Abstract: Objective　To study the main concerns and urgent needs of advanced maternal age woman in the process of raising preterm infants. Methods　A total of 356 premature infants born by advanced maternal age woman who visited the Department of Children Health Care, Binzhou Medical University Hospital from June 2018 to October 2019 and established archives were selected as the research subjects. The age of premature infants who first visited the hospital was from birth to three months old. The survey was conducted on the parents of premature infants who were admitted to the hospital by means of on-the-spot questioning and recording, and the survey results were analyzed. Results　In the process of caring for premature infants, the main contents and urgent needs of knowledge in advanced maternal age woman were most daily nursing measures, common exception handling methods, and vitamin supplement and nutrient deficiency, accounting for 89.89% (320/356), 86.24% (307/356), and 81.18% (289/356), respectively. The parents of early preterm infants mainly paid attention to medication guidance, vaccination knowledge, and defecation, accounting for 98.31% (58/59), 96.61% (57/59), and 96.61% (57/59), respectively; the parents of late preterm infants mainly paid attention to daily nursing measures and common exception handling methods, accounting for 88.89% (264/297) and 84.85% (252/297), respectively. The first-child parents mainly paid attention to daily nursing measures, maternal dietary attention, and defecation problems, accounting for 95.45% (21/22), 86.36% (19/22), and 86.36% (19/22), respectively; the second-child and above parents mainly paid attention to daily nursing measures, common exception handling methods, and vitamin supplement and nutrient deficiency, accounting for 89.52% (299/334), 86.83% (290/334), and 81.74% (273/334), respectively. Conclusions　The main contents and knowledge needs in advanced maternal age woman in the process of raising preterm infants are urgent. The needs of knowledge are different with different gestational weeks and parity of preterm infants, and a set of routine and targeted guidance program is needed.

Key words: Advanced maternal age woman, Premature infants, Sleep problems, Physical and intelligence development, Vitamins

摘要： 目的　研究高龄产妇在养育早产儿过程中主要关注的内容及迫切需求的知识。方法　选取2018年6月至2019年10月来滨州医学院附属医院儿童保健科就诊并建立档案的高龄产妇早产儿356例作为研究对象，首次就诊早产儿月龄均在0～3月龄，采用现场询问记录方式对就诊早产儿的父母进行调查，并分析调查结果。结果　高龄产妇在照料早产儿过程中主要关注的内容及迫切需求的知识中，最多是日常护理措施、常见异常情况处理方法、维生素补充及营养素缺乏情况，占比分别为89.89%（320/356）、86.24%（307/356）、81.18%（289/356）。早期早产儿父母关注主要问题是用药指导、预防接种知识、大小便问题，占比分别为98.31%（58/59）、96.61%（57/59）、96.61%（57/59）；晚期早产儿父母主要关注日常护理措施、常见异常情况处理方法，占比分别为88.89%（264/297）、84.85%（252/297）。一胎父母主要关注内容是日常护理措施、母亲饮食注意情况、大小便问题，占比分别为95.45%（21/22）、86.36%（19/22）、86.36%（19/22）；二胎及以上父母主要关注日常护理措施、常见异常情况处理方法、维生素补充及营养素缺乏情况，占比分别为89.52%（299/334）、86.83%（290/334）、81.74%（273/334）。结论　高龄产妇在养育早产儿过程中主要关注的内容及知识需求迫切，早产儿周龄及胎次不同，需求知识有所不同，需要一套常规并有针对性的指导方案。

关键词: 高龄产妇, 早产儿, 睡眠问题, 体格智能发育, 维生素