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Objective@#To investigate the effect of continuing nursing mode on mental state and the impact of care capacity in mothers of NICU children with very low birth weight.@*Methods@#Based on the theory of continuous care, a continuation nursing program for children with very low birth weight from the day of discharge from the hospital to one month after discharge was used. A randomized controlled trial was conducted on 80 cases of very low birth weight infants admitted to our hospital. The order of discharge was randomly divided into 40 cases in the intervention group and 40 cases in the control group. The control group received routine care and the intervention group used a continuing nursing intervention model. On the day of discharge from the hospital, 1 week after discharge, and 1 month after discharge, the scores of the mothers' psychological status and home care ability were collected.@*Results@#On the day of discharge, there was no significant difference in mental state and home care ability between the two groups (P>0.05). The anxiety, depression and negative coping scores of the intervention group were lower than the control group at 1 week and 1 month after discharge (1 week t value was 2.138, 2.068, 2.532, 1 mouth t value was 2.273, 3.564, 4.417, P<0.05) , and the scores and home care ability were actively coped. Higher than the control group (1week t value was -1.680, -2.970, P<0.05.1 month t value was -3.937, -7.156, P < 0.01). There was an interaction between intervention mode and intervention time 1 (F value was 8.46-64.38, P<0.01). There were significant differences between the two groups at different time and different groups (different time F value was 166.46-269.55, P<0.01; different groups F value was 5.26-13.55, P<0.05).@*Conclusion@#Through continuing nursing intervention for very low birth weight infants after discharge, it can effectively reduce the negative emotions of mothers and improve the positive coping style of mothers, then improve the confidence of caregivers and increase satisfaction so that we can provide a safe and harmonious family environment with premature babies after discharge.
ABSTRACT
Objective:To investigate the effect of continuing nursing mode on mental state and the impact of care capacity in mothers of NICU children with very low birth weight.Methods:Based on the theory of continuous care, a continuation nursing program for children with very low birth weight from the day of discharge from the hospital to one month after discharge was used. A randomized controlled trial was conducted on 80 cases of very low birth weight infants admitted to our hospital. The order of discharge was randomly divided into 40 cases in the intervention group and 40 cases in the control group. The control group received routine care and the intervention group used a continuing nursing intervention model. On the day of discharge from the hospital, 1 week after discharge, and 1 month after discharge, the scores of the mothers' psychological status and home care ability were collected.Results:On the day of discharge, there was no significant difference in mental state and home care ability between the two groups ( P>0.05). The anxiety, depression and negative coping scores of the intervention group were lower than the control group at 1 week and 1 month after discharge (1 week t value was 2.138, 2.068, 2.532, 1 mouth t value was 2.273, 3.564, 4.417, P<0.05) , and the scores and home care ability were actively coped. Higher than the control group (1week t value was -1.680, -2.970, P<0.05.1 month t value was -3.937, -7.156, P < 0.01). There was an interaction between intervention mode and intervention time 1 ( F value was 8.46-64.38, P<0.01). There were significant differences between the two groups at different time and different groups (different time F value was 166.46-269.55, P<0.01; different groups F value was 5.26-13.55, P<0.05). Conclusion:Through continuing nursing intervention for very low birth weight infants after discharge, it can effectively reduce the negative emotions of mothers and improve the positive coping style of mothers, then improve the confidence of caregivers and increase satisfaction so that we can provide a safe and harmonious family environment with premature babies after discharge.
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Objectives@#Study on the accuracy and influencing factors of neonatal intensive care unit (NICU) critically ill newborns different body parts monitoring by percutaneous oxygen partial pressure (TcpO2) and carbon dioxide partial pressure (TcpCO2), in order to provide a basis for non-invasive monitoring of critically ill newborns in ICU.@*Methods@#60 cases of critically ill newborns requiring blood gas analysis were selected as research cases during July 2017 to March 2018 in Wuxi City Maternity and Child Hospital Neonatology. According to the randomized control principle, three groups were divided, chest group (20 cases), abdomen group (20 cases), leg group (20 cases). The chest group placed the electrodes of the transcutaneous gas analyzer on newborns′ anterior chest. The abdomen group placed the electrodes on newborns′ abdomen. And the leg group placed the electrodes on the inner thigh. PaO2 and PaCO2 values were collected from the blood gas results of critically ill newborns. TcpO2 and TcpCO2 values were recorded. And at the same time, the electrode shedding situation was observed as well. Compare transcutaneous data and arterial blood data, and do analysis.@*Result@#The chest group TcpO2 (69.05±9.17) mmHg(1 mmHg=0.133 kPa), TcpCO2 (46.9±10.57) mmHg, PaO2 (76.4±8.64) mmHg, PaCO2 (40.65±4.74) mmHg, the PaO2 and PaCO2 values were obviously different from the blood gas analysis results (t=-2.608, 2.413, P<0.05). The abdomen group and the leg group had no significant differences (P>0.05) . And the electrode sheet shedding rate was 30% in the chest group, 25% in the abdomen group, and 10% in the leg group, the three groups had no significant differences (χ2=2.553, P>0.05) .@*Conclusion@#NICU critically ill newborns thigh skin monitoring by percutaneous oxygen partial pressure and carbon dioxide partial pressure has high accuracy, and the electrode sheet shedding rate is relatively low. Therefore, it is a safe and effective clinical monitoring method, of great significance for monitoring changes in the condition of critically ill newborns.
ABSTRACT
Objectives Study on the accuracy and influencing factors of neonatal intensive care unit (NICU) critically ill newborns different body parts monitoring by percutaneous oxygen partial pressure (TcpO2) and carbon dioxide partial pressure (TcpCO2), in order to provide a basis for non-invasive monitoring of critically ill newborns in ICU. Methods 60 cases of critically ill newborns requiring blood gas analysis were selected as research cases during July 2017 to March 2018 in Wuxi City Maternity and Child Hospital Neonatology. According to the randomized control principle, three groups were divided, chest group (20 cases), abdomen group (20 cases), leg group (20 cases). The chest group placed the electrodes of the transcutaneous gas analyzer on newborns′anterior chest. The abdomen group placed the electrodes on newborns′ abdomen. And the leg group placed the electrodes on the inner thigh. PaO2 and PaCO2 values were collected from the blood gas results of critically ill newborns. TcpO2 and TcpCO2 values were recorded. And at the same time, the electrode shedding situation was observed as well. Compare transcutaneous data and arterial blood data, and do analysis. Result The chest group TcpO2(69.05 ± 9.17)mmHg(1 mmHg=0.133 kPa), TcpCO2( 46.9±10.57)mmHg, PaO(276.4±8.64)mmHg, PaCO(240.65± 4.74)mmHg, the PaO2 and PaCO2 values were obviously different from the blood gas analysis results (t=-2.608, 2.413, P<0.05). The abdomen group and the leg group had no significant differences(P>0.05). And the electrode sheet shedding rate was 30% in the chest group, 25% in the abdomen group, and 10% in the leg group, the three groups had no significant differences(χ2=2.553,P>0.05). Conclusion NICU critically ill newborns thigh skin monitoring by percutaneous oxygen partial pressure and carbon dioxide partial pressure has high accuracy, and the electrode sheet shedding rate is relatively low. Therefore, it is a safe and effective clinical monitoring method, of great significance for monitoring changes in the condition of critically ill newborns.