CAJ | 학술논문

目的探讨早期系统的医院综合护理干预对新生儿重症监护病房( NICU)早产儿出院后发育的影响.方法将符合标准的NICU出院早产儿256例分为干预组148例和对照组108例.干预组除接受常规育儿指导外,还进行早期评估、定期随访和早期综合护理干预;对照组只接受常规育儿指导.采用小儿神经心理发育定期两组的粗大运动、精细运动、适应能力、语言、社交能力发育商和总体发育商进行评估.结果经早期综合护理干预定期评估后,干预组在出生后第6,12、18和24个月时,以上各项评估指标均高于对照组,差异有统计学意义(P＜0.05);干预组出现脑瘫1例,其粗大运动功能分级(gmfcs)为3级,脑瘫发生率为0.71％ (1/148);对照组出现脑瘫5例,cmfcs分级3级1例、Ⅳ级4级,脑瘫发生率为5.1％ (5/98),两组比较差异有统计学意义(x2=4.151 6,P＜0.05).结论早期医院定期评估及早期综合护理干预能有效地提高NICU早产儿出院后的发育商,降低脑性瘫痪的发生率,减轻神经行为缺陷程度.
목적 탐토조기계통적의원종합호리간예대신생인중증감호병방( NICU)조산인출원후발육적영향.방법 장부합표준적NICU출원조산인256례분위간예조148례화대조조108례.간예조제접수상규육인지도외,환진행조기평고、정기수방화조기종합호리간예;대조조지접수상규육인지도.채용소인신경심리발육정기량조적조대운동、정세운동、괄응능력、어언、사교능력발육상화총체발육상진행평고.결과 경조기종합호리간예정기평고후,간예조재출생후제6,12、18화24개월시,이상각항평고지표균고우대조조,차이유통계학의의(P＜0.05);간예조출현뇌탄1례,기조대운동공능분급(gmfcs)위3급,뇌탄발생솔위0.71％ (1/148);대조조출현뇌탄5례,cmfcs분급3급1례、Ⅳ급4급,뇌탄발생솔위5.1％ (5/98),량조비교차이유통계학의의(x2=4.151 6,P＜0.05).결론 조기의원정기평고급조기종합호리간예능유효지제고NICU조산인출원후적발육상,강저뇌성탄탄적발생솔,감경신경행위결함정도.
Objective To explore the influence of early synthesized nursing on the growth of premature infants in NICU after leaving hospital.Methods 256 premature babies that complied with the standard were randomly divided into the experimental group which contained 148 cases and the control group which contained 108 babies.Both the two groups received traditional child rearing guidance,besides that only the experimental group received early evaluation,periodical following-up and early synthesized nursing.Using the neuropsychological development examination table,all children in the two groups were investigated and compared on gross movement,fine movement,adaption capability,language,social behavior and total growth.Results All the indexes in experimental group in six months,twelve months,eighteen months and twenty-four months after born were higher than in control group due to the synthesized nursing,and there were statistically significant differences between the two groups(P ＜0.05) one child got cerebral palsy in experimental group,and its gmfcs was the 3rd grade,the incidence was 0.71％ (1/148),but five cerebral palsy cases in control group,one got the 3rd grade and four children got the 4th grade,the incidence was 5.1％ (5/98),there was statistically significant difference( x2 =4.151 6,P ＜ 0.05 ).Conclusions Early hospital evaluation and early synthesized nursing can improve the growth of premature babies after leaving hospital,it also can reduce the incidence of cerebral palsy and relieve the neural behavior deficiency level