| 李丹,黄湘晖,叶茹明.智能化辅助NICU发育支持护理的实施[J].上海护理,2021,21(5): |
| 智能化辅助NICU发育支持护理的实施 |
| Intelligent application of Developmental Support Care in neonatal intensive care unit |
| DOI： |
| 中文关键词: 早产 新生儿重症监护室 发育支持护理 智能化 |
| 英文关键词:Premature Neonatal Intensive Care Unit Developmental Support Care Intelligent |
| 基金项目: |
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| 中文摘要: |
| 目的 探讨利用信息手段减少对患儿不良刺激及促进发育支持护理规范化执行的效果。方法 在移动护理终端增加医护人员刺激行为的监控提示及为护理人员按发育支持护理进行评估干预提供辅助决策的功能。对我院NICU出生胎龄<32周，体重<1500g的早产儿共73例进行随机分组，观察组37例借助信息系统进行干预，对照组36例行常规照护使用纸质的发育支持护理表格进行干预，比较两组患儿的操作刺激频次、开始经口喂养时间、完全经口喂养时间、每日体重增长情况、行为神经测定（neonatal behavioral neurological assessment，NBNA），全身运动评估(general movements,GMs)。结果 观察组的日平均干扰频次明显低于对照组（P<0.05）; 纠正胎龄40周NBNA评分干预组高于对照组（P<0.05），两组全GMs异常发生率无统计学意义（P>0.05）；干预组开始经口喂养时的纠正胎龄和完全经口喂养时的纠正胎龄均小于对照组（P<0.05）；干预组的平均住院天数低于对照组、体重增长速度明显高于对照组（P<0.05）。 结论 发育支持护理的智能化手段应用，可降低护理对患儿不良刺激的干扰频次，缩短住院时间、促进体重增长，改善早产儿预后。 |
| 英文摘要: |
| Objective To explore the effect of using information to reduce the adverse stimulation of premature infants and promote the standardized implementation of developmental support care. Methods The monitoring tips of the medical staff's stimulating behaviors in the mobile care terminal and the functions of the auxiliary nursing staff to evaluate and implement according to the development support care. A total of 73 premature infants with a gestational age <32 weeks and a body weight <1500 g were randomly assigned to our school. 37 patients in the observation group were treated with Personal Digital Assistant （PDA）, and 36 patients in the control group were treated with a paper development support form. The frequency of operation stimulation, start of oral feeding, complete oral feeding, daily weight gain, neonatal behavioral neurological assessment (NBNA), and general movements (GMs) were performed in the group. Results The daily average frequency of interference in the observation group was significantly lower than that in the control group (P<0.05). The NBNA score in the intervention group was higher than that in the control group (P<0.05). There was no significant difference in the incidence of total GMs between the two groups. (P>0.05); the corrected gestational age at the beginning of oral feeding and the correct gestational age at the time of oral feeding were lower in the intervention group than in the control group (P<0.05); the average length of hospital stay in the intervention group was lower than that in the control group and weight gain. The speed was significantly higher than that of the control group (P<0.05). Conclusion The intelligent application of developmental support care can reduce the frequency of intervention for adverse stimuli in preterm
infants, shorten hospital stays, promote weight gain, and improve the prognosis of preterm infants. |
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