出院准备服务对早产儿家庭出院准备度及其生长发育的影响

目的 探讨出院准备服务对早产儿家庭出院准备度的影响，以促进早产儿生长发育、减少再入院率。方法 以2021年1-6月收治于复旦大学附属中山医院青浦分院新生儿重症监护室的40例早产儿及其主要照护者作为对照组，给予常规护理干预；以2021年7-12月收治的40例早产儿及其主要照护者作为观察组，采用“评估-指导-再评估-再指导”的院内外护理。比较出院时两组早产儿家庭的出院准备度评分，出院3个月后主要照顾者对延续护理的满意度，以及两组早产儿的再入院情况及身高、体质量的达标率。结果 出院时，观察组早产儿出院家庭准备度评分为（23.28±7.23）分，高于对照组（19.28±5.95）分（P<0.05）。出院3个月后，观察组照顾者对延续护理服务的满意度得分高于对照组（P<0.05）；观察组早产儿再入院率为0，低于对照组的7.5%(P<0.05)，且观察组早产儿身高及体质量达标率均高于对照组（均P<0.05）。结论 出院准备服务可提高早产儿家庭出院准备度及照顾者对延续护理的满意度，有利于促进早产儿生长发育、降低其再入院率，有助于促进患儿健康及护理质量提升。

The effect of nursing interventions performed by caregivers of preterm infants was observed using the self-assessment form for family readiness for discharge from preterm infants

Objective To investigate the effect of nursing intervention by the primary caregiver of preterm infants using the self-assessment form of family readiness for discharge from the hospital. Methods A total of 40 premature infants and their primary caregivers in the neonatal unit of our hospital from January to June were selected as the control group by random 2021. 40 premature infants and their primary carersin the neonatal unit of our hospital from July to December were 2021 as the Observation Group.The control group was given routine health education, and the observation group adopted the discharge preparation service and extended nursing service model after discharge based on the self-assessment form of preterm infant discharge family readiness self-assessment form, and compared the family readiness of the main caregivers of preterm infants for discharge, the growth and development compliance rate, readmission rate and satisfaction of extended nursing care of the two groups. Results The family readiness score, growth and development attainment rate of preterm infants and satisfaction with out-of-hospital continuous nursing services in the observation group were higher than those in the control group (P<0.05), and the readmission rate was lower than that in the control group (P<0.05). Conclusion The discharge preparation service and the extended nursing service model after discharge based on the self-assessment form of preterm infant discharge family readiness can improve the family readiness of preterm infants for discharge, improve the growth and development compliance rate of preterm infants, reduce the readmission rate of preterm infants, and improve the satisfaction of caregivers of preterm infants with out-of-hospital continuous nursing services.