摘要
目的：探讨基于循证理念的精细化护理对缺血缺氧性脑病（HIE）患儿智力发育及运动功能的影响。方法：选取2013年1月~2016年1月我院收治的HIE患儿90例,随机将其等分为观察组与对照组,观察组采取基于循证理念的精细化护理,对照组给予常规护理,比较两组干预前后体格发育、智力发育、神经发育、运动功能变化等情况,比较两组患儿平均住院时间、并发症发生情况。结果：两组干预6个月后体重、身高、神经发育评分及MDI,PDI均明显提高,差异有统计学意义（P〈0.05）,观察组胎粪吸入综合症、营养疾病发生等显著低于对照组（P〈0.05）;观察组平均住院时间明显短于对照组（P〈0.05）。结论：基于循证理念的精细化护理能明显促进HIE患儿体格、智力及神经发育,有效改善其运动功能并缩短住院时间。
Objective： To discuss the influence of fine nursing on the basis of evidence- based idea on intelligence development and motor function of the neonates with hypoxic ischemic encephalopathy（ HIE）. Methods： Selected 90 cases of neonates with HIE admitted to our hospital in the period from January2013 to January 2016 were selected,and equally divided into observation group and control group at random,in which,the observation group received the fine nursing on the basis of evidence- based idea,and the control group received the routine nursing. Then,these two groups of neonates were compared in physical development,intellectual development,nervous development,and motor function change before and after the intervention,and also,these two groups of neonates were compared in their average hospital stay and complication occurrence situation. Results： 6 months after the intervention to these two groups of neonates,they had a significant increase in body weight,height,nervous development scoring as well as MDI and PDI,and the difference was of statistical significance（ P〈0. 05）; the observation group was significantly lower than the control group in inhalation of meconium,and nutritional disease occurrence（ P〈0. 05）; and the observation group had an obviously shorter hospital stay than the control group（ P〈0. 05）. Conclusion： The fine nursing on the basis of evidence- based idea could significantly promote the physical,intellectual and nervous development of the neonates with HIE,effectively improve their motor function,and shorten their hospital stay.
作者
李燕凤
陈月凤
袁间梅
LI Yan- feng CHEN Yue- feng YUAN Jian- naei(Shunde District Daliang Maternity and Child Healthcare Hospital of Foshan,Foshan 52830)
出处
《护理实践与研究》
2016年第24期81-83,共3页
Nursing Practice and Research
关键词
缺血缺氧性脑病
循证理念
精细化护理
智力发育
运动功能
Hypoxic ischemic encephalopathy
Evidence-based idea
Fine nursing
Intelligence development
Motor function
