早产儿,家庭参与式护理,围出院期管理方案,出院准备度,再就诊率,生长发育 ," /> 早产儿,家庭参与式护理,围出院期管理方案,出院准备度,再就诊率,生长发育 ,"/> Preterm infant,Family integrated care,Peri-discharge management plan,Discharge readiness,Revisit rate,Growth and development ,"/> <div> <span style="font-size:14px;line-height:2;">家庭参与式围出院期管理对早产儿家庭出院准备度及生长发育的影响</span> </div>
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发育医学电子杂志  2026, Vol. 14 Issue (3): 209-215,236    DOI: 10.3969/j.issn.2095-5340.2026.03.006
  生长发育   论著 |
家庭参与式围出院期管理对早产儿家庭出院准备度及生长发育的影响
石宝慧 李霖 陈玉瑛 王伏东 蒋丽军 吕梦哲 丁卉
扬州大学附属医院 儿科,江苏 扬州 225003
Impact of family integrated peri-discharge management on the discharge readiness and growth and development of preterm infants' families
Shi Baohui, Li Lin, Chen Yuying,et al.
Department of Pediatrics, Affiliated Hospital of Yangzhou University, Yangzhou, Jiangsu 225003, China
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摘要 
目的 探讨家庭参与式围出院期管理对早产儿家庭出院准备度及生长发育的影响。方法 采用便利抽样法,选取 2022 年 9 月至 2023 年 9 月入住扬州大学附属医院新生儿重症监护病房(neonatal intensive care unit,NICU)的 80 例早产儿及其主要照顾者为研究对象,进行前瞻性非随机对照研究。其中,将 2022 年 9 月至 2023 年 1 月收治的 40 例早产儿设为对照组,2023 年 2 月至 9 月收治的 40 例早产儿设为试验组。对照组早产儿家长仅接受常规健康宣教模式,而试验组早产儿在此基础上实施家庭参与式围出院期管理方案。比较 2 组的主要照顾者早产儿家庭出院准备度、早产儿的非原发疾病再就诊率以及生长发育情况。统计学方法采用 t 检验、χ 2 检验。结果 出院时,试验组主要照顾者早产儿家庭出院准备度各维度得分均高于对照组[居家照护基本技能(17.68±2.15)分与(12.38±3.46)分、喂养和营养(16.24±2.78)分与(11.37±3.08)分、症状和体征的观察(18.67±3.78)分与(12.56±2.49)分、早期干预(9.79±1.15)分与(7.38±1.46)分、特殊照顾(7.47±1.78)分与(6.12±1.45)分、亲子关系(7.61±1.85)分与(6.27±1.48)分、急 救(6.64±1.54)分 与(5.41±1.21)分、安 全 防 范(6.80±1.36)分 与(5.38±1.14)分、总 分(83.27±10.78)分 与(64.79±13.37)分,t 值分别为 8.229、7.423、8.537、8.201、3.719、3.577、3.972、5.061、8.805,P 值 均 <0.001];试 验 组 早 产 儿 非 原 发 疾 病 再 就 诊 率 低 于 对 照 组[5%(2/40)与 25%(10/40),χ 2 值为 4.012,P=0.024);出院 1 个月后,试验组早产儿生长发育各项指标均高于对照组[体质量(4 577.3±122.5) g 与(3 784.2±118.4) g、身长(56.3±2.8) cm 与(54.3±2.3) cm、头围(38.2±0.5) cm 与(35.7±0.2) cm,t 值分别为 29.442、3.491、29.361,P 值均 <0.05]。结论 家庭式围出院期管理可以提高早产儿家庭出院准备度,减少出院后再就诊率,有助于早产儿生长发育,是基于目前医疗体制下可推行的延续化优质护理策略。
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Abstract: 
Objective To investigate the impact of family integrated peri-discharge management on the discharge readiness and growth and development of preterm infants' families. Methodsconvenience sampling was used to enroll 80 preterm infants and their primary caregivers admitted to the neonatal intensive care unit (NICU) of the Affiliated Hospital of Yangzhou University from September 2022 to September 2023 as study subjects for a prospective non-randomized controlled study. Among them, 40 preterm infants admitted from September 2022 to January 2023 were assigned to the control group, and 40 preterm infants admitted from February to September 2023 were assigned to the experimental group. Parents of preterm infants in the control group received only conventional health  education, while those in the experimental group received the family integrated peri-discharge management program in addition. The two groups were compared in terms of family discharge readiness, rate of reconsultation for non-primary diseases, and growth and development. Statistical analysis was performed using t-test, χ2 test. Results At discharge, the primary caregivers in the experimental group achieved significantly higher scores in all dimensions of preterm infant family discharge readiness than those in the control group[ basic home care skills (17.68±2.15) points vs (12.38±3.46) points, feeding and nutrition (16.24±2.78) points vs (11.37±3.08) points, observation of symptoms and signs (18.67±3.78) points vs (12.56±2.49) points, early intervention (9.79±1.15) points vs (7.38±1.46) points, special care (7.47±1.78) points vs (6.12±1.45) points, parent–child relationship (7.61±1.85) points vs (6.27±1.48) points, first aid (6.64±1.54) points vs (5.41±1.21) points, safety prevention (6.80±1.36) points vs (5.38±1.14) points, and total score (83.27±10.78) points vs (64.79±13.37) points, with t values of 8.229, 7.423, 8.537, 8.201, 3.719, 3.577, 3.972, 5.061, and 8.805, respectively, all P<0.001]. The rate of non-primary disease revisit in preterm infants was significantly lower in the experimental group than that in the control group [5%(2/40) vs 25%(10/40), with χ2 value of 4.012, P=0.024]. At 1 month after discharge, all growth and development indicators of preterm infants were significantly higher in the experimental group than those in the control group [body weight (4 577.3±122.5) g vs (3 784.2±118.4) g, body length (56.3±2.8) cm vs (54.3±2.3) cm, and head circumference (38.2±0.5) cm vs (35.7±0.2) cm, with t values of 29.442, 3.491, and 29.361, respectively, all P<0.05)]. Conclusion Family integrated peri-discharge management can improve the discharge readiness of preterm infants' families, reduce the post-discharge revisit rate, and promote growth and development of preterm infants. It is a sustainable high-quality nursing strategy that can be implemented under the current healthcare system.
Key words:  Preterm infant')" href="#">
收稿日期:  2024-08-21                出版日期:  2026-05-30      发布日期:  2026-05-30      期的出版日期:  2026-05-30
基金资助: 
2020 年度江苏省妇幼健康科研项目(F202071);江苏省卫生健康委员会妇幼健康科研项目(F202307)
通讯作者:  丁卉    E-mail:  dinghui0820@163.com
引用本文:    
石宝慧 李霖 陈玉瑛 王伏东 蒋丽军 吕梦哲 丁卉.
家庭参与式围出院期管理对早产儿家庭出院准备度及生长发育的影响
[J]. 发育医学电子杂志, 2026, 14(3): 209-215,236.
Shi Baohui, Li Lin, Chen Yuying, et al..
Impact of family integrated peri-discharge management on the discharge readiness and growth and development of preterm infants' families
. Journal of Developmental Medicine(Electronic Version), 2026, 14(3): 209-215,236.
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http://www.fyyxzz.com/CN/10.3969/j.issn.2095-5340.2026.03.006  或          http://www.fyyxzz.com/CN/Y2026/V14/I3/209
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