The effect of early comprehensive nursing intervention on gastrointestinal function recover of very low birth weight infant

Abstract

Objective To explore the effect of early comprehensive nursing intervention on gastrointestinal function recover of very low birth weight infant. Methods Transferred to the NICU 112 cases of very low birth weight children as research subjects were randomly divided into two groups of 56 cases of the observation group (early care and intervention group)and the control group(non-early intervention group)56 cases. Within 4 h after birth, in the observation group the children were given saline gastric lavage, decompression and colonic cleansing purge of warm saline within 6 hours, the establishment of early breast milk gastrointestinal nutrition and music massage therapy. The control group adopted the routine care according to traditional methods, no breast-feeding within 48 hours after birth, abdominal distension, no row of meconium were given targeted symptomatic care. Results In the observation group bloating ease time, sucking swallowing function set-up time, weight gain and up sufficient quantities of feeding time were significantly shorter than those in the control group(P<0.01);serum gastrointestinal hormones in the observation group was significantly superior to them in the control group(P<0.01);children with abdominal distension, feeding intolerance, apnea,necrotizing enterocolitis were significantly less than those in the control group(P< 0.01);parenteral nutrition time,living in warm box time,hospitalization time and to regain birth weight time in the observation group were significantly lower than those in the control group(P<0.01). Conclusions Early comprehensive nursing intervention can promote the maturation of gastrointestinal function in very low birth weight children, and promote the growth and development, reduce complications and improve the success rate and quality of survival, the prognosis is to achieve the most optimized. Key words: Nursing intervention; Very low birth weight children; Gastrointestinal function; Enteral nutrition