摘要
目的探讨循证理念在新生儿缺氧缺血性脑病护理中的意义。方法选取2015-05—2017-10平顶山市第一人民医院100例新生儿缺氧缺血性脑病患儿,采用随机数字表法分为2组各50例,对照组应用常规护理干预,循证理念组应用循证护理干预,比较2组脑水肿消失时间,肌张力、意识状态恢复时间;护理前后PDI评分、MDI评分;肺炎发生率;护理前后大运动、精细运动、适应性、语言;家长满意度。结果循证理念组脑水肿消失时间、肌张力、意识状态恢复时间短于对照组(P<0.05);护理前2组PDI评分、MDI评分差异无统计学意义(P>0.05);护理后循证理念组PDI评分、MDI评分高于对照组(P<0.05)。循证理念组肺炎发生率低于对照组(P<0.05)。护理前2组大运动、精细运动、适应性、语言差异无统计学意义(P>0.05),护理后循证理念组大运动、精细运动、适应性、语言高于对照组(P<0.05)。循证理念组家长满意度高于对照组(P<0.05)。结论新生儿缺氧缺血性脑病护理中循证理念的应用效果肯定,可加速症状消失和意识状态、肌张力恢复,改善患儿智力状况,促进其正常生长发育,降低肺炎发病率,家长满意度高。
Objective To explore the significance of evidence based concept in neonatal care for ischemic encephalopathy.Methods One hundred neonates with ischemic encephalopathy were selected from the First People's Hospital of Pingdingshan City from May 2015 to October 2017.They were randomly divided into two groups of 50 patients.The control group was treated with routine nursing intervention and the evidence based concept group was applied.Evidence based nursing intervention,comparing the disappearance time of cerebral edema in 2 groups,muscle tension,recovery time of consciousness state;PDI score and MDI score before and after nursing;incidence of pneumonia;large exercise before and after nursing,fine exercise,adaptability,language;parental satisfaction.Results The time of disappearance of cerebral edema,muscle tension and recovery of consciousness were shorter than that of the control group(P<0.05).There was no significant difference in PDI score and MDI score between the two groups before treatment(P>0.05).The PDI score and MDI score of the evidence based concept group were higher than those of the control group(P<0.05).The incidence of pneumonia in the evidence based concept group was lower than that in the control group(P<0.05).There were no significant differences between the two groups before exercise,such as large exercise,fine exercise,adaptability and language(P>0.05).After exercise,the evidence based concept group had greater exercise,fine exercise,adaptability and language than the control group(P<0.05).Parental satisfaction in the evidence based concept group was higher than that in the control group(P<0.05).Conclusion The application of evidence-based concept in neonatal care for ischemic encephalopathy is affirmative,which can accelerate the disappearance of symptoms and recovery of consciousness and muscle tension,improve the mental status of children,promote their normal growth and development,reduce the incidence of pneumonia,and satisfaction with parents.high.
作者
石丰月
马平均
SHI Fengyue;MA Pingjun(The First People's Hospital of Pingdingshan,Pingdingshan 467000,China)
出处
《中国实用神经疾病杂志》
2018年第23期2652-2657,共6页
Chinese Journal of Practical Nervous Diseases
关键词
缺血性脑病
新生儿缺氧缺血性脑病
脑损伤
新生儿
循证理念
循证护理
Ischemic encephalopathy
Neonatal hypoxic ischemic encephalopathy
Brain injury
Newborn
Evidence based concept
Evidence based nursing
