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