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目的:探讨院外延续健康管理对出院后早产儿生长发育、母亲角色适应的影响。方法:选取2013年9月~2014年9月110例早产儿,随机分为干预组与对照组各55例,其中干预组失访5例,对照组失访2例。干预组给予延续健康管理,对照组采用常规门诊护理措施,比较早产儿月龄3个月、6个月、12个月两组患儿智能发育、体格发育,母亲角色适应状况。结果:干预组和对照组早产儿月龄3个月、6个月、12个月DQ、身高、体重和头围差异均存在显著统计学意义(P<0.05);干预组与对照组PSI-SF总分及亲职愁苦、亲子互动关系失调、亲子交流障碍各因子得分在均存在显著统计学意义(P<0.05)。结论:出院后延续健康管理可促进早产儿智能、体格发育,帮助母亲尽快适应角色。
Objective: To investigate the effect of extended hospital health management on the growth and development of premature infants after discharge and the role of mothers. Methods: A total of 110 preterm infants from September 2013 to September 2014 were randomly divided into intervention group and control group, with 55 cases in each group. The intervention group lost 5 cases and the control group lost 2 cases. The intervention group was given continuous health management. The control group was given routine outpatient nursing measures. Compared with the preterm infants with 3 months, 6 months and 12 months of age, the intelligence development, physical development and maternal status adaptation were compared between the two groups. Results: There were significant differences in DQ, height, body weight and head circumference between the intervention group and the control group at 3 months, 6 months and 12 months (P <0.05). PSI- SF score and parental distress, parent-child interaction disorders, parent-child communication disorder factor scores in all have significant statistical significance (P <0.05). CONCLUSIONS: Continuing health management after discharge may promote intelligence and physical development of premature infants and help mothers adapt to their roles as soon as possible.