极低出生体重儿住院成长相册改善其父母焦虑情绪的应用

王娜; 李帅; 焦咏凤; 陈信

doi:10.16766/j.cnki.issn.1674-4152.001781

极低出生体重儿住院成长相册改善其父母焦虑情绪的应用

doi: 10.16766/j.cnki.issn.1674-4152.001781

王娜¹,
李帅^1, ,,
焦咏凤¹,
陈信²

1.
阜阳市妇女儿童医院(阜阳市第六人民医院)新生儿科，安徽阜阳 236000
2.
蚌埠医学院第一附属医院儿科, 安徽蚌埠 233004

基金项目:

安徽省高等学校省级质量工程项目 2018jyxm0815

详细信息

通讯作者:
通信作者: 李帅, E-mail: lishuai198011@163.com

中图分类号: R722 R395.6
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- 文章访问数: 106
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出版历程
- 收稿日期: 2020-04-16
- 网络出版日期: 2022-02-19

Application of hospital-growth album for very low birth weight infants to improve their parents' anxiety

1.
Department of Neonatology, Fuyang Women and Children's Hospital (Fuyang Sixth People's Hospital), Fuyang, Anhui 236000, China

摘要

摘要: 目的探讨建立极低出生体重儿住院成长相册对其父母焦虑状况及对医护人员满意度的影响。方法选取安徽省阜阳市妇女儿童医院新生儿重症监护病房(neonatal intensive care unit, NICU)于2017年11月—2020年1月收治的65例极低出生体重儿(very low birth weight infants，VLBWI)，按随机数字表法分为观察组(32例)和对照组(33例)。对照组患儿家长采用限时视频探视，观察组在对照组视频探视的基础上为患儿家长提供VLBWI住院成长相册，在入院时、入院2周及出院时对2组患儿父母各进行1次焦虑自评测量表评分(self-rating anxiety scale，SAS)，出院时进行满意度调查，比较2组患儿父母的焦虑状况及对医护的满意度。结果观察组与对照组患儿父母入院时均存在焦虑情绪，评分分别为(66.78±6.21)分和(67.30±5.07)分，比较差异无统计学意义(t=-0.370，P>0.05)；与对照组比较，观察组入院2周及出院时患儿父母焦虑状况明显减轻[(52.50±5.44)分vs. (60.00±4.29)分, (39.62±6.50)分vs. (48.48±3.62)分]，差异均有统计学意义(均P < 0.05)。与对照组比较，观察组出院时满意度明显提高(100.00% vs. 81.82%，χ²=4.424，P < 0.05)。结论建立VLBWI成长相册能明显改善无陪护患儿父母的焦虑状况，提高其父母对医护工作的满意度，是无陪护患儿探视管理的一种新模式。
- 极低出生体重儿 /
- 成长相册 /
- 父母 /
- 焦虑
Abstract: Objective To explore the effect of establishing hospital-growth album for very low birth weight infants on their parents' anxiety and the satisfaction of medical staff. Methods A total of 65 cases of very low birth weight infants (VLBWI) in the Neonatal Intensive Care Unit (NICU) of Fuyang Women and Children's Hospital of Anhui Province were selected for treatment from November 2017 to January 2020. They were divided into 32 cases for the observation group and 33 cases for the control group according to the random-number table method. Parents of the control group used time-limited video visitation, and parents of the observation group were provided with a VLBWI hospital-growth album on the basis of video visitation in the control group. A self-assessment of anxiety scale score (SAS) and satisfaction survey on their parents at VLBWI admission, two weeks of admission, and discharge was conducted. Results The parents of the observation and control groups had anxiety when their infants were admitted to the hospital. The scores were (66.78±6.21) and (67.30±5.07), the differences were not statistically significant (t=-0.370, P>0.05). Compared with the control group, the anxiety of the parents in the observation group was significantly reduced during 2 weeks of admission and discharge (52.50±5.44 vs. 60.00±4.29, 39.62±6.50 vs. 48.48±3.62), respectively. The differences were statistically significant (all P < 0.05). The satisfaction of parents in the observation group significantly improved (100.00% vs. 81.82%, χ²=4.424, P < 0.05) compared with that of parents in the control group. Conclusion Establishing a VLBWI growth album can obviously improve the anxiety of parents without accompanying infants, improve their parents' satisfaction with medical care work, and provide a new model for the management of visiting infants without accompanying infants.
- Very low birth weight infants /
- Growth album /
- Infants' patient /
- Anxiety

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表 1 2组极低出生体重儿家长一般资料比较(例)

组别	例数	性别		年龄(x±s, 岁)	学历		职业
组别	例数	男性	女性	年龄(x±s, 岁)	大专及以上	以下	有	务工或无
观察组	32	18	14	29.19±5.60	26	6	26	6
对照组	33	17	16	31.33±3.98	26	7	28	5
统计量		0.147^a		-1.784^b	0.062^a		0.150^a
P值		0.702		0.079	0.804		0.699
注：^a为χ²值，^b为t值。

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表 2 2组极低出生体重儿父母焦虑得分比较(x ±s，分)

组别	例数	入院时	入院2周时	出院时	F值	P值
观察组	32	66.78±6.21	52.50±5.44^a	39.62±6.50^ab	116.152	< 0.001
对照组	33	67.30±5.07	60.00±4.29^a	48.48±3.62^ab	144.797	< 0.001
t值		-0.370	-6.182	-6.781
P值		0.712	< 0.001	0.001
注：与同组入院时比较，^aP < 0.05；与同组入院2周时比较，^bP < 0.05。

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表 3 2组极低出生体重儿父母满意度比较[例(%)]

组别	例数	满意	较满意	不满意	总满意
观察组	32	28(87.50)	4(12.50)	0(0.00)	32(100.00)
对照组	33	17(51.52)	10(30.30)	6(18.18)	27(81.82)
注：2组总满意度比较，χ²=4.424，P=0.035。

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