主动强化风险干预联合抚触在新生儿缺氧缺血性脑病患儿护理中的作用研究

Study on the role of active intensive risk intervention combined with touch in nursing of neonatal children with hypoxic-ischemic encephalopathy

目的:探讨主动强化风险干预联合抚触对新生儿缺氧缺血性脑病(Hypoxic-Ischemic encephalopathy,HIE)患儿风险事件及发育的影响。方法:选取2020年1月至2023年1月本院新生儿科收治的70例HIE患儿作为研究对象,根据随机数字表法分为对照组和研究组,各35例。对照组采用常规护理联合抚触干预,研究组实施主动强化风险干预联合抚触干预。分析比较两组风险事件,体格生长指标、精神运动及智力发育情况。结果:干预期间,研究组风险事件发生率明显低于对照组(P<0.05)。研究组身高、体重、头围增长值均明显高于对照组(P<0.05)。干预后,两组精神运动发育指数(Psychomotor development index,PDI)、智力发育指数(Mental development index,MDI)评分均较干预前升高,且研究组高于对照组(P<0.05)。结论:主动强化风险干预联合抚触能减少新生儿HIE护理风险事件的发生,还能促进患儿体格发育、改善精神运动及智力发育。

Objective:To explore the effects of active intensive risk intervention combined with touch on risk events and development of neonatal Hypoxic-Ischemic encephalopathy(HIE).Methods:A total of 70 HIE children admitted to the neonatology department of our hospital from January 2020 to January 2023 were selected as the research objects,and were divided into control group and study group according to random number table method,with 35 cases in each group.The control group received routine nursing combined touch intervention,and the study group received active intensive risk intervention combined touch intervention.The risk events,physical growth index,psychomotor and intellectual development of the two groups were analyzed and compared.Results:During the intervention period,the incidence of risk events in study group was significantly lower than that in control group(P<0.05).The increase values of height,body weight and head circumference in the study group were significantly higher than those in the control group(P<0.05).After intervention,Psychomotor development index(PDI)and Mental development index(MDI)scores in both groups were higher than before intervention,and the study group was higher than the control group(P<0.05).Conclusion:Active intensive risk intervention combined with touch can reduce the occurrence of neonatal HIE nursing risk events,and promote the physical development,psychomotor and intellectual development of infants.