Orem自理模式在高压氧治疗新生儿缺血缺氧性脑病中的应用效果

Application of Orem self-care model in hyperbaric oxygen treatment of neonatal hypoxic ischemic encephalopathy

目的探讨Orem自理模式在高压氧治疗新生儿缺血缺氧性脑病中的应用效果。方法选取2019年1~12月在湖南省儿童医院接受高压氧治疗的86例缺血缺氧性脑病新生儿作为研究对象,随机分为研究组与对照组,每组各43例。对照组为常规护理干预,研究组则采取常规干预与Orem自理模式相结合。比较两组患儿干预前后的智力发育指数(MDI)与心理运动发育指数(PDI),不同时间段的神经功能缺损量表(NHISS)评分以及新生儿神经系统后遗症发生情况。结果经干预后与对照组比较,研究组MDI、PDI评分均较高(P<0.05);与对照组出生第7天、第14天比较,研究组的NHISS评分均较低(P<0.05);与对照组比较,研究组神经系统后遗症总发生率较低(P<0.05)。结论对高压氧治疗的缺血缺氧性脑病新生儿采取Orem自理模式,能够改善其智力与心理运动发育情况。

Objective To explore the application value of Orem self-care model in hyperbaric oxygen therapy of neonatal hypoxic-ischemic encephalopathy(HIE).Methods 86 neonates with HIE who received hyperbaric oxygen therapy in our hospital from January 2019 to December 2019 were randomly divided into the study group and the control group,with 43 cases in each group.The control group was given routine nursing intervention,while the study group was given routine nursing intervention combined with Orem self-care model.The mental development index(MDI)and psychomotor development index(PDI),NHISS scores in different time periods and the incidence of neonatal neurological sequelae were compared between the two groups before and after the intervention.Results MDI and PDI scores in the study group were higher than those in the control group(P<0.05).Compared with the control group on the 7th and 14th day from birth,the NHISS score in the study group was lower(P<0.05).Compared with the control group,the total incidence was lower in the study group(P<0.05).Conclusion Orem self-care model in hyperbaric oxygen therapy can improve mental and psychomotor development of neonates with HIE,which is conducive to clinical application and promotion.