鸟巢式护理在新生儿中的应用效果(1)
[摘要] 目的 探讨鸟巢式护理在新生儿中的应用效果，分析其临床有效性和安全性。 方法96例新生儿随机分为观察组和对照组，每组各48例，对照组仅予以传统常规护理，观察组在此基础上给予鸟巢式护理，观察并对比两组新生儿体质量、体温波动、出暖箱时间、睡眠时间等指标及并发症的发生情况。 结果 与对照组比较，观察组新生儿体质量增长速度明显加快，血氧饱和度升高，体温波动幅度小，差异有统计学意义(P<0.05)；睡眠时间和出暖箱时间均明显缩短(P<0.05)；对照组呼吸暂停次数、皮肤溃损、硬肿、喂养不耐受等并发症的发生率均明显高于观察组(P<0.05)。 结论 鸟巢式护理可以使新生儿的体质量和体温在短期内恢复正常，同时可减少呼吸暂停次数和出暖箱时间，提高营养摄入，有利于新生儿的生长发育。
[关键词] 鸟巢式护理；新生儿；应用
[中图分类号] R473.72 [文献标识码] B [文章编号] 2095-0616(2015)01-148-03
[Abstract] Objective To investigate the effect of the bird nest nursing for newborns， and analysis of its clinical efficacy and safety. Methods 96 cases of neonates were randomly assigned into observation group and control group 48 cases. The control group was only given traditional and conventional nursing， while the observation group was given the bird nest nursing in addition to the conventional nursing， to observe and compare the difference of body quality， temperature fluctuations， incubator time， sleep time and complications between the two groups. Results The observation group the weights of neonatal went up quicker， SaO2 was higher and temperature fluctuation was smaller then those in the control group with statistically significant difference(P<0.05)； Sleep time and out of the incubator time were significantly shortened(P<0.05)； Control group number of apnea， skin damage， hard swollen， the incidence of complications such as feeding intolerance were significantly higher than the observation group(P<0.05). Conclusion With bird nest nursing for newborn babies， the body quality and temperature returned to normal in a short time， which can reduce the number of apnea and incubator time， increase the nutrient intake， the bird nest type nursing plays a facilitative role in growth and development of the newborn.
[Key words] The bird nest nursing； The newborn； Application
新生儿时期是人一生中生长发育起步的关键时期，同时也是抵抗力最弱、发病率和死亡率最高的特殊时期[1]。因此，为提高新生儿的生存质量，改善并维持其体内环境，促进生长发育，探索出一种较传统护理方法更为有效的护理模式具有重大意义。鸟巢式护理模拟胎儿孕育在母亲子宫内的稳定环境，避免新生儿因安置于暖箱内，四肢暴露于外在空间而出现的不适感和陌生感，该护理方法目前被普遍认可并广泛应用[2-4]。本研究对我院新生儿采用鸟巢式护理，收效显著，现报道如下。
1 资料与方法
1.1 一般资料
选择2012年12月～2013年12月在我院出生的96例新生儿为受试对象，入院时均无严重的并发症和先天性疾病，孕妇无肝肾功能疾病、神经性疾病和心脑血管病，均取得知情同意。根据护理模式实施的差异，随机分为观察组和对照组，对照组48例，其中女22例，男26例，胎龄29～38周，平均(33.53±1.30)周，体质量1100～3500g，平均(1403.21±118.45)g；观察组48例，其中女21例，男27例，胎龄29～38周，平均(33.74±1.29)周，体质量1100～3400g，平均(1475.42±117.63)g。两组新生儿在性别、胎龄、出生体重等临床资料比较差异无统计学意义(P>0.05)，具有可比性。
1.2 方法
1.2.1 对照组 采用传统式常规护理，在生命体征基本稳定后转入温箱内，头颈部放置柔软的长方形小毛巾使其头部略向后方伸展，床板抬高30°，遵医嘱定时定量喂养或鼻饲新生儿配方奶并观察进奶情况，每日测定体质量变化，采用多参数监护仪实时监测并记录新生儿血氧饱和度、心率及呼吸暂停情况。, http://www.100md.com(邵俊芳)
[关键词] 鸟巢式护理；新生儿；应用
[中图分类号] R473.72 [文献标识码] B [文章编号] 2095-0616(2015)01-148-03
[Abstract] Objective To investigate the effect of the bird nest nursing for newborns， and analysis of its clinical efficacy and safety. Methods 96 cases of neonates were randomly assigned into observation group and control group 48 cases. The control group was only given traditional and conventional nursing， while the observation group was given the bird nest nursing in addition to the conventional nursing， to observe and compare the difference of body quality， temperature fluctuations， incubator time， sleep time and complications between the two groups. Results The observation group the weights of neonatal went up quicker， SaO2 was higher and temperature fluctuation was smaller then those in the control group with statistically significant difference(P<0.05)； Sleep time and out of the incubator time were significantly shortened(P<0.05)； Control group number of apnea， skin damage， hard swollen， the incidence of complications such as feeding intolerance were significantly higher than the observation group(P<0.05). Conclusion With bird nest nursing for newborn babies， the body quality and temperature returned to normal in a short time， which can reduce the number of apnea and incubator time， increase the nutrient intake， the bird nest type nursing plays a facilitative role in growth and development of the newborn.
[Key words] The bird nest nursing； The newborn； Application
新生儿时期是人一生中生长发育起步的关键时期，同时也是抵抗力最弱、发病率和死亡率最高的特殊时期[1]。因此，为提高新生儿的生存质量，改善并维持其体内环境，促进生长发育，探索出一种较传统护理方法更为有效的护理模式具有重大意义。鸟巢式护理模拟胎儿孕育在母亲子宫内的稳定环境，避免新生儿因安置于暖箱内，四肢暴露于外在空间而出现的不适感和陌生感，该护理方法目前被普遍认可并广泛应用[2-4]。本研究对我院新生儿采用鸟巢式护理，收效显著，现报道如下。
1 资料与方法
1.1 一般资料
选择2012年12月～2013年12月在我院出生的96例新生儿为受试对象，入院时均无严重的并发症和先天性疾病，孕妇无肝肾功能疾病、神经性疾病和心脑血管病，均取得知情同意。根据护理模式实施的差异，随机分为观察组和对照组，对照组48例，其中女22例，男26例，胎龄29～38周，平均(33.53±1.30)周，体质量1100～3500g，平均(1403.21±118.45)g；观察组48例，其中女21例，男27例，胎龄29～38周，平均(33.74±1.29)周，体质量1100～3400g，平均(1475.42±117.63)g。两组新生儿在性别、胎龄、出生体重等临床资料比较差异无统计学意义(P>0.05)，具有可比性。
1.2 方法
1.2.1 对照组 采用传统式常规护理，在生命体征基本稳定后转入温箱内，头颈部放置柔软的长方形小毛巾使其头部略向后方伸展，床板抬高30°，遵医嘱定时定量喂养或鼻饲新生儿配方奶并观察进奶情况，每日测定体质量变化，采用多参数监护仪实时监测并记录新生儿血氧饱和度、心率及呼吸暂停情况。, http://www.100md.com(邵俊芳)