综合护理干预模式对高危新生儿体格及神经行为发育的影响

Effect of Comprehensive Nursing Intervention Mode on Physical and Neurobehavioral Development of High-risk Newborns

目的观察分析综合护理干预模式对高危新生儿体格及神经行为发育的影响。方法方便选取该院2016年12月—2018年2月收治的76例高危新生儿,按照不同护理干预方法分为实验组(38例),应用综合护理干预模式和对照组(38例),应用常规护理干预模式。采用统计学分析两组高危新生儿的体格发展状况(采用婴幼儿智能发育检查)、神经行为发育(采用婴幼儿智能发育检查)情况、患儿家长对护理人员的总满意度、高危新生儿肌张力异常率。结果实验组平均体重为、体格发展评分、智力发展评分分别为(10.88±0.65)kg、(99.25±5.54)分、(107.28±10.12)分,对照组分别为(9.67±0.79)kg、(90.87±6.65)分、(100.14±10.62)分,实验组高危新生儿出生后满一岁的平均体重、体格发展评分和智力发展评分高于对照组,差异有统计学意义(χ^2=2.554、5.542、9.936,P<0.05);实验组高危新生儿家长的总满意度、患儿肌张力异常率分别为97.37%、5.26%,对照组分别为78.95%、21.05%,实验组高危新生儿家长的总满意度高于对照组,差异有统计学意义(χ^2=15.895,P<0.05),实验组高危新生儿肌张力异常率低于对照组,差异有统计学意义(χ^2=23.934,P<0.05)。结论综合护理干预模式能够显著提高高危新生儿的体格及神经行为发育评分,降低肌张力异常率。

Objective To observe the effects of comprehensive nursing intervention mode on physical and neurobehavioral development of high-risk neonates.Methods Convenient selected seventy-six high-risk neonates admitted to our hospital(December 2016-February 2018)were divided into experimental group(38 cases,applying comprehensive nursing intervention mode)and control group(38 cases according to different nursing intervention methods).Applying a routine nursing intervention model,statistical analysis of the physical development of two groups of high-risk newborns(using infants and children intelligent development check),neurobehavioral development(using infants and children's intelligent development check),the parents'satisfaction with the nursing staff,high-risk neonatal muscles abnormal rate of tension.Results The average body weight,physical development score and intelligence development score of the experimental group were(10.88±0.65)kg,(99.25±5.54)points,and(107.28±10.12)points,respectively.The control group was(9.67±0.79)kg,(90.87±6.65)points,(100.14±10.62)points,the average weight,physical development score and intelligence development score of the high-risk newborns in the experimental group after birth were higher than the control group,the difference was statistically significant(χ^2=2.554,5.542,9.936,P<0.05).The total satisfaction rate of the parents of the high-risk newborns in the experimental group and the abnormal rate of muscle tension in the children were 97.37%and 5.26%,respectively.The control group was 78.95%and 21.05%respectively.The total satisfaction of the parents of the high-risk newborns in the experimental group was higher than that of the control group,the difference was statistically significant(χ^2=15.895,P<0.05),the abnormal rate of muscle tension in the high-risk neonates in the experimental group was lower than that in the control group,the difference was statistically significant(χ^2=2.554、5.542、9.936,P<0.05).Conclusion The comprehensive nursing intervention model can significantly improve the physical and neurobehavioral development scores of high-risk newborns and reduce the abnormal rate of muscle tone.