摘要
目的:探讨循证护理干预对新生儿缺氧缺血性脑病智能发育及预后的影响。方法:选取2015年1月-2016年12月本院收治的新生儿缺氧缺血性脑病患儿94例作为研究对象,根据其入院序号奇偶数按比例(1︰1)划分为对照组和观察组,每组47例。对照组制定常规护理干预方案,观察组在此基础上实施循证护理干预,观察比较两组智能发育和后遗症发生情况。结果:护理前两组患儿的MDI和DQ评分比较,差异均无统计学意义(P>0.05)。护理后,两组患儿的MDI和DQ评分较护理前明显改善,且观察组均明显高于对照组,差异均有统计学意义(P<0.05)。观察组患儿癫痫、运动障碍、智力低下的发生率分别为2.13%、6.38%、6.38%,均明显低于对照组的12.77%、21.28%、23.40%,差异均有统计学意义(P<0.05)。结论:针对新生儿缺氧缺血性脑病患儿,给予其循证护理干预效果理想,促进其智能发育,提高预后质量,值得广泛推广。
Objective:To explore the influence of evidence-based nursing intervention on intelligence development and prognosis of neonatal hypoxic ischemic encephalopathy.Method:A total of 94 neonates with hypoxic ischemic encephalopathy admitted in our hospital from January 2015 to December 2016 were selected as the study objects.According to the odd and even numbers of admission numbers(1︰1),they were divided into control group and observation group,47 cases in each group.The control group was made the routine nursing intervention program,the observation group was applied to evidence-based nursing intervention on this basis.The intelligence development and sequelae between the two groups were observed and compared.Result:There were no significant differences in the intelligence development index(MDI)and intelligence development quotient(DQ)scores between the two groups before nursing(P>0.05).After nursing,the MDI and DQ scores of the two groups were significantly improved,and the observation group were significantly higher than those of the control group,the differences were statistically significant(P<0.05).The incidence of epilepsy,motor disorder and mental retardation in the observation group were 2.13%,6.38%and 6.38%respectively,which were significantly lower than 12.77%,21.28%and 23.40%in the control group,the differences were statistically significant(P<0.05).Conclusion:For neonates with hypoxic ischemic encephalopathy,the effect of evidence-based nursing intervention is ideal,and it can promote intelligent development and improve the quality of prognosis.It is worthy of popularizing widely.
作者
廖聪娜
单清松
罗会珍
LIAO Congna;SHAN Qingsong;LUO Huizhen(Shenzhen Bao’an District Fuyong People’s Hospital,Shenzhen 518103,China)
出处
《中国医学创新》
CAS
2018年第28期91-94,共4页
Medical Innovation of China
关键词
新生儿
缺氧缺血性脑病
循证护理
智能发育
预后情况
Neonate
Hypoxic ischemic encephalopathy
Evidence-based nursing
Intelligence development
Prognosis
