谢萍

【摘要】目的：探讨分析为喂养不耐受新生儿实施袋鼠式护理干预的临床效果。方法：于2019年2月至2020年8月期间将我院74例喂养不耐受新生儿随机等分为两组，每组各37例，为参照组行常规护理干预，针对研究组实施袋鼠式护理干预，对比两组的护理服务质量满意度指标、体质量增加实现时间指标、胃潴留症状消失实现时间指标、腹胀症状消失实现时间指标、呕吐症状消失实现时间指标，以及神经行为评分指标。结果：研究组的护理服务质量满意度指标高于参照组（P<0.05）。研究组的体质量增加实现时间指标、胃潴留症状消失实现时间指标、腹胀症状消失实现时间指标，以及呕吐症状消失实现时间指标均短于参照组（P<0.05）。研究组的行为能力评分指标、先天反射评分指标、主动肌张力评分指标，以及被动肌张力评分指标均高于参照组（P<0.05）。结论：为喂养不耐受新生儿实施袋鼠式护理干预，能获取较好效果，值得临床推广。

【关键词】喂养不耐受新生儿；常规护理干预；袋鼠式护理干预；临床效果；对比分析

[中图分类号]R473.72 [文献标识码]A [文章编号]2096-5249（2021）11-0132-02

Analysis of the effect and satisfaction of kangaroo nursing intervention on newborns with feeding intolerance

XIE Ping （Hunan maternal and child health care hospital， Changsha Hunan 410008， china）

[Abstract] Objective： To explore and analyze the clinical effect of kangaroo nursing intervention for feeding intolerance newborns. Methods： From February 2019 to August 2020， 74 cases of neonatal intolerance were randomly divided into two groups * 37 cases in each group. The routine nursing intervention was conducted in the reference group. The kangaroo nursing intervention was applied to the study group. The satisfaction index of nursing service quality， the time to achieve the increase of body weight and the time to achieve the loss of symptoms of gastric retention were compared between the two groups. The time of disappearance of abdominal distension， vomiting and neurobehavioral score were measured. Results： The satisfaction index of nursing service quality in the study group was higher than that in the reference group （P<0.05）. In the study group， the time to achieve weight gain， the time to achieve the symptoms of gastric retention， the time to achieve the disappearance of abdominal distension symptoms， and the time to achieve the vomiting disappeared were shorter than those in the reference group （P<0.05）. The scores of behavior ability， congenital reflex， active muscle tension and passive muscle tension in the study group were higher than those in the control group （P<0.05）. Conclusion： Kangaroo nursing intervention for feeding intolerant newborns can obtain better effect， which is worthy of clinical promotion.

[Key words] Neonatal feeding intolerance； Routine nursing intervention； Kangaroo nursing intervention； Clinical effect； Comparative analysis

所謂喂养不耐受新生儿，通常在早产儿群体中较为常见，其主要引致原因，是在胃肠道组织结构基础生理功能紊乱条件下，引致新生儿在接受喂养干预过程中遭遇较大困难[1-2]。对于早产儿而言，由于其胎龄相对较小，且与母体相互分离的时机相对早于正常新生儿，其本身在消化系统主要器官发育状态方面缺乏完善性，继而在接受出生后早期喂养干预过程中极易发生腹胀症状、恶心症状，以及呕吐症状，客观上会显著影响早产儿的生长发育质量和生命存续状态，造成一定表现程度的不良影响[3]。……