Zheng Lan, Zhu Zengxia
Department of Neonatology, Dongxihu People's Hospital of Wuhan, Wuhan, China.
Operating Room, Dongxihu People's Hospital of Wuhan, Wuhan, China.
Evid Based Complement Alternat Med. 2022 Jun 28;2022:9987891. doi: 10.1155/2022/9987891. eCollection 2022.
WeChat-based extended care has been widely applied in clinical practice such as preoperative assistance in children with congenital heart disease and children with ventricular septal defect. In this study, we aimed to explore the impacts of WeChat-based extended care on the growth and development of preterm infants (PIs) and the nursing satisfaction of their family members.
From June 2019 to August 2021, 85 PIs and their mothers were selected as the research participants. Among them, 46 pairs receiving WeChat-based extended care were served as the WeChat group, and 39 pairs receiving routine extended care were taken as the control group. After 6 months of intervention, the two groups of PIs were compared in terms of physical development, IQ, and neurological and gastrointestinal functions. For mothers, their psychological states were assessed after intervention using the self-rating anxiety/depression scale (SAS/SDS), and the nursing satisfaction was counted.
After nursing intervention, better physical and IQ development of PIs were observed in the WeChat group compared with the control group ( < 0.05). The WeChat group also had notably reduced level of neuron-specific enolase (NSE) and s100 protein related to nerve function than that in the control group and exhibited significant higher levels of serum gastrin (GAS) and motilin (MTL) associated with gastrointestinal function ( < 0.05). Besides, the WeChat group presented lower SAS and SDS scores and higher nursing satisfaction than the control group in delivery women ( < 0.05).
WeChat-based extended care can effectively improve the growth and development and various physical functions of PIs. At the same time, it is helpful to improve maternal psychological states and nursing satisfaction of delivery women, which is worth of clinical application.
基于微信的延续性护理已广泛应用于临床实践，如先天性心脏病患儿和室间隔缺损患儿的术前辅助。在本研究中，我们旨在探讨基于微信的延续性护理对早产儿生长发育及其家庭成员护理满意度的影响。
选取2019年6月至2021年8月的85对早产儿及其母亲作为研究对象。其中，46对接受基于微信的延续性护理的作为微信组，39对接受常规延续性护理的作为对照组。干预6个月后，比较两组早产儿的身体发育、智商、神经和胃肠功能。对于母亲，干预后使用自评焦虑/抑郁量表（SAS/SDS）评估其心理状态，并统计护理满意度。
护理干预后，微信组早产儿的身体和智商发育情况优于对照组（<0.05）。微信组与神经功能相关的神经元特异性烯醇化酶（NSE）和s100蛋白水平也明显低于对照组，与胃肠功能相关的血清胃泌素（GAS）和胃动素（MTL）水平则显著高于对照组（<0.05）。此外，微信组产妇的SAS和SDS评分低于对照组，护理满意度高于对照组（<0.05）。
基于微信的延续性护理可有效改善早产儿的生长发育及各项身体功能。同时，有助于改善产妇心理状态和护理满意度，值得临床应用。
