早产儿三元整合式教育方案的构建与实施

doi:10.3761/j.issn.0254-1769.2019.11.005

中华护理杂志 ›› 2019, Vol. 54 ›› Issue (11): 1626-1629.DOI: 10.3761/j.issn.0254-1769.2019.11.005

早产儿三元整合式教育方案的构建与实施

胡晓静,李丽玲,刘婵,陆春梅,钱葛平,LeeSK,曹云()

201102 上海市复旦大学附属儿科医院护理部（胡晓静）,新生儿重症监护病房（李丽玲,刘婵,曹云）,新生儿病房（陆春梅,钱葛平）；加拿大健康研究院人类发育、儿童与青少年健康研究院（Lee SK）

收稿日期:2018-12-27 出版日期:2019-11-15 发布日期:2019-11-22
通讯作者:
作者简介:胡晓静：女,博士,副主任护师,E-mail：humama2015@126.com
基金资助:
上海市科委国内科技合作项目(18495810800);2016年复旦大学-复星护理科研基金立项项目(FNF201624)

Construction and implementation of three-dimensional integrated education program for premature infants

HU Xiaojing,LI Liling,LIU Chan,LU Chunmei,QIAN Geping,Lee SK,CAO Yun()

Received:2018-12-27 Online:2019-11-15 Published:2019-11-22

摘要/Abstract

摘要：

目的建立早产儿三元整合式教育方案,并探讨其培训效果。方法组建三元整合教育团队,按照早产儿的发育发展特点构建教育课程,搭建教育平台,包括开办家长学校、开展家长微课堂、视频引导、家长床旁照护操作培训等。采用NICU家长满意度调查表调查并比较培训前后家长满意度。结果培训后早产儿家长的满意度总分为（191.90±0.20）分,培训前满意度总分为（176.00±4.40）分,差异有统计学意义（t=-41.68,P<0.001）;培训前后家长的知识和信息维度、家长参与照护维度、医护人员专业态度维度得分的比较,差异有统计学意义（t₁=-20.83,P₁<0.001;t₂=-27.30,P₂<0.001;t₃=-27.10,P₃<0.001）。结论早产儿三元整合式教育方案能提升家长的照护知识和参与照护能力,提高家长对医护人员专业态度的满意度。

关键词: 早产儿, 家长, 健康教育, 儿科护理学

Abstract:

Objective To construct and implement professional personnel-premature infant-parents three-dimensional integrated education program and observe its effects.Methods The three-dimensional integrated education team was established. Education curriculum was developed according to the characteristics of development of premature infants. Education platform was established,multiple approaches were set up including parents’ school,WeChat class,video education,bedside care teaching hand by hand,etc.Results After training,parents’ satisfaction score was（191.90±0.20）,which was significantly different from that before training（176.00±4.40）（t=-41.68,P<0.001）. There were significant differences in knowledge and information dimension,parental involvement dimension and professional personnel’s attitude dimension before and after training（t₁=-20.83,P₁<0.001;t₂=-27.30,P₂<0.001;t₃=-27.10,P₃<0.001）.Conclusion The three-dimensional integrated education program for premature infants can improve parents’ caring knowledge and ability,and improve their satisfaction with professional personnel’s attitude.

Key words: Premature Infants, Parents, Health Education, Pediatric Nursing

胡晓静, 李丽玲, 刘婵, 陆春梅, 钱葛平, LeeSK, 曹云. 早产儿三元整合式教育方案的构建与实施[J]. 中华护理杂志, 2019, 54(11): 1626-1629.

HU Xiaojing, LI Liling, LIU Chan, LU Chunmei, QIAN Geping, Lee SK, CAO Yun. Construction and implementation of three-dimensional integrated education program for premature infants[J]. Chinese Journal of Nursing, 2019, 54(11): 1626-1629.

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参考文献 16

[1]	World Health Organization. Preterm birth[EB/OL]. [2018-12-27]. .
[2]	Hack M . Adult outcomes of preterm children[J]. J Dev Behav Pediatr, 2009,30(5):460-470.
[3]	周明芳, 晏玲, 刘蕾 , 等. NICU出院早产儿母亲角色适应的心理体验[J]. 中华护理杂志, 2011,46(11):1057-1060.
[4]	Buarque V, Lima Mde C, Scott RP , et al. The influence of support groups on the family of risk newborns and on neonatal unit workers[J]. J Pediatr(Rio J), 2006,82(4):295-301.
[5]	Hurst I . One size does not fit all:parents’ evaluations of a support program in a newborn intensive care nursery[J]. J Perinat Neonatal Nurs, 2006,20(3):252-261.
[6]	Latour JM, Duivenvoorden HJ, Hazelzet JA , et al. Development and validation of a neonatal intensive care parent satisfaction instrument[J]. Pediatr Crit Care Med, 2012,13(5):554-559.
[7]	Bracht M, O’Leary L, Lee SK , et al. Implementing family-integrated care in the NICU[J]. Adv Neonatal Care, 2013,13(2):115-126.
[8]	Gooding JS, Cooper LG, Blaine AI , et al. Family support and family-centered care in the neonatal intensive care unit:origins,advances,impact[J]. Semin Perinatol, 2011,35(1):20-28.
[9]	Nearing GB, Salas AA, Granado-Villar D , et al. Psychosocial parental support programs and short-term clinical outcomes in extremely low-birth-weight infants[J]. J Matern Fetal Neonatal Med, 2012,25(1):89-93.
[10]	张素珍, 孟永勤, 刘美玉 , 等. 正常新生儿出院前母亲健康教育需求及相关因素分析[J]. 中华护理杂志, 2005,40(12):909-910.
[11]	Bakewell-Sachs S, Gennaro S . Parenting the post-NICU premature infant[J]. MCN Am J Matern Child Nurs, 2004,29(6):398-403.
[12]	Brett J, Staniszewska S, Newburn M , et al. A systematic mapping review of effective interventions for communicating with,supporting and providing information to parents of preterm infants[J]. BMJ Open, 2011,1(1):e000023.
[13]	孙娟, 曹松梅 . 母婴床旁护理模式在产科的应用及其效果[J]. 中华护理杂志, 2010,45(12):1097-1098.
[14]	O’Brien K, Bracht M, Macdonell K , et al. A pilot cohort analytic study of Family Integrated Care in a Canadian neonatal intensive care unit[J]. BMC Pregnancy Childbirth, 2013,13(Suppl 1):S12.
[15]	Abdeyazdan Z, Shahkolahi Z, Mehrabi T , et al. A family support intervention to reduce stress among parents of preterm infants in neonatal intensive care unit[J]. Iran J Nurs Midwifery Res, 2014,19(4):349-353.
[16]	Cleveland LM . Parenting in the neonatal intensive care unit[J]. J Obstet Gynecol Neonatal Nurs, 2008,37(6):666-691.

早产儿三元整合式教育方案的构建与实施

Construction and implementation of three-dimensional integrated education program for premature infants

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