多学科团队照护联合家庭支持护理对新生儿科早产儿家属认知、焦虑和社会支持水平的影响

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摘要 目的: 探讨多学科团队照护联合家庭支持护理对新生儿科早产儿家属认知、焦虑和社会支持水平的影响。方法: 选取2019年1月—2023年11月我院收治的102例新生儿科早产儿的临床资料进行研究。按照多学科团队照护联合家庭支持护理实施时间前后，将实施常规护理的52例早产儿及其家属设为常规组，将实施多学科团队照护联合家庭支持护理的50例早产儿及其家属设为试验组。比较两组早产儿家属认知合格率、心理状态［7项广泛性焦虑量表（GAD-7）、简单自测抑郁量表（PHQ-9）］、社会支持水平［社会支持评定量表（SSRS）］、出院后不良事件情况以及早产儿家属护理满意度。结果: 拟出院时试验组早产儿父母（主要照顾者）认知合格率90.00%高于常规组早产儿父母（主要照顾者）认知合格率75.00%；干预后，试验组早产儿父母（主要照顾者）GAD-7评分、PHQ-9评分低于常规组；干预后，试验组早产儿父母（主要照顾者）客观支持、主观支持、社会支持利用度维度评分以及总分高于常规组。试验组早产儿出院后不良事件率为6.00%，低于常规组早产儿出院后不良事件率21.15%；试验组早产儿父母（主要照顾者）的护理满意度为92.00%高于常规组早产儿父母（主要照顾者）的护理满意度76.92%。结论: 多学科团队照护联合家庭支持护理在新生儿科应用良好，可提高家属认知，改善其心理状态和社会支持水平，降低出院后再入院风险并提高护理满意度。

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	刘娅
	倪志超
	刘葵葵

关键词 ：家庭支持护理, 多学科团队照护, 早产儿, 家属认知, 焦虑, 社会支持

Abstract：Objective To explore the effects of multidisciplinary team nursing combined with family support nursing on cognition, anxiety and social support level of family members of premature infants in neonatology department. Methods The clinical data were collected from 102 premature infants admitted to neonatology department of the hospital between January 2019 and November 2023. According to different nursing methods, they were divided into routine group (52 cases, routine nursing) and experimental group (50 cases, multidisciplinary team nursing combined with family support nursing). The qualification rate of cognition, psychological state ［generalized anxiety disorder-7(GAD-7), patient health questionnaire-9(PHQ-9) ］, social support ［Social Support Rating Scale (SSRS) ］, adverse events after discharge and nursing satisfaction of family members were compared between the two groups. Results At discharge, qualification rate of patients (primary caregivers) cognition in experimental group was higher than that in routine group (90.00% vs 75.00%, P<0.05). After intervention, scores of GAD-7 and PHQ-9 of patients (primary caregivers) in experimental group were lower than those in routine group. After intervention, scores of objective support, subjective support and social support utilization of patients (primary caregivers), and total score in experimental group were higher than those in routine group. The incidence of adverse events of premature infants after discharge in experimental group was lower than that in routine group (6.00% vs 21.15%, P<0.05), and nursing satisfaction of patients (primary caregivers) was higher than that in routine group (92.00% vs 76.92%, P<0.05). Conclusion Application effect of multidisciplinary team nursing combined with family support nursing is good in premature infants in neonatology department, which can improve cognition, psychological state and social support level of family members, reduce readmission risk after discharge and improve nursing satisfaction.

Key words： family support nursing multidisciplinary team nursing premature infant cognition of family member anxiety social support

收稿日期: 2024-01-23

中图分类号:

R473.72

基金资助:北京市科学技术委员会专项科研“智能化紧凑型辅助呼吸支持系统研制”（Z201100005420032）

通讯作者: 刘娅，E-mail：liuya1613@bjsjth.cn

引用本文:

刘娅，倪志超，刘葵葵. 多学科团队照护联合家庭支持护理对新生儿科早产儿家属认知、焦虑和社会支持水平的影响[J]. 湖南师范大学学报(医学版), 2024, 21(2): 154-158. LIU Ya, NI Zhichao, LIU Kuikui. Effects of multidisciplinary team nursing combined with family support nursing on cognition, anxiety and social support level of family members of premature infants in neonatology department. HuNan ShiFan DaXue XueBao(YiXueBan), 2024, 21(2): 154-158.

链接本文:

http://yxb.hunnu.edu.cn/CN/ 或 http://yxb.hunnu.edu.cn/CN/Y2024/V21/I2/154

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