NICU早产儿家庭功能与神经发育的相关性分析  

Correlation analysis of family function and neurodevelopment of preterm infants in NICU

作　　者：张清 倪志红[2] 赵雪萍 吴金花 王芳 Zhang Qing;Ni Zhihong;Zhao Xueping;Wu Jinhua;Wang Fang(Department of Neonatology,Children′s Hospital of Soochow University,Suzhou 215256,China;Department of Nursing,Children′s Hospital of Soochow University,Suzhou 215025,China;School of Nursing,Department of Medicine,Soochow University,Suzhou 215006,China)

机构地区：[1]苏州大学附属儿童医院新生儿科,苏州215025 [2]苏州大学附属儿童医院护理部,苏州215025 [3]苏州大学医学部护理学院,苏州215006

出　　处：《中国实用护理杂志》2022年第5期333-340,共8页Chinese Journal of Practical Nursing

基　　金：2020年江苏省高等学校自然科学研究面上项目(20KJD320009);江苏省卫生和计划生育委员会医学科研课题(N201603)。

摘　　要：目的探讨NICU早产儿家庭功能与神经发育的相关性。方法采用便利抽样法,选取2020年1—8月苏州大学附属儿童医院NICU 195例早产儿及其父母,采用一般资料调查表、家庭功能评估量表进行问卷调查。采用0~6岁小儿神经心理发育量表在早产儿出院3个月时评估其神经发育状况。结果NICU早产儿出院3个月时发育商为76.00(73.00,81.00)分,家庭功能为146.00(131.00,161.00)分。家庭功能总分及各维度得分与发育商均呈负相关(r值为-0.646~-0.505,均P<0.05)。分层回归分析显示,沟通、问题解决和行为控制可解释早产儿神经发育状况变异的21.9%。结论护理人员可从家庭沟通、问题解决和行为控制3个方面入手,改善早产儿家庭功能状况,从而提升其神经发育水平。Objective To explore the relationship between family function and neurodevelopment of preterm infants in the NICU.Methods A total of 195 preterm infants in the NICU and their parents were selected from January to August 2020 in Children′s Hospital of Soochow University by convenience sampling method.A questionnaire survey was conducted using the general information questionnaire and Family Assessment Device.0 to 6-year-old Children′s Neuropsychological Development Checklist were used to assess neurodevelopmental status of preterm infants in the third month after their discharge.Results The development quotient of preterm infants in the NICU in the third month after discharge was 76.00(73.00,81.00)points.The family function score was 146.00(131.00,161.00)points.The total score of family function and item score were negatively correlated with development quotient(r values were-0.646 to-0.505,all P<0.05).Hierarchical regression analysis showed that communication,problem solving,and behavior control accounted for 21.9%of neurodevelopmental variability in preterm infants.Conclusions Nurses should promote the family function of preterm infants by improving family communication,problem solving and behavior control,thereby enhancing their neural development level.

关 键 词：新生儿重症监护室 早产儿 家庭功能 神经发育 

分 类 号：R174[医药卫生—妇幼卫生保健]