基于神经外科专科护理平台的延续性护理对脑损伤综合征患儿生长发育的影响  

Influence of Continuity Care Model Based on Neurosurgery Specialist Nursing Platform on Growth and Development in Infants with Brain Injury Syndrome

作　　者：孙建玲 SUN Jianling(Department of Neurosugery,Kaifeng Children’s Hospital,Kaifeng 475099,China)

机构地区：[1]开封市儿童医院神经外科,河南开封475099

出　　处：《河南医学研究》2022年第20期3815-3819,共5页Henan Medical Research

摘　　要：目的探讨基于神经外科专科护理平台的延续性护理对脑损伤综合征患儿生长发育的影响。方法选取2020年4月至2021年4月开封市儿童医院收治的74例脑损伤综合征患儿,采用随机数字表分为对照组和观察组,各37例,对照组接受常规延续性护理干预,观察组接受基于神经外科专科护理平台的延续性护理。于干预前和干预6个月后,测量两组身长、体质量及头围,评估患儿的体格发育。采用格塞尔发展量表(GESELL)发育诊断量表和Alberta婴儿运动量表(AIMS)评估两组患儿的智力发育及运动发育状况。结果干预前,两组患儿身长、体质量及头围比较,差异无统计学意义(P>0.05)。干预后,观察组身长、体质量及头围均高于对照组,差异有统计学意义(P<0.05)。干预前,两组智力发育情况比较,差异无统计学意义(P>0.05);干预后,两组适应力、语言、精细运动、个人-社交及大动作5个方面智力发育均较干预前提高,且观察组高于对照组(P<0.05)。干预前,两组AIMS评分比较,差异无统计学意义(P>0.05);干预6个月后,两组AIMS总分均较干预前提高,且观察组高于对照组(P<0.05)。结论利用基于神经外科专科护理平台进行延续性护理可以促进脑损伤综合征患儿体格发育、智力发育及运动发育。Objective To explore the influence of continuity care model based on neurosurgery specialist nursing platform on growth and development in infants with brain injury syndrome.Methods A total of 74 infants with brain injury syndrome from April 2020 to April 2021 in Kaifeng Children’s Hospital were selected and randomly divided into control group and observation group,37 cases in each group.The control group received the routine continuation care intervention and the observation group received continuity care model based on neurosurgery specialist nursing platform.Before and 6 months after intervention,the body length,body weight and head circumference of the two groups were measured,and the physical development of the children was evaluated.The Gesell development schedules(GESELL)developmental diagnostic scale and Alberta infant motor scale(AIMS)were used to evaluate the mental and motor developmental between the two groups.Results Before intervention,there were no statistical significance in the height,body mass and head circumference between the two groups(P>0.05).After intervention,the height,body mass and head circumference in the observation group were higher than those in the control group(P<0.05).Before intervention,the intelligence development were no significantly differences between two groups(P>0.05).After intervention for 6 months,the adaptability,language,fine motor,personal-social and grand motor were higher than before intervention in two groups,and those in the observation group were higher than those in the control group(P<0.05).Before intervention,there was no significant difference in AIMS score between the two groups(P>0.05).After intervention for 6 months,the AIMS score was higher than before intervention in two groups,and it was higher in the observation group than that in the control group(P<0.05).Conclusion Continuous care using neurosurgical specialty nursing platform can promote the physical,intellectual development and motor development in infant with brain injury syndrome.

关 键 词：脑损伤综合征 体格发育 智力发育 神经发育 延续性护理 移动平台 

分 类 号：R473.72[医药卫生—护理学]