摘要目的 探讨发育支持护理对早产儿特别是极低出生体质量儿及病重儿的影响.方法 将于NICU住院的104例早产儿按收住顺序分为实验组和对照组,各52例.对照组予以传统常规护理,实验组在此基础上制订护理计划,并且患儿父母及亲属参与计划的实施:优化治疗环境、减轻疼痛、鸟巢式护理、实施非营养性吸吮、早期抚触等.比较两组体质量、进奶量、平均住院天数、神经行为发育测定评分和适应性行为评分等方面的差异.结果 实验组体质量(t=3.805、5.076)、进奶量(t=3.385、8.117)、平均住院天数(t=3.426)、神经行为发育测定评分(可安慰性、前臂弹回、手握持)(t=6.632、8.326、8.856)和适应性行为评分(t=8.995、5.794、7.216、6.838、4.831、4.508)优于对照组.结论 发育支持护理可以促进早产儿及危重儿生长发育,缩短住院时间.

abstractsObjective To investigate the effect of developmental supportive nursing care for premature infants,especially the ones with very low weight or serious disease.Methods 104 premature infants were equally divided into a test group and a control group.The control group were routinely cared;in addition,the test group received developmental supportive nursing care after birth;their parents also participated in the nursing;the environment was optimized;the infants' pain was relieved,nest-like nursing care and non-nutritive sucking were provided,early touching was given,and so on.The body weight,milk intake,hospital stay,neurological behavioral assessment,and adaptation assessment were compared between these two groups.Results The body weight (t=3.805,5.076),milk intake (t=3.385,8.117),hospital stay (t=3.426),neurological behavioral assessment (comfort:t=6.632;limbs movement:t=8.326;and hands function:t=8.856),and adaptation assessment (t=8.995,5.794,7.216,6.838,4.831,4.508) were better in the test group than in the control group.Conclusions Developmental supportive nursing care can accelerate premature infants' growth and shorten hospital stay.