[1]潘玉惠.延续性早期发育支持护理对早产儿智能发育及脑瘫发生情况的影响[J].医学信息,2020,33(18):182-185.[doi:10.3969/j.issn.1006-1959.2020.18.062]
　PAN Yu-hui.The Effect of Continuous Early Developmental Support Nursing on the Intellectual Development of Premature Infants and the Occurrence of Cerebral Palsy[J].Medical Information,2020,33(18):182-185.[doi:10.3969/j.issn.1006-1959.2020.18.062]
点击复制

延续性早期发育支持护理对早产儿智能发育及脑瘫发生情况的影响()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年18期
页码:
182-185
栏目:
护理研究
出版日期:
2020-09-15

文章信息/Info

Title:
The Effect of Continuous Early Developmental Support Nursing on the Intellectual Development of Premature Infants and the Occurrence of Cerebral Palsy
文章编号:
1006-1959（2020）18-0183-04
作者:
潘玉惠
（天津市滨海新区妇女儿童保健医院儿童保健科，天津 300457）
Author(s):
PAN Yu-hui
(Department of Children’s Health,Women and Children’s Health Hospital of Tianjin Binhai New Area,Tianjin 300457,China)
关键词:
延续性; 早期发育; 支持护理; 早产儿智能发育; 脑瘫
Keywords:
Continuity; Early development; Support nursing; Intellectual development of premature infants; Cerebral palsy
分类号:
R623
DOI:
10.3969/j.issn.1006-1959.2020.18.062
文献标志码:
A
摘要:
目的 探讨延续性早期发育支持护理对早产儿智能发育及脑瘫发生情况的影响。方法 选取2019年2月~2020年2月我院收治的早产患儿112例，按照随机数字表法分为对照组和研究组。对照组给予常规护理，研究组给予持续性早期发育支持护理，比较两组患儿母亲发育支持知识技能知晓状况、1岁时脑瘫状况、护理满意度及患儿不同月龄智能发育状况。结果 研究组患儿母亲发育支持知识技能知晓状况的优良率高于对照组（98.21% vs 87.50%），差异有统计学意义（P＜0.05）；研究组患儿1岁时轻度脑瘫、中度脑瘫、重度脑瘫检出率均低于对照组（3.57% vs 8.92%）、（1.78% vs 3.57%）、（1.78% vs 3.57%），差异有统计学意义（P＜0.05）；研究组患儿家属的护理满意度为94.64%，高于对照组的83.92%，差异有统计学意义（P＜0.05）；研究组患儿3、6、12月龄适应能力、大运动、精细运动、语言、社交行为得分比较，差异有统计学意义（P＜0.05）。结论 在早产儿护理中应用延续性早期发育支持护理，可提高患儿家属发育支持知识技能知晓状况，降低患儿的脑瘫检出率，护理后患儿的智能发育状况改善较好，且患者家属满意度高。
Abstract:
Objective To explore the effect of continuous early development support nursing on the intellectual development of premature infants and the occurrence of cerebral palsy.Methods A total of 112 preterm infants admitted to our hospital from February 2019 to February 2020 were selected and divided into control group and study group according to the random number table method. The control group was given routine nursing care, and the study group was given continuous early developmental support care. The two groups of children were compared with their mothers’ knowledge of developmental support knowledge and skills, the status of cerebral palsy at 1 year old, nursing satisfaction, and the children’s intelligence development status at different months of age.Results The excellent and good rate of the children’s mothers in the study group of developmental support knowledge and skills was higher than the control group(98.21% vs 87.50%), the difference was statistically significant (P＜0.05); the study group children were detected with mild cerebral palsy, moderate cerebral palsy, and severe cerebral palsy at 1 year old rates were lower than those of the control group(3.57% vs 8.92%),(1.78% vs 3.57%),(1.78% vs 3.57%),the difference was statistically significant (P<0.05); the nursing satisfaction rate of the family members of the children in the study group was 94.64%, which was higher than 83.92% in the control group,the difference was statistically significant (P<0.05); There were statistically significant differences in the scores of children in the study group in adaptability, large exercise, fine exercise, language, and social behavior at 3, 6, and 12 months of age (P＜0.05).Conclusion The application of continuous early developmental support nursing in the nursing of premature infants could improve the knowledge and skills of the children’s family members of developmental support, reduce the detection rate of cerebral palsy in children, and improve the intellectual development status of the children after nursing, and the family members of the patients high satisfaction.

参考文献/References:

[1]冯祖章.枸橼酸咖啡因对原发性呼吸暂停早产儿早期肺功能及智能发育的影响研究[J].中国儿童保健杂志,2019,11(6):664-668.[2]邓丽莲.延续性早期发育支持护理对改善早产儿智能发育水平的影响分析[J].中国实用医药,2017(17):182-183.[3]古桂雄,戴耀华.儿童保健学[M].北京:清华大学出版社,2011.[4]张竑,王芬,张媛媛,等.袋鼠式护理模式对早产儿智力发育、运动发育及神经发育情况的影响[J].中国临床研究,2019,2(11):102-104.[5]吴满红,常燕群,李奎,等.早期干预对早产儿运动和智力发育的影响[J].中国康复理论与实践,2019,1(3):67-68.[6]林菲.Gesell发育量表在婴幼儿脑瘫治疗评估中的应用体会[J].现代医学与健康研究,2019(8):76-77.[7]Huter BM.Effect of gentle nursing care of premature infants on bonding and emotional development of the child. Follow-up of premature infants in Dr. Marina Marcovich’s study[J]. Anthropol Anz,2003,61(2):215-231.[8]廖火生,赵萍,郭秀东,等.家庭早期干预对降低早产儿脑性瘫痪发生率的影响[J].中国康复医学杂志,2018,11(2):136-138.[9]Ong SL,Abdullah KL,Danaee M,et al.The effectiveness of a structured nursing intervention program on maternal stress and ability among mothers of premature infants in a neonatal intensive care unit[J].J Clin Nurs,2019,28(3-4):641-649. [10]程羽婷.探讨家庭延续护理模式对早产儿生长发育及神经行为的影响[J].中外医疗,2019,38(12):147-149.[11]Akkoyun S,Tas Arslan F.Investigation of stress and nursing support in mothers of preterm infants in neonatal intensive care units[J].Scand J Caring Sci,2019,33(2):351-358. [12]吴满红,常燕群,李奎,等.早期干预对早产儿运动和智力发育的影响[J].中国康复理论与实践,2019,11(3):209-210.[13]樊杰.早产儿的发育支持护理[J].中华护理杂志,2019,9(10):779-780.[14]夏碧莹,张军,颜巧元,等.2013年—2017年早产儿护理研究热点的共词聚类分析[J].现代临床护理,2019(6):40-46.[15]白东梅,常睿.早期个体化发育支持护理对新生儿重症监护病房极低出生体重儿预后的影响[J].临床医学研究与实践, 2019,4(15):176-178.[16]陈艳辉,应真真.发育支持护理在极低出生体质量儿护理中的应用效果[J].河南医学研究,2019,28(6):1143-1145.[17]龚赛男.以家庭为中心的护理在NICU支气管肺发育不良早产儿中的应用研究[J].医学美学美容,2018,27(24):122-123.[18]周晓玉,赵卫华,许植之,等.早期干预对早产儿预后的影响[J].临床儿科杂志,2018,23(5):297-299.[19]邓爱玲.脑瘫患儿家庭支持的研究进展[J].中华护理杂志,2018,9(11):212-213.[20]王红,冉域辰,陈昶旭,等.早期干预对早产儿体格和智能发育的影响[J].现代预防医学,2019,11(1):48-50.

更新日期/Last Update: 1900-01-01