多学科团队管理模式在新生儿病房早产儿喂养中的应用效果

目的 研究多学科团队管理模式在新生儿病房早产儿喂养中的应用效果。方法 选择2019年3月至2020年10月深圳市宝安区妇幼保健院新生儿科病房的早产儿作为研究对象，其中，2019年3月至12月的431例作为对照组，给予常规新生儿喂养护理，2020年1月至10月的431例作为观察组，给予多学科团队管理模式下喂养护理，统计两组住院期间纯母乳喂养率、达到全肠道喂养时间、住院天数、出院后坚持6个月纯母乳喂养率、出院后生长发育合格率及出院后不良反应发生情况。结果 观察组住院期间纯母乳喂养率明显高于对照组，达到全肠道喂养时间和住院天数明显少于对照组，差异有统计学意义(P<0.05);随访6个月，观察组的出院后坚持6个月纯母乳喂养率、出院后生长发育合格率均明显高于对照组，出院后不良反应总发生率低于对照组，差异有统计学意义(P<0.05)。结论 多学科团队管理模式能有效提高新生儿病房早产儿纯母乳喂养率，缩短新生儿达到全肠道喂养的时间，改善早产儿的生长发育结局，效果较好，值得推广。

Application effect of multidisciplinary team management mode in feeding premature infants in neonatal ward

[Abstract] Objective: To study the application effect of multidisciplinary team management mode in neonatal ward feeding. Methods: A total of 431 preterm infants with low birth weight admitted to the neonatal ward from March 2019 to December 2019 were selected as the control group, and a total of 431 preterm infants with low birth weight admitted to the neonatal ward from January 2020 to October 2020 were selected as the observation group. The control group given routine infant feeding care, observation group established a multidisciplinary team management team for neonatal wards feeding, statistics, two groups of exclusive breastfeeding during hospitalization rate to reach full enteral feeding time, hospitalization days, adhere to the exclusive breastfeeding for six months after discharge rate, the growth rate after discharge, the occurrence of adverse reactions. Results: During hospitalization, the rate of exclusive breastfeeding in the observation group was significantly higher than that in the control group, and the time to reach the whole intestinal feeding and hospitalization days were significantly less than that in the control group, with statistical significance (P < 0.05). After 6 months of follow-up, the rate of exclusive breastfeeding and the qualified rate of growth and development in the observation group were significantly higher than those in the control group, with statistical significance (P < 0.05). The total incidence of adr in observation group was lower than that in control group (P < 0.05). Conclusion: Multidisciplinary team management model can effectively improve the rate of exclusive breastfeeding in neonatal wards, shorten the time for newborns to reach the whole intestinal feeding, enhance parents" knowledge and awareness of breastfeeding, and improve the growth and development outcome of premature and low birth. It has a good effect and is worth promoting.