早产儿出院前实施母婴同室个体化照护指导对其生长发育的影响

目的研究早产儿(premature infant,PI)出院前实施母婴同室个体化照护指导(rooming individualized care guidance,RICG)对其生长发育的影响。方法入选2012年10月至2013年8月我院收治的450例早产儿,随机分为两组各225例。对照组出院前实施常规照护,观察组出院前实施RICG。比较两组早产儿体格以及神经行为的发育情况。结果观察组在纠正胎龄40周后和3个月的体重、身高以及头围较对照组明显更高(P<0.05),而在6个月以后,两组的体格发育情况无明显差异。观察组发育商数评分、粗大运动评分、精细运动评分、认知评分、言语评分以及社会交往评分较对照组均明显更高,差异均具有统计学意义(均P<0.05)。结论 RICG对于早产儿的体格以及神经行为发育都有很好的促进作用,值得推荐。

Influence of Rooming Individualized Care Guidance Before Discharged on the Growth and Development of Premature Infant

Objective To study the influence of rooming individualized care guidance （RICG） before discharge on the growth and development of premature infants （PI）. Methods 450 PI in our hospital from October 2012 to August 2013 were randomly divided into two groups, with 225 cases in each group. The control group received routine nursing before discharge, while the observation group received RICG before discharge. The physical and neurobehavioral development situation were compared. Results The weight, height and head circumference at 40 weeks gestational age and 3 months old of observation group were significantly higher than those of control group （P〈0.05）;but after 6 months, there were no statistical differences between two groups. The scores of developmental quotient, gross motor, fine motor, cognition, speech and social interaction of observation group were significantly higher than those of control group （P〈0.05）. Conclusions RICG has promotion effect on the physical development and neurobehavioral development of PI, which is worthy of recommendation.