首页|基于循证思维模式的预见性护理干预在NICU早产儿中的应用

基于循证思维模式的预见性护理干预在NICU早产儿中的应用

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目的 探讨基于循证思维模式的预见性护理干预在NICU早产儿中的应用.方法 选取2021年1月—2022年12月收治的80例NICU早产儿作为研究对象,按照组间资料均衡可比的原则将其对照组和观察组,每组40例.对照组早产儿接受常规护理,观察组早产儿在常规护理基础上接受基于循证思维模式的预见性护理干预.比较两组早产儿的生长发育状况、生长激素水平、智力发育水平、神经功能指标和胃肠功能指标和并发症发生情况.结果 两组早产儿护理干预前的生长发育状况比较差异无统计学意义(P>0.05);护理干预后,观察组早产儿体质量、身长、头围的增长幅度大于对照组,差异有统计学意义(P<0.05).护理干预前两组早产儿PDI评分、MDI评分比较差异无统计学意义(P>0.05);护理干预后观察组早产儿PDI评分、MDI评分高于对照组,差异有统计学意义(P<0.05).护理干预前两组早产儿神经功能指标、胃肠功能指标数据比较差异无统计学意义(P>0.05);干预后观察组早产儿S100蛋白、NSE低于对照组,GAS、MTL高于对照组,差异有统计学意义(P<0.05).护理干预前两组早产儿生长激素(GH)、血清胰岛素样生长因子-1(IGF-1)水平,组间比较差异无统计学意义(P>0.05);护理干预后观察组早产儿GH、IGF高于对照组,差异有统计学意义(P<0.05).护理干预后观察组早产儿并发症发生率低于对照组,差异有统计学意义(P<0.05).结论 NICU早产儿接受基于循证思维模式的预见性护理干预,能促进早产儿各项功能发育,如胃肠功能、神经功能、运动功能、体格和智力等,并降低黄疸指数,对护患关系良好发展有积极意义.
Application of predictive nursing interventions based on an evidence-based thinking model in preterm infants in the NICU
Objective To explore the application of predictive nursing interventions based on an evidence-based thinking model in preterm infants in the NICU.Methods A total of 80 preterm infants admitted to the NICU from January 2021 to December 2022 were selected as the research subjects.They were divided into a control group and an observation group according to the principle of balanced and comparable data between groups,with 40 cases in each group.The control group implemented routine nursing care,while the observation group implemented predictive nursing interventions based on an evidence-based thinking model in addition to routine care.The differences between the two groups of preterm infants were compared in terms of their growth and developmental status,levels of growth hormone,intellectual development,neurological function indicators,gastrointestinal function indicators,and the occurrence of complications.Results Before nursing intervention,there was no statistically significant difference in growth and developmental status between the two groups of preterm infants(P>0.05).After nursing intervention,the increases in body mass,height and head circumference of preterm infants in the observation group were greater than those in the control group,the differences were statistically significant(P<0.05).Before nursing intervention,there was no statistically significant difference in PDI and MDI scores between the two groups of preterm infants(P>0.05).After nursing intervention,the PDI and MDI scores of preterm infants in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).Before nursing intervention,there was no statistically significant difference in indicator data of neurological function and gastrointestinal function between the two groups of preterm infants(P>0.05).After intervention,the S1 00 protein and NSE of preterm infants in the observation group were lower than those in the control group,the GAS and MTL were higher than those in the control group,the differences were statistically significant(P<0.05).Before nursing intervention,there was no statistically significant difference in levels of growth hormone(GH)and serum insulin-like growth factor-1(IGF-1)between the two groups of preterm infants(P>0.05).After nursing intervention,the GH and IGF-1 of preterm infants in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).After nursing intervention,the incidence of complications of preterm infants in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion Preterm infants in the NICU receiving predictive nursing interventions based on an evidence-based thinking model can promote various aspects of their development,such as gastrointestinal function,neurological function,motor function,physical growth,and intelligence.Additionally,these interventions can reduce the jaundice index and contribute positively to the development of a good nurse-patient relationship.

Preterm infantsNneonatal intensive care unitJaundice indexPredictionNursingExerciseNerve

彭春欢、陈牡花、李雅洁、吴淑芳、朱竺

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湖南省儿童医院新生儿科(湖南省长沙市,410007)

早产儿 NICU 黄疸指数 预见性 护理 运动 神经

2024

护理实践与研究
河北省儿童医院

护理实践与研究

影响因子:1.354
ISSN:1672-9676
年,卷(期):2024.21(7)
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