Effect of WeChat-based continuation nursing on the quality of life of very low and very low birth weightpremature infants
基于微信的延续护理对极低及超低出生体重早产儿生存质量的影响

摘要

目的 探讨基于微信的延续护理对极低及超低出生体重早产儿生存质量的影响。方法 选取2018年10月-2020年10月收治于河池市第一人民医院新生儿科的80例极低及超低出生体重早产儿为研究对象，根据随机数字表法分为对照组和观察组，每组各40例。出院前均给与常规健康教育，对照组予常规电话随访，观察组组建延续护理干预小组通过微信进行延续护理，两组干预时间持续至早产儿纠正月龄满12个月。比较两组早产儿母亲护理知识和技能的掌握情况，两组在纠正胎龄满40周、3个月、6个月、9个月及12个月时的体格发育、神经心理发育、再入院率和并发症情况。结果 干预1个月后，观察组早产儿母亲掌握基础护理知识和技能明显高于对照组（P＜0.05）；观察组早产儿纠正月龄6个月、9个月及12个月时，体格发育（体质重、身长、头围）及神经心理发育各维度与对照组比较，差异有统计学意义（P＜0.05），纠正月龄满3、6、9和12个月时，观察者DQ均高于对照组，有统计学意义（P＜0.05）；至纠正月龄满12个月时，观察组早产儿再入院治疗率及并发症均少于对照组（P＜0.05）。结论 基于微信的延续护理有助于提高早产儿母亲基础护理知识和技能的掌握，促进极低及超低出生体重早产儿体格和神经心理发育，降低再入院率和并发症，提高生存质量。

Abstract

Objective To investigate the effect of WeChat-based continuous nursing on the quality of life of very low and very low birth weight premature infants.
Methods A total of 80 very low and ultra-low birth weight premature infants who were admitted to the Department of Neonatology, Hechi First People's Hospital from October 2018 to October 2020 were selected as the research objects, and divided into the control group and the observation group according to the random number table method. 40 cases in each group. Routine health education was given before discharge, the control group was followed up by routine telephone, and the observation group formed a continuous nursing intervention group to conduct continuous nursing through WeChat. The mastery of nursing knowledge and skills of mothers of premature infants in the two groups was compared. The physical development, neuropsychological development, and readmission of the two groups at the corrected gestational age of 40 weeks, 3 months, 6 months, 9 months, and 12 months were compared. rates and complications.
Results After 1 month of intervention, the mothers of preterm infants in the observation group mastered basic nursing knowledge and skills were significantly higher than those in the control group (P<0.05). Compared with the control group in terms of development (body weight, length, head circumference) and neuropsychological development dimensions, the differences were statistically significant (P<0.05). were higher than those in the control group, with statistical significance (P<0.05). When the corrected age reached 12 months, the readmission rate and complications of premature infants in the observation group were lower than those in the control group (P<0.05).
Conclusion   Continued nursing based on WeChat can help improve the basic nursing knowledge and skills of mothers of premature infants, promote the physical and neuropsychological development of very low and ultra-low birth weight premature infants, reduce readmission rates and complications, and improve the quality of life.