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早期康复护理对高危新生儿认知和运动功能的影响

Effects of Early Rehabilitation Nursing on Cognitive and Motor Function of High-Risk Neonates
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摘要 目的探讨早期康复护理对高危新生儿认知和运动功能的影响。方法选取2017年7月至2019年6月平顶山市妇幼保健院收治的116例高危新生儿作为研究对象,根据新生儿家长意愿将研究对象分为观察组和对照组,各58例。对照组新生儿接受常规护理方案,观察组在对照组基础上接受早期康复护理方案。护理1、3个月时,分别采用智力发育指数(MDI)和运动发育指数(PDI)对两组患儿认知功能和运动功能进行评价,记录两组患儿1岁时的生长发育情况,并对护理工作满意度进行评价。结果护理3个月时,两组患儿MDI和PDI得分较护理1个月时升高,并且观察组高于对照组(P<0.05);观察组患儿1岁时,身长、体质量以及头围等生长发育指标较出生时均升高,且观察组高于对照组(P<0.05);观察组患儿家长对护理工作满意度的评价优于对照组(P<0.05)。结论早期康复护理干预能够改善高危新生儿认知和运动功能,有效促进儿童正常生长发育,临床应用效果较好。 Objective To explore the effects of early rehabilitation nursing on cognitive and motor function of high-risk neonates.Methods A total of 116 high-risk neonates admitted to Pingdingshan Maternal and Child Health Hospital from July 2017 to June 2019 were selected as the research objects.According to the wishes of newborn parents,the research objects were divided into observation group(58 cases)and control group(58 cases).Neonates in control group were given routine nursing program,and neonates in observation group were given early rehabilitation nursing program on the basis of control group.At 1 month and 3 months of nursing,the cognitive function and motor function of two groups were evaluated by mental development index(MDI)and psychomotor development index(PDI).The growth and development of children in two groups at the age of 1 year were recorded,and the nursing job satisfaction was evaluated.Results At 3 months of nursing,the scores of MDI and PDI in two groups were higher than that at 1 month of nursing,and the scores in observation group were higher than those in control group(P<0.05).At the age of 1 year,the growth and development indexes such as body length,body mass and head circumference in observation group were higher than those in control group(P<0.05).The evaluation of nursing job satisfaction of parents in observation group was better than that in control group(P<0.05).Conclusion Early rehabilitation nursing intervention could improve the cognitive and motor function of high-risk newborns,effectively promote the normal growth and development of children and the clinical application effect was good.
作者 陈凌云 王彦娟 CHEN Lingyun;WANG Yanjuan(Department of Children’s Rehabilitation,Pingdingshan Maternal and Child Health Hospital,Pingdingshan 467000,China)
出处 《河南医学研究》 CAS 2022年第4期744-747,共4页 Henan Medical Research
关键词 高危新生儿 康复护理 认知功能 运动功能 生长发育 high-risk neonates rehabilitation nursing cognitive function motor function growth and development
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