ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2021, Vol. 13 ›› Issue (3): 262-266.doi: 10.3969/j.issn.1674-3865.2021.03.022

• 临床护理 • 上一篇    下一篇

综合康复护理对早产儿生活质量的影响

韩雪婷, 林年年, 金鑫, 金妍
  

  1. 110032 沈阳，沈阳市儿童医院护理部（韩雪婷），评估室（林年年），NICU（金鑫），康复科（金妍）
  • 收稿日期:2020-11-09 出版日期:2021-06-25 上线日期:2021-06-25
  • 通讯作者: 韩雪婷，E-mail：hxt13609839840@163.com
  • 作者简介:韩雪婷（1977-），女，副主任护师。研究方向：儿童康复护理
  • 基金资助:
    辽宁省自然科学基金面上项目（20170540832）

Effect of comprehensive rehabilitation nursing on quality of life of premature infants

HAN Xueting, LIN Niannian, JIN Xin, JIN Yan   

  1. Shenyang Children’s Hospital,Shenyang 110032,China
  • Received:2020-11-09 Published:2021-06-25 Online:2021-06-25
  • Contact: HAN Xueting, E-mail：hxt13609839840@163.com

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摘要： 目的: 通过全身运动(GMs)评估早期预测早产儿的神经发育结局并对评估结果异常的高危早产儿实施早期综合的康复护理干预及延续性护理，观察其临床效果。方法: 将2018年10月至2019年9月我院NICU病房收治的矫正胎龄46周前，经GMs评估为单调性扭动运动113例早产儿随机分为观察组56例和对照组57例。对照组实施早产儿常规护理，观察组在对照组常规护理基础上给予康复护理干预；上述患儿于矫正胎龄49周后再次进行GMs评估为正常不安运动的，继续分组干预及实施延续性护理，并在3、6、12个月进行随访，随访时应用Alberta婴儿运动量表、Gesell评定量表比较两组患儿干预后的效果。结果: 两组患儿3个月及6个月Alberta婴儿运动量表评定总分及百分位数比较差异无统计学意义（P>0.05）；12个月时观察组Alberta婴儿运动量表评定总分高于对照组，差异有统计学意义（P=0.009），百分位数比较差异也有统计学意义（P<0.05）。Gesell评定结果两组患儿在适应能力和社交行为方面有差异，适应能力评分在12月龄时观察组高于对照组，差异有统计学意义（P<0.05）；社交行为评分在6月龄、12月龄时观察组高于对照组，差异有统计学意义（P<0.05）。结论: 对高危早产儿实施综合康复护理干预对患儿适应能力、社交行为及动作完成质量方面有一定临床效果。

关键词: 早产儿, GMs评估, 康复护理干预, 神经发育结局

Abstract: Objective: GMs are used to evaluate early prediction of neurodevelopmental outcomes in preterm infants,and to implement early comprehensive rehabilitation nursing intervention and continuous nursing for premature infants with abnormal evaluation results,and observe their clinical effects.Methods: The 113 preterm infants,who were admitted to the NICU ward of our hospital from October 2018 to September 2019 before the corrected gestational age of 46W and were evaluated by GMs as monotone writhing,were randomly divided into observation group (n=56) and control group (n=57).The control group received routine nursing care for premature infants,and the observation group received rehabilitation nursing interventionon the basis of routine nursing care for the control group.The above children who were assessed by GMs againas normal restless movement after the correction of gestational age of 49W were further treated with group intervention and continuous care,and were followed up at the age of 3 months,6 months and 12 months.During follow-up,the Alberta Infant Motor Scale (AIMS) and Gesell Rating Scale were used to compare the effects of interventionbetween the two groups.Results: There was no statistical difference in Alberta scores or percentiles between the two groups at 3 months and 6 months (P>0.05).There were significant differences in Alberta total scores and percentiles between the two groups at 12 months of age,with the observation group being higher (P<0.05,P=0.009);Gesell evaluation results showed that there were differences in the adaptability and social behavior between the two groups.The adaptability was higher in observation group at 12 months old(P<0.05),the social behavior score was higher in observation group at 6 months old and 12 months old,which had statistical significance(P<0.05).Conclusion: Comprehensive rehabilitation nursing intervention for high-risk premature infants has certain clinical effects on adaptability,social behavior and quality of completing action.

Key words: Premature infants, GMs evaluation, Rehabilitation nursing intervention, Neurodevelopmental outcome