早期实施多元化护理对高危儿神经行为发育的影响

 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。

Effect of early pluralistic nursing on neurodevelopment of high risk infants

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.