循证护理在新生儿缺氧缺血性脑病护理中的应用

Application of Evidence-based Nursing in Neonatal Care for Hypoxic Ischemic Encephalopathy

目的探讨循证护理在新生儿缺氧缺血性脑病护理中的应用效果。方法选取2016年3月-2018年2月我院收治的86例缺氧缺血性脑病新生儿,按随机数字表法分为常规组(43例)和循证组(43例),常规组采取常规护理,循证组在此基础上实施循证护理,并比较不同组患儿住院时间、并发症发生率、护理前后Gesell评分以及对护理服务满意度。结果与常规组比较,循证组患儿住院时间显著降低(P <0.05);循证组患儿护理前Gesell评分与常规组比较差异无统计学意义(P> 0.05),循证组患儿护理后Gesell评分明显高于常规组(P <0.05);循证组患儿并发症发生率较常规组明显降低(P<0.05);循证组患儿家属对护理服务满意度评分较常规组明显增加(P <0.05)。结论循证护理服务在缺氧缺血性脑病新生儿中护理效果良好,能有效减少并发症发生率、提高护理服务满意度以及促进患儿早日康复。

Objective To explore the application effect of evidence-based nursing in neonatal care for hypoxic ischemic encephalopathy. Methods 86 neonates with hypoxic ischemic encephalopathy admitted to our hospital from March 2016 to February 2018 were randomly divided into the conventional group(43 cases) and the evidence-based group(43 cases).For routine care, the evidence-based group performed evidence-based nursing on this basis, and compared the hospitalization time, complication rate, Gesell score before and after nursing, and satisfaction with nursing services in different groups. Results Compared with the conventional group, the hospitalization time of the children in the evidence-based group was significantly lower(P < 0.05). There was no significant difference in the pre-treatment Gesell score between the evidence-based group and the conventional group(P > 0.05). The post-Gesell score was significantly higher than that of the conventional group(P < 0.05). The incidence of complications in the evidence-based group was significantly lower than that in the conventional group(P < 0.05). The scores of the nursing service satisfaction of the family members of the evidence-based group were significantly higher than those of the conventional group. Increased(P <0.05). Conclusion Evidence-based care services not only help to improve the treatment of neonates with hypoxic ischemic encephalopathy, but also promote exercise and mental development in children.