循证护理在缺氧缺血性脑病新生儿中的干预效果观察

目的:观察在新生儿缺氧缺血性脑病(HIE)中应用循证护理的干预效果。方法:选取我院收治的缺血缺氧新生儿84例,随机将其分为对照组和观察组各42例,对照组以常规护理,观察组实施循证护理干预,对比后两组的婴幼儿运动发育指数(POI)、智能发育指数(MDI),并比较两组神经后遗症发生率。结果:两组12个月龄时的POI、MDI评分均高于6个月龄(P<0.05);观察组在6个月龄、12个月龄时的MDI、PDI指数评分均高于对照组(P<0.05);观察组的神经后遗症发生率低于对照组(P<0.05);结论:对HIE患儿应用循证护理可更好的促进患儿运动和智能发育,并能减少神经后遗症,值得临床推广。

Objective:To observe the effect of evidence-based nursing intervention for neonates with hypoxic-ischemic encephalopathy(HIE).Methods:Eighty-four neonates with HIE admitted to the Hospital were randomly divided into a control group and an observation group,with 42 cases in each group.The control group received routine nursing intervention,whereas the observation group was given evidence-based nursing intervention.The psychomotive development index(POI),mental development index(MDI),and the incidence of neurological sequelae were compared between the two groups.Results:The POI and MDI scores at 12 months of age were significantly higher than those at 6 months in both groups(P<0.05).The scores of MDI and PDI at6 and 12 months of age in the observation group were shown to be higher than those in the control group(P<0.05).The incidence of neurological sequelae in the observation group was lower than that in the control group(P<0.05).Conclusion:For neonates with HIE,evidence-based nursing can better promote their psychomotive and mental development and reduce the incidence of neurological sequelae;therefore,it is of significant value to be popularized in clinical application.