目的 探讨专科护士主导的早产儿共享门诊管理模式的有效性与可行性。方法 采用随机对照研究设计，纳入2023年3-6月某三级甲等医院新生儿重症监护室(neonatal intensive care unit,NICU)收治的120例早产儿，使用随机数字法分为干预组（n=58）和对照组（n=62）。对照组常规管理，干预组在此基础上，评估随访1次/月，持续6个月。主要结局指标包括早产儿6月龄时的体格发育情况、智能发育情况及照护者能力评估。结果 干预组52例完成随访，对照组55例完成随访。两组早产儿在6月龄时，干预组各项体格发育指标、智力发育指标均高于对照组，差异均有统计学意义（均P＜0.05）；干预组早产儿主要照护者的照护能力得分高于对照组，差异有统计学意义(P＜0.05)。结论 专科护士主导的共享门诊，能有效促进早产儿的生长发育，提高照护者的照护能力，是一种可行的早产儿延续性护理模式。

Objective To explore the effectiveness and feasibility of a specialty nurse-led shared medical appointments management model for premature infants.Methods Using a randomized controlled study design,120 premature infants admitted to the NICU of a tertiary A hospital from March to June 2023 were included and randomly divided into a intervention group(n=58) and a standard control group(n=62).The intervention group was managed by a multidisciplinary team led by a specialty nurse,with monthly assessments and follow-ups conducted for a duration of six months.The primary outcome measures included physical growth at six months of age,intellectual development,and caregiver capability assessment.Results 52 participants in the intervention group and 55 in the control group completed the follow-up period. At six months of age,the shared outpatient group had higher physical development indicators and intellectual development indices than the control group,with statistically significant differences(P＜0.05);the main caregivers of the shared outpatient group had significantly higher care ability scores than the control group,with statistically significant differences(P＜0.05).Conclusions A shared medical appointments led by specialty nurses can effectively promote the growth and development of premature infants and enhance the caregiving capabilities of the primary caregivers,representing a feasible model for the continuous care of premature infants.

R473.72