早产儿护理干预中应用改良支持护理模式的效果分析

Analysis of the effect of improved support nursing model applied in the intervention nursing of premature infants

目的：分析改良支持护理模式在早产儿护理干预中的构建及应用优势。方法收集本院儿科NICU于2012年7月~2014年7月收治的早产儿120例，根据早产儿的出院先后顺序分为两组，每组60例，对照组实施传统早产护理模式，实验组构建改良支持护理干预模式并应用，对两组早产儿的纠正胎龄40周时NBNA评分、满1周岁时婴儿智能发育量表（ CDCC）评分进行回顾性分析与评价。结果在纠正胎龄40周时，实验组早产儿的行为能力、被动肌张力、主动肌张力、原始反射、一般反应等神经行为NBNA评分均高于对照组，差异比较有统计学意义（ P〈0.05）；满1周岁时，实验组智能、运动发育评分分别为（107.81±9.72）分、（109.32±10.17）分，明显高于对照组智能、运动发育评分（100.98±16.89）分、（98.59±11.15）分，差异比较具有统计学意义（ P〈0.05）。结论早产儿护理干预中实施改良支持护理模式，能有效改善患儿的神经行为能力，促进患儿智能与运动发育，近期、远期预后效果显著，不失为一种安全、可靠且有效的护理新模式。

Objective To analyze the construction and advantages of improved support nursing model applied in the nursing intervention of premature infants. Methods A total of 120 premature infants from NICU in our hospital from july 2012 to july 2014 were randomly divided into two groups according to the order out of the hospital, 60 cases in each group. The control group received traditional premature nursing model, while the experimental group adopted the modified support nursing intervention model. The NBNA score at 40 weeks of correct age and the score of CDCC at a year old of the two groups were retrospectively analyzed and evaluated. Results The NBNA scores of the behavior ability, passive muscle tension, active muscle tension, initial reflex and general reaction of the premature infants of the experi-mental group at 40 weeks of correct age were higher than that of the control group, and the differences were statistically significant （ P〈0. 05 ） . The intelligence and motor development score of the experimental group at 1 year old were （107. 81 ± 9. 72 ） points and （ 109. 32 ± 10. 17 ） points respectively, which was significantly higher than that of （100. 98±16. 89） points and （98. 59 ±11. 15） points of the control group . The difference was statistically significant （ P〈0. 05 ） . Conclusions The implementation of improved support nursing model applied in the intervention nursing of premature infants can effectively improve the infant＇s behavior, and promote the development of children＇s intelligence and sports development, and the short-term, long-term prognosis is significant, which is a safe, reliable and effective new nursing model.