摘要
目的探讨缺氧缺血性脑病新生儿实施循证护理后对患儿发育及康复的影响。方法选择2014年1月至2016年1月湖南省儿童医院新生儿科收治的缺氧缺血性脑病新生儿220例为研究对象,随机分为基础组和循证组各110例。基础组患儿实施基础护理,循证组首先确定循证问题及循证护理方案,然后实施循证护理,包括病情监测、疾病知识教育和康复训练。护理完成后进行循证评估。观察两组治疗效果及肺炎发生率;对两组患儿实施1年随访,比较两组患儿智力发育、运动发育及脑瘫康复Gesell评分状况。结果循证组患儿治疗总有效率90.9%(100/110),显著高于基础组76.4%(84/110),差异有统计学意义(P<0.05)。循证组患儿肺炎发生率为4.5%(5/110),显著低于基础组25.5%(28/110),差异有统计学意义(P<0.05)。循证组患儿1年后智力发育、运动发育及Gesell评分显著高于基础组,差异有统计学意义(P<0.05)。结论缺氧缺血性脑病新生儿实施循证护理可有效改善患儿发育及康复状况。
Objective To study the effect of evidence based nursing on the development and rehabilitation of neonates with hypoxic ischemic encephalopathy.Methods A total of220children were included as the research subjects,who were treated in Hunan Children's Hospital from Jan.2014to Jan.2016,and they were randomly divided into basic group(110children)and evidence based group(110children).Basic nursing was carried out in the basic group,while for the evidence based group,the evidence based problem was made clear first and the evidence based nursing scheme was designed,and then the evidence based nursing was carried out,including disease condition monitoring,education about the disease and rehabilitation training.Evidence based evaluation was performed after the nursing.Observe the treatment results and the incidence of pneumonia in the two groups;one year follow up was carried out for the two groups of children,and compare the intelligence development,motor development,and Gesell score of cerebral palsy rehabilitation.Results The total effective rate of evidence based group was90.9%(100/110),significantly higher than that of basic group(76.4%,84/110),and there was statistical difference(P<0.05).The incidence rate of pneumonia was4.5%(5/110)in the evidence based group,which was significantly lower than that in basic group(25.5%,28/110),the difference being statistical(P<0.05).After one year,the intelligence development,motor development and Gesell score were significantly higher in evidence based group than in basic group,and the difference is of statistical significance(P<0.05).Conclusion The evidence based nursing can effectively improve the development and rehabilitation of the neonates with hypoxic ischemic encephalopathy.
作者
楚楚
陈可亮
段秀丽
CHU Chu;CHEN Keliang;DUAN Xiuli(The Fourth Neonatal Department of Hunan Children's Hospital,Changsha 410007,China)
出处
《中国中西医结合儿科学》
2017年第6期533-535,共3页
Chinese Pediatrics of Integrated Traditional and Western Medicine
关键词
缺氧缺血性脑病
循证护理
发育
康复
婴儿
新生
Hypoxic ischemic encephalopathy
Evidence based nursing
Development
Rehabilitation
Infant,newborn
