早期实施多元化护理对高危儿神经行为发育的影响
|
摘要
目的探究早期实施多元化护理对高危儿神经行为发育的影响。方法选取青岛市妇女儿童医院收治的70例1月龄以内的高危患儿作为研究对象,将其随机分为干预组和对照组,对照组高危儿进行常规护理,干预组高危儿在常规护理基础上进行多元化护理。在矫正月龄6月龄和12月龄时,利用Gesell发育诊断量表测试并比较两组高危儿的神经行为发育情况。结果 6月龄时干预组的语言能、应人能和应物能评分与对照组比较,差异均无统计学意义,但粗动作和细动作评分明显优于对照组,差异有统计学意义(P <0. 05),12月龄时干预组各项评分均高于对照组(P <0. 05); 6月龄时两组发育商异常率差异无统计学意义; 12月龄时干预组的发育商异常率为2. 94%,明显低于对照组的24. 24%,差异有统计学意义(P <0. 05)。结论对高危儿实施早期多元化护理可以促进其神经行为发育,降低发育迟缓的发生率,值得普遍应用于临床护理工作中。
Objective To evaluate the effect early pluralistic nursing on neurodevelopment of high risk infants. Methods A total of 70 high risk infants aged 1 month or under were enrolled and divided into two groups. The control group received regular nursing alone while the intervention group received both regular and pluralistic nursing. The developmental status of high risk infants in both groups was assessed using Gesell scale at the corrected age of six and twelve months respectively. Results At 6 months,there was no difference in the language domain,social domain or adaptive domain between the two groups,but the gross motor domain and fine motor domain of the intervention group were significantly better than in the control group( P < 0. 05). At 12 months of age,each score of the intervention group was higher than that of the control group( P < 0. 05). As for the morbidity of delayed development,there was no difference between the intervention group( 25. 71%) and the control group( 17. 64%) at 6 months( P > 0. 05),but it was significantly higher in the control group( 22. 86%) than in the intervention group( 2. 94%) at 12 months of age( P < 0. 05). Conclusions Early pluralistic nursing can effectively improve the neurodevelopment and reduce the morbidity of delayed development among high risk infants,which is worthy of wide application.
Objective To evaluate the effect early pluralistic nursing on neurodevelopment of high risk infants. Methods A total of 70 high risk infants aged 1 month or under were enrolled and divided into two groups. The control group received regular nursing alone while the intervention group received both regular and pluralistic nursing. The developmental status of high risk infants in both groups was assessed using Gesell scale at the corrected age of six and twelve months respectively. Results At 6 months,there was no difference in the language domain,social domain or adaptive domain between the two groups,but the gross motor domain and fine motor domain of the intervention group were significantly better than in the control group( P < 0. 05). At 12 months of age,each score of the intervention group was higher than that of the control group( P < 0. 05). As for the morbidity of delayed development,there was no difference between the intervention group( 25. 71%) and the control group( 17. 64%) at 6 months( P > 0. 05),but it was significantly higher in the control group( 22. 86%) than in the intervention group( 2. 94%) at 12 months of age( P < 0. 05). Conclusions Early pluralistic nursing can effectively improve the neurodevelopment and reduce the morbidity of delayed development among high risk infants,which is worthy of wide application.
引文
[1]Vohr B.Long-term outcomes of moderately preterm,late preterm,and early term infants[J].Clin Perinatol,2013,40(4):739-751.
[2]Rogers E E,Hintz S R.Early neurodevelopmental outcomes of extremely preterm infants[J].Semin Perinatol,2016,40(8):497-509.
[3]Lipner H S,Huron R F.Developmental and Interprofessional Care of the Preterm Infant:Neonatal Intensive Care Unit Through High-Risk Infant Follow-up[J].Pediatr Clin North Am,2018,65(1):135-141.
[4]Hintz S R.Defining outcomes for high-risk infants:Problems and possibilities[J].Semin Perinatol,2016,40(8):495-496.
[5]Tian Y,Zhang C,Yu G,et al.Influencing factors of the neurodevelopment of high-risk infants[J].Gen Psychiatr,2018,31(3):e100034.
[6]Horsley K,Ciske S J.From neurons to king county neighborhoods:partnering to promote policies based on the science of early childhood development[J].Am JPublic Health,2005,95(4):562-567.
[7]陈光福,栾佐.婴幼儿脑损伤神经修复治疗专家共识[J].中国当代儿科杂志,2018,20(10):7857-92.
[8]Nazon E,Perron A.[Towards a pluralistic approach in nursing][J].Rech Soins Infirm,2014,116):6-12.
[9]张敏,蒙好好,廖爱玲,等.早期多元化护理干预对新生儿缺氧缺血性脑病疗效的影响[J].中国医药科学,2017,7(7):87-91.
[10]黄艳芳,何东梅.多元化护理干预在提高脑瘫高危儿体格及智能发育水平中的作用[J].中国实用医药,2018,13(25):156-157.
[11]盛尉,仇爱珍.多元化护理干预对脑瘫高危儿体格、智能发育水平的影响[J].现代中西医结合杂志,2016,25(5):558-560.
[12]陈云静,梁蒙蒙,耿香菊.脑瘫高危儿早期实施多元化护理对体格智能发育的积极影响[J].中国疗养医学,2018,27(7):731-733.
[13]闫兰.多元化护理干预在青少年精神分裂症患者中的应用效果[J].中国当代医药,2017,24(29):167-169.
[2]Rogers E E,Hintz S R.Early neurodevelopmental outcomes of extremely preterm infants[J].Semin Perinatol,2016,40(8):497-509.
[3]Lipner H S,Huron R F.Developmental and Interprofessional Care of the Preterm Infant:Neonatal Intensive Care Unit Through High-Risk Infant Follow-up[J].Pediatr Clin North Am,2018,65(1):135-141.
[4]Hintz S R.Defining outcomes for high-risk infants:Problems and possibilities[J].Semin Perinatol,2016,40(8):495-496.
[5]Tian Y,Zhang C,Yu G,et al.Influencing factors of the neurodevelopment of high-risk infants[J].Gen Psychiatr,2018,31(3):e100034.
[6]Horsley K,Ciske S J.From neurons to king county neighborhoods:partnering to promote policies based on the science of early childhood development[J].Am JPublic Health,2005,95(4):562-567.
[7]陈光福,栾佐.婴幼儿脑损伤神经修复治疗专家共识[J].中国当代儿科杂志,2018,20(10):7857-92.
[8]Nazon E,Perron A.[Towards a pluralistic approach in nursing][J].Rech Soins Infirm,2014,116):6-12.
[9]张敏,蒙好好,廖爱玲,等.早期多元化护理干预对新生儿缺氧缺血性脑病疗效的影响[J].中国医药科学,2017,7(7):87-91.
[10]黄艳芳,何东梅.多元化护理干预在提高脑瘫高危儿体格及智能发育水平中的作用[J].中国实用医药,2018,13(25):156-157.
[11]盛尉,仇爱珍.多元化护理干预对脑瘫高危儿体格、智能发育水平的影响[J].现代中西医结合杂志,2016,25(5):558-560.
[12]陈云静,梁蒙蒙,耿香菊.脑瘫高危儿早期实施多元化护理对体格智能发育的积极影响[J].中国疗养医学,2018,27(7):731-733.
[13]闫兰.多元化护理干预在青少年精神分裂症患者中的应用效果[J].中国当代医药,2017,24(29):167-169.