改良式袋鼠式护理对早产儿生长发育及母亲焦虑情绪的影响

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摘要目的探讨改良式袋鼠式护理(KMC)对早产儿生长发育及母亲焦虑情绪的影响。方法采用便利抽样法抽取2017年6月—2018年6月在本院住院的早产儿60例,分为改良KMC组30例,对照组30例。对照组早产儿接受常规护理,改良KMC组早产儿除常规护理外,在早产儿病情平稳后,由早产儿母亲为早产儿进行每周5次,每次至少1 h的袋鼠式护理,直至早产儿出院。比较两组早产儿的生长发育情况及母亲的焦虑情绪。结果改良KMC组早产儿实施改良式袋鼠式护理过程顺利,未出现异常情况。两组早产儿的住院时间、体重增长速度、经口喂养的时间、喂养方式、用氧时间等方面比较,差异均无统计学意义。出院时改良KMC组母亲的焦虑状态减轻(P<0.05),对照组母亲焦虑状态无变化(P>0.05)。结论实施改良式袋鼠式护理安全可行,能缓解早产儿母亲的焦虑情绪,但对早产儿生长发育是否存在影响,尚需进一步扩大样本量及增加随访时间再行探讨。

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	蒙景雯
	李变
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关键词 ：早产儿, 袋鼠式护理, 焦虑

Abstract：Objective To explore the effect of improved kangaroo mother care (KMC) on growth and development of premature infants and anxiety of mothers. Methods A total of 60 premature infants hospitalized in our hospital were recruited from June 2017 to June 2018 by convenience sampling method, with 30 infants classified into the KMC group and 30 into the control group. The control group received routine nursing, while the KMC group received kangaroo care when premature infants conditions were stable. KMC was provided five times a week, one hour each time, until the premature infants were discharged from the hospital. The differences in growth and development of premature infants and mothers' anxiety were compared between the two groups. Results No adverse events occurred in the KMC groups. The hospitalization time, body weight growth rate, oral feeding time, feeding mode, oxygen usage time, et al. were comparable between the KMC group and the control groups (P>0.05). The mothers' anxiety in the KMC group was significantly alleviated at discharge (P<0.05), while that for mothers in the control group remained unchanged (P>0.05). Conclusion Implementing improved kangaroo nursing for premature infants can alleviate the mothers' anxiety, but its effect on infants growth and development needs to be further explored.

Key words： preterm infants kangaroo mother care anxiety

收稿日期: 2019-07-22

基金资助:北京大学医学部护理科研基金(BMU20160523)

通讯作者: 陈华(bettychenhua@126.com)

引用本文:

蒙景雯, 李变, 陈华. 改良式袋鼠式护理对早产儿生长发育及母亲焦虑情绪的影响[J]. 中国生育健康杂志, 2020, 31(5): 426-429.
Meng Jingwen, Li Bian, Chen Hua. Effect of improved kangaroo mother care on growth and development of premature infants and anxiety of mothers. Chinese Journal of Reproductive Health, 2020, 31(5): 426-429.

链接本文:

http://cjrh.bjmu.edu.cn/CN/ 或 http://cjrh.bjmu.edu.cn/CN/Y2020/V31/I5/426

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