有助于降低患儿在住院率值得进一步推广。

[关键词] 极低体重新生儿；延续性护理；智能发育；体格发育；护理技术提升

[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2018）06（b）-0119-04

Study on Continuous Nursing Intervention Outside the Hospital of Very Low Birth Weight Premature Infants

LIU Ling-ling

Department of Neonatology， Affiliated Hospital of Guilin Medical College， Guilin， Guangxi， 541001 China

[Abstract] Objective To analyze the value of continuous nursing intervention outside the hospital of very low birth weight premature infants. Methods 200 cases of very low birth weight premature infants admitted and treated in our hospital from August 2015 to August 2016 were convenient selected and divided into two groups with 100 cases in each， the control group received the routine discharge guidance nursing， while the observation group received the continuous nursing on the basis of the control group， and the results were analyzed. Results Before discharge， there were no obvious differences in the nursing skill scores （χ2=1.236，P>0.05）， and the nursing skill of mothers of children after treatment were obviously improved， and the improvement degree in the observation group was obviously more than that in the control group（95.00%vs85.00%，χ2=5.296， P<0.05）， and the differences in the intelligence development item indexes in 6 and 12 months and in 3 months after discharge were obvious（P<0.05）， and the improvement degrees of gross motor， refined motor and DQ development was better（P<0.05）， and there was obvious difference in the physical development compared with that in 3 months after discharge， and the gross motor， refined motor and DQ score in 12 months after intervention in the control group and in the observation group were respectively （75.89±9.63）， （79.52±11.28）， （69.58±8.52）， （82.93±11.28）， （86.93±13.12）， （80.25±10.25）， （t=10.23， 11.27， 12.09）， and the difference in the physical development between the two groups was not big（P>0.05）， and the height and weight values in 12 months after intervention in the control group and in the observation group were respectively （69.32±2.58） cm， （8.87±0.91） kg， （73.26±2.59） cm， （9.19±0.96） kg（t=3.02， 1.22） . Conclusion The development of family continuous nursing in newborns with very low weight can comprehensively promote the intelligence development of children， and promote the physical development to a certain degree， but the effect is not of obvious significance， and the development of the nursing contributes to reducing the hospitalization rate of children， and it is worth further promotion.

[Key words] Newborns with very low weight； Continuous nursing； Intelligence development； Physical development； Improvement of nursing technology

所谓延续护理，主要指的是护理人员对患者进行系列性行为设计，保证其在相同或者不同的场所受到相同化水平照顾[1-2]。为了分析极低出生体重早产儿院外延续性护理干预的效果，结合实际情况，该文方便选择2015年8月—2016年8月该院收治的200例极低体重新生儿为研究对象，并对部分新生儿开展了延续性护理，得出心得，现报道如下。

1 资料与方法

1.1 一般资料

方便选择该院收治的200例极低体重新生儿为研究对象。观察组男65例，女35例。胎龄为27.5～36.2周，平均时间为（33.15±1.47）周。疾病情况：高胆红素血症30例，颅内I～II度出血 22例，产后窒息 48例。剖……