Objective To establish the nurse-guide care model for early screening and grading management of infant postural cranial abnormalities.Methods According to the inclusion and exclusion criteria of the study,healthy infants in chil-dren's health care clinics from February 2019 to March 2020 were included in this cross-sectional retrospective study.High-risk infants were referred according to our protocol.All referred infants received examination using the SmartSoc 3D optical scanning data collection system(United States),then were diagnosed and graded according to the CHOA grading ref-erence standard in the American Pediatric Guidelines.Statistical methods use counting data to calculate the number of cases and the constituent ratio(n,%).Results Totally 591 high-risk infants with cranial abnormalities were screened by health nurses,and 346 infants with cranial abnormalities were diagnosed,accounting for 58.54%.The highest proportion of abnormal screening was 0-4 months old,accounting for 60.96%.The main types were oblique head and short head,with 87.86%being mild and 6.07%being moderate to severe cranial abnormalities.Incorporate 58.09%of primary management,23.12%of sec-ondary management,and 18.79%of tertiary management.Conclusion Health nurses have good reliability in early screening of infant postural cranial abnormalities,which is conducive to improving the early recognition rate without increasing the burden on doctors and patients.Establishing the nurse-guide care model for early screening and graded management of infant postural cranial abnormalities can improve the prognosis of infant postural cranial abnormalities.
关键词
体位性颅型异常/婴儿/早期筛查/护理模式/儿童保健
Key words
postural cranial abnormality/infants/early screening/nursing model/child health care