认知干预在护士早发现髋脱位中的效果评价

Effect evaluation of cognitive intervention on nurses＇ early discovery of hip dislocation

目的探讨认知干预对护士在发育性髋脱位（DDH）的早期发现中的作用，以早发现早治疗。方法对30名产科护士进行DDH的认知干预，比较干预前后护士对5232，5128例新生儿DDH阳性检出率的差异。结果护士发现DDH的检出率认知干预前为0．15％，认知干预后为0．40％，前后比较差异有统计学意义（χ2=6．798，P〈0．05）；新生儿髋脱位确诊率认知干预前为12．5％，认知干预后为90．9％，前后比较差异有统计学意义（χ2=4．078，P〈0．05）。结论认知干预可以提高护士对DDH的检出率，达到对发育性髋脱位的早期发现，早期治疗，降低本病致残率，降低家庭与社会负担。

Objective To explore the effect of cognitive intervention on nurses＇ early discovery of developmental dislocation of hip （DDH）, in order to implement early treatment. Methods A totals of 30 nurses were chosen to have cognitive intervention on DDH, and their detectable rate of DDH positive was compared before and after. Re.suits Nurses＇ detectable rate of DDH positive was 0.15% before intervention and 0.40% after, and the difference was statistically significant （χ2 = 6. 798 ,P 〈 0. 05 ）. Confirmed diagnostic rate of DDH in newborns was 12. 5% before intervention and 90.9% after, and the difference was statistically significant （χ2 = 4. 078,P 〈 0. 05 ）. Conclusions Cognitive intervention can improve nurses＇ detectable rate of DDH to achieve early discovery and early treatment, reduce disability rate and the burden of family and society.