Effect of a comprehensive intervention based on the needs theory on the quality of rehabilitation and NIPS score in newborns with congenital duodenal atresia or stenosis
Objective To explore the effect of a comprehensive intervention based on the needs theory on the quality of rehabilitation and the Neonatal Infant Pain Scale(NIPS)score in newborns with congenital duodenal atresia or stenosis(CDAS).Methods A total of 137 neonates with CDAS admitted from January 2016 to January 2018 were retrospectively enrolled.They were randomly assigned into the experimental group(n=69)and control group(n=68)using the random number table method(RNTM).A comprehensive intervention during the perioperative period based on the needs theory was applied to patients of the experimental group,while routine interventions were given to those of control group.Quality of rehabilitation and NIPS scores were compared between groups.Results There were no significant differences in D-lactate,diamine oxidase(DAO)and endotoxin before interventions between groups(P＞0.05).After interventions,their levels were significantly lower in the experimental group than those of control group(P＜0.05).The severity of CDAS was positively correlated with the levels of D-lactate,DAO,and endotoxin(P＜0.05).There were no significant differences in the white blood cell count(WBC),platelet count(PLT),C-reactive protein(CRP)and procalcitonin(PCT)before interventions(P＞0.05),which were significantly lower in the experimental group than those of control group(P＜0.05).The severity of CDAS was positively associated with PLT,CRP,and PCT levels(P＜0.05).The time of indwelling gastric tube and first exhaust were significantly shorter in the experimental group than those of control group(P＜0.05).The incidence of postoperative complications was significantly lower in the experimental group than that of control group(P＜0.05).There were no significant differences in the scores of facial expression,crying,breathing form,upper limb morphology,lower limb morphology and awakening state and the total scores before interventions between groups(P＞0.05),which,after interventions,were significantly lower in the experimental group than those of control group(P＜0.05).The severity of CDAS was positively correlated with NIPS score(P＜0.05).Conclusion For neonates with CDAS,perioperative comprehensive interventions based on the needs theory can effectively improve the quality of rehabilitation,reduce NIPS score,and have good clinical application value.
comprehensive intervention based on needs theorynewborncongenital duodenal atresia or stenosisquality of rehabilitationNeonatal Infant Pain Scale(NIPS)
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