Kết quả chăm sóc toàn diện trẻ sinh non, nhẹ cân bằng phương pháp Kangaroo tại Bệnh viện Đa khoa Quốc tế Vinmec Times City

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Thông tin xuất bản: Tạp chí Khoa học Điều dưỡng, 2020

Mô tả vật lý: tr.288

Bộ sưu tập: Báo, Tạp chí

ID: 322388

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Mục tiêu: Đánh giá kết quả chăm sóc toàn diện trẻ sinh non, nhẹ cân bằng phương pháp Kangaroo (KMC) và phân tích một số yếu liên quan đến kết quả chăm sóc trẻ. Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả hồi cứu được tiến hành tại khoa Sơ sinh Bệnh viện Đa khoa Quốc tế Vinmec Times City từ 1/2019 đến 6/2020 với 86 trẻ sơ sinh được chăm sóc bằng phương pháp KMC và 86 người thực hiện chăm sóc toàn diện Kangaroo cho trẻ. Kết quả: Cho thấy: 33,7% trẻ được chăm sóc KMC ngay trong 24 giờ đầu sau sinh
từ 24 - 48h là 20,9% và trên 72 là 36%. Số ngày trung bình thực hiện KMC 16,62±10,28 ngày.Tăng cân nặng trung bình của trẻ trong cả đợt KMC là 21,56 ± 11,1 g/kg/ngày, trong đó 55,8% trẻ tăng cân tốt (>
18 gram/kg/ngày) và 38,1% trẻ tăng cân trung bình (15-18g/kg/ngày). 98,8% trẻ tăng chiều dài ở mứctốt (≥0,6 cm/tuần). Lượng sữa trẻ ăn được tăng dần (từ 91,2 ± 57,8 ml/ngày đầu đến khi ra viện là 376,4 ± 117,7 ml/ngày). Kết quả chung của KMC: mức tốt đạt 88,4% và 11, 6% chưa tốt. Ba yếu tố làm cho kết quả KMC tốt đều từ phía người thực hiện KMC, đó là: trẻ được nuôi bằng sữa mẹ (OR= 4,02
95% CI: 0,38-42,95 và p<
0,05), mẹ là người thực hiện KMC (OR= 9,26
95%CI:1,46-58,67 và p<
0,05) và có kỹ năng KMC tốt (OR =21,91
95% CI: 1,26-467,9 và p<
0,05). Kết luận: Chăm sóc toàn diện Kangaroo giúp cho trẻ sinh non, nhẹ cân ổn định thân nhiệt, nhịp thở, các triệu chứng tiêu hóa
trẻ tiếp nhận sữa tốt và tăng cân, tăng chiều dài. Kết quả sẽ tốt hơn nếu người chăm sóc KMC là mẹ của trẻ, có kỹ năng KMC tốt và trẻ được ăn sữa mẹ.Objective: To evaluate results of comprehensive care of preterm and low birth babies with Kangaroo comprehensive care method (KMC) and analyze some weaknesses related to results. Method: The retrospective descriptive study was conducted at the Neonatology Department of Vinmec Times City International Hospital from January 2019 to 6/2020 with 86 newborns cared for KMC and 86 people perform Kangaroo holistic care. Results: 33.7% of children received KMC in the first 24 hours after birth
from 24 - 48 hours is 20.9% and over 72 hours is 36%. The average number of days KMC was 16.62 ± 10.28 days. Average weight gain was 21.56 ± 11.1 g/kg/day, of which 55.8% of them gained good weight (>
18 grams/kg /day) and 38.1% increased average weight (15-18g/kg/day). 98.8% of newborn increased in length at a good rate (≥ 0.6 cm / week). The amount of infant milk eaten increased gradually (from 91.2 ± 57.8 ml in the firt days to until discharge was 376.4 ± 117.7ml/day). Overall results of KMC: good level at 88.4% and 11, 6% not good yet. Three factors that make good KMC results are all from the person performing MI, that is: the child is breastfed (OR = 4.02
95% CI: 0,38-42,95 and p <
0.05), the mother is the person performing KMC (OR = 9,26
95% CI: 1,46-58,67 and p <
0.05) and have good functional skills (OR = 21.91
95%CI: 1,26-467,9 and p <
0.05). Conclusion: KMC helps premature, underweight babies to stabilize body temperature, breathing rate, and digestive symptoms
Children receive milk well and gain weight, increase length. The result will be better if the caregiver of KMC is their mother
she has good KMC skills and the baby is breastfed.

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