上海交通大学学报（医学版）

上海交通大学学报（医学版）

• 论著（临床研究） • 上一篇    下一篇

大动脉转位手术新生儿围术期喂养行为干预方案的效果评价

罗雯懿，管咏梅，姚漪蔚，王韫，方文文   

  1. 上海交通大学 医学院附属上海儿童医学中心心胸外科监护室，上海 200127
  • 出版日期:2016-12-28 发布日期:2016-12-29
  • 作者简介:罗雯懿（1985—），女，主管护师，硕士；电子信箱：luowenyi@scmc.com.cn。
  • 基金资助:

    上海市卫生局青年科研项目（20124y050）

Assessment of a perioperative feeding behavioral intervention protocol for neonates undergoing arterial switch procedure

LUO Wen-yi, GUAN Yong-mei, YAO Yi-wei, WANG Yun, FANG Wen-wen   

  1. Cardiothoracic Intensive Care Unit, Shanghai Children’s Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China
  • Online:2016-12-28 Published:2016-12-29
  • Supported by:

    Youth Research Project of Shanghai Municipal Health Bureau, 20124y050

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摘要：

目的 ·建立大动脉转位手术新生儿围术期喂养行为的干预方案并进行效果评价。方法 ·选取接受大动脉转位手术的先天性心脏病新生儿（n=140）及其母亲（n=140）作为研究对象。根据围术期喂养行为的不同分为喂养行为干预组（实验组）和传统方法组（对照组），对患儿喂养行为结局及母亲的满意度、自我效能和抑郁状况进行比较和分析。结果 ·患儿喂养行为结局分析结果显示：与对照组比较，实验组患儿的胃管留置时间较短，口腔运动能力较强，差异均有统计学意义（P<0.05）。与对照组比较，实验组母亲的满意度、自我效能和抑郁状况均显著改善（P<0.01）。结论 ·合理、科学的护理干预方案能有效改善大动脉转位术围术期患儿的喂养行为结局和生活质量，有利于提高母亲的喂养技能及维持情绪稳定。

关键词: 大动脉转位术, 先天性心脏病, 儿科, 喂养

Abstract:

Objective · To formulate and assess a perioperative feeding behavioral intervention protocol for neonates undergoing arterial switch procedure. Methods · Congenital heart disease neonates (n=140) undergoing arterial switch procedure and their mothers (n=140) were enrolled and assigned to the intervention group (the experimental group) and the conventional method group (the control group) according to perioperative feeding behaviors. The outcome of feeding behaviors and mothers’ satisfaction, self-efficacy, and depression were compared and analyzed. Results · Analysis of the outcome of feeding behaviors showed that the experimental group had shorter gastric usage time and greater oral motor ability than the control group (P<0.05). Mothers’ satisfaction, self-efficacy, and depression in the experimental group were significantly improved compared with the control group (P<0.01). Conclusion · A reasonable and scientific nursing intervention protocol can significantly improve the outcome of feeding behaviors and the quality of life for neonates undergoing arterial switch procedure in perioperative period and facilitate improving maternal feeding skills and maintaining emotional stability.

Key words: arterial switch procedure, congenital heart disease, pediatrics, feeding