探讨母乳喂养护理的分析报告

学位论文探讨母乳喂养护理的分析报告申请人：孙菀璐学科（专业）：护理学指导教师：张银萍2014年7月网络教育学院毕业设计(论文)任务书专业班级护理学层次专升本姓名孙菀璐学号201201124710一、毕业设计（论文）题目探讨母乳喂养护理的分析报告二、毕业设计（论文）工作自2014年6月9日起至2014年9月15日止三、毕业设计（论文）基本要求：1.选题具有科学性、先进性、可行性及实践性2.背景及意义清楚3.目的、目标清楚4.关键词定义明确5.文献查阅充分、书写有一定的逻辑性6.设计、抽样、方法及技术路线清楚、符合要求7.结果展现正确，运用了相应的统计方法8.讨论围绕结果，运用了相关的参考文献9.推论及建议没有超出研究范围10.论文基本数字8000字以上，书写符合科技文章的写作要求，具有可读性和科学性指导教师：IV网络教育学院毕业设计(论文)考核评议书指导教师评语：建议成绩：指导教师签名：年月日答辩小组意见：负责人签名年月日答辩小组成员毕业设计（论文）答辩委员会意见：负责人签名：年月日摘要I论文题目：探讨母乳喂养护理的分析报告学科（专业）：护理学申请人：孙菀璐指导教师：张银萍摘要目的：探讨产前健康教育与母乳喂养的关系，阐述产前健康教育的方法及内容，总结肠道营养与肠外营养相结合的新生儿喂养效果，评价新生儿喂养不耐受对营养的影响，计算喂养不耐受的发生率，分析发生喂养不耐受的相关危险因素。方法：以调查问卷、个别访谈、随访的形式，并对资料进行统计学处理，记录每日奶量、热卡、体重增长情况,比较喂养不耐受组与非喂养不耐受组的喂养效果，分析喂养不耐受的相关危险因素，计算喂养不耐受的发生率。结果：产前健康教育能有效提高孕妇及家属对母乳喂养的认知，掌握母乳喂养知识和喂养技巧，提高了母乳喂养率（P＜0.05）。低体重(p0.01)、宫内窘迫(p0.05)、胃出血(p0.01)是喂养不耐受的相关危险因素；喂养不耐受患儿有胃出血组达全肠道喂养的日龄比无胃出血组明显延长（17.63±7.97与12.29±5.34天,t=-2.121,p0.05）；两组恢复出生体重的日龄无明显差别。结论：加强产前健康教育对于提高母乳喂养率，促进母乳喂养成功至关重要。出生体重2500g早产儿、2001-2500g早产儿、≤2000g早产儿喂养不耐受组的发生率分别为25%、50%、73.7%。用热卡值达80Kcal/kg.d（334.4KJ/kg.d）及恢复出生体重的日龄来评价喂养不耐受的营养指标有临床意义。低体重、胎儿宫内窘迫、胃出血是喂养不耐受的相关危险因素。肠外营养与正确的喂养方案相结合，可提供满足生长所需的热卡，最终过渡到肠道营养。关键词：新生儿；喂养；喂养不耐受；营养；危险因素论文类型：研究报告ABSTRACTIITitle：feedingintoleranceinpretermchildrenrelatedfactorsandnursinginterventionSpeciality：nursingApplicant：WangKunSupervisor：ZhouXiaoLiABSTRACTObjectives：Enteralnutritionandparenteralnutritioncombinedeffectofneonatalfeeding,evaluationofneonatalfeedingintoleranceonnutrition,calculatingtheincidenceoffeedingintolerance,ofoccurrenceoffeedingintolerancerelatedriskfactors.Methods：381casesofneonatalclinicalobservation.HuangYingdiagnosticcriteriabythefrequentvomiting≥3times/d,milkdoesnotincreaseordecrease3d,gastricretention(retentionvolumeofthepreviousfeedingof1/3)isdividedintofeedingintolerancegroup(feedingintolerance,FIGroup)andnon-feedingintolerancegroup(non-FIgroup).Feedingintolerancegroupwithlow-doseerythromycintreatment,doseof3-5mg/kg.Times,1-2times/day,5-7days,insomecasestreatment7days.Recorddailymilk,calorie,weightgain,feedingintolerancegroupcomparedwithnon-feedinggroupfeedingintoleranceeffectsoffeedingintoleranceandtheriskfactorstocalculatetheincidenceoffeedingintolerance.Results：Thelowbirthweight(p0.01),fetaldistress(p0.05),bleeding(p0.01)feedingintoleranceisrelatedriskfactors;feedingintoleranceinchildrenwithagroupoffull-intestinalbleedingdayfeedingwassignificantlylongerthanthosewithoutbleeding(17.63±7.97and12.29±5.34,t=-2.121,p0.05);twodaystoregainbirthweightwasnosignificantdifference.Conclusion：Thefull-termchildren,birthweight2500gprematurechildren,2001-2500gprematurechildren,≤2000ggroupfeedingintoleranceinpretermchildrentheincidenceratewas9.7%,25%,50%,73.7%.Caloricvaluewith80Kcal/kg.d(334.4KJ/kg.d)andthedaystoregainbirthweighttoassessnutritionalindicatorsoffeedingintolerancehaveclinicalsignificance.Lowbirthweight,fetaldistress,bleedingisariskoffeedingintolerancefactor.ParenteralnutritionandproperfeedingprogramscombinetoprovidethenecessaryABSTRACTIIIcaloriestomeetgrowth,andultimatelythetransitiontoenteralnutrition.KEYWORDS：newborn；feeding；feedingintolerance；nutrition；riskfactorsTYPEOFTHESIS：researchreportCONTENTSV目录目录......................................................................................................................................VCONTENTS...........................................................................................................................VI1绪论.......................................................................................................................................11.1背景及意义.................................................................................................................11.2研究目的及目标.........................................................................................................11.3关键词及定义.............................................................................................................11.4文献回顾.....................................................................................................................12研究设计..............................................................................................................................42.1研究类型....................................................................................................................42.2研究对象....................................................................................................................42.3研究方法....................................................................................................................42.4研究步骤....................................................................................................................52.5统计方法....................................................................................................................53研究结果..............................................................................................................................64讨论.....................................................................................................