以家庭为中心的认知干预在新生儿护理中的应用  

Application of family centered cognitive intervention in neonatal nursing

作　　者：陈新华 陈冰汝 金玲玲 郑靖阳[2] 

机构地区：[1]温州市中心医院新生儿科,浙江省温州325000 [2]温州市第二人民医院新生儿科,浙江省温州325000

出　　处：《中国基层医药》2017年第22期3369-3372,共4页Chinese Journal of Primary Medicine and Pharmacy

基　　金：浙江省温州市科技计划项目（Y20120078）

摘　　要：目的 探索以家庭为中心的认知干预在新生儿护理中的作用.方法 选取100例新生儿为研究对象,采用随机数字表法分为观察组和对照组,各50例.两组均接受常规的健康教育,观察组在此基础上接受以家庭为中心的认知干预.干预后,比较两组新生儿的体格发育状况（体质量、身高、头围）,并对新生儿出生疾病状况以及新生儿神经行为测定（NBNA）评分进行比较.结果 观察组新生儿出院后1个月体质量[（4753.88±434.59）g]、身长[（55.16±1.17）cm]、头围[（37.34±0.51）cm]均优于对照组新生儿[出院后1个月体质量（4295.78±344.63）g、身长（52.25±0.58）cm、头围（35.67±0.21）cm],差异均有统计学意义（t=2.564、6.235、8.679,均P〈0.05）;观察组出生疾病发生率为14.00%,对照组为32.00%,差异有统计学意义（χ2=4.574,P〈0.01）;观察组主动肌张力、被动肌张力、行为能力、原始反射、一般评估及NBNA总分均明显高于对照组,差异均有统计学意义（均P〈0.01）.结论 以家庭为中心的认知干预可显著改善新生儿的生长状况,降低出生疾病发生率,有利于改善新生儿的神经行为,值得推广应用.Objective To explore the role of family centered cognitive intervention in neonatal nursing. Methods According to the random number table method,100 newborns were randomly divided into observation group and control group,50 cases in each group. The two groups received routine health education,and the observation group received the family centered cognitive intervention. After the intervention, the neonatal physical development status （body weight,height,head circumference） and neonatal disease status of the two groups were analyzed. The active muscle tension, passive muscle tension, primitive reflexes, behavior ability, general evaluation and neonatal behavioral neurological assessment score （ NBNA score ） were evaluated and analyzed. Results The body weight [（4753.88±434.59）g],length[（55.16±1.17）cm],headcircumference[（37.34±0.51）cm]after1month discharge of the observation group were better than those of the control group[（4295. 78 ± 344. 63） g,（52. 25 ± 0.58）cm,（35.67 ±0.21）cm],the differences between the two groups were statistically significant（t =2.564, 6. 235,8. 679,all P〈0. 05）. The incidence rate of born disease of the observation group was 14. 00%,which of the control group was 32. 00%,there was statistically significant difference between the two groups（χ2 =4. 574,P〈0. 01）. The active muscle tension,passive muscle tension,behavior ability,original reflection,the general evaluation and NBNA scores of the observation group were significantly higher than those of the control group, the differences were statistically significant（all P〈0. 01）. Conclusion Family centered intervention can significantly improve the growth status of newborn infants,reduce the incidence of the disease,it is beneficial to improve the patients＆#39; neurological behavior,it is worthy of wide application.

关 键 词：家庭护理(非专业) 认知 新生儿护理 儿童发育 

分 类 号：R473.72[医药卫生—护理学]