随访管理及早期干预对早产儿生长发育的影响  

The impact of follow-up management and early intervention on the growth and development of premature infants

作　　者：李会会[1] 仇华 周珊 LI Hui-hui;QIU Hua;ZHOU Shan(Department of Children's Health,Tengzhou Central People's Hospital,Tengzhou Shandong Province 277599,China;Department of Neonatology,Shandong Province Tengzhou Central People's Hospital;Department of Pediatrics,Shandong Province Tengzhou Central People's Hospital)

机构地区：[1]滕州市中心人民医院儿童保健科,山东滕州277599 [2]山东省滕州市中心人民医院新生儿科 [3]山东省滕州市中心人民医院儿科

出　　处：《中国城乡企业卫生》2024年第2期12-15,共4页Chinese Journal of Urban and Rural Enterprise Hygiene

摘　　要：目的 探讨随访管理及早期干预对早产儿生长发育的影响,为改善早产儿的生存质量提供参考。方法 选取2020年10月—2021年10月滕州市中心人民医院收治的早产儿80例为研究对象,采用随机数字表法分为观察组和对照组各40例。对照组给予常规护理,观察组在对照组基础上给予随访管理及早期干预。比较两组早产儿身体发育、神经心理发育、发育不良情况及家属满意度评分。结果 观察组体质量、身长、头围优于对照组,差异均有统计学意义(P<0.05)。观察组社交行为、精细动作、大运动、适应能力及语言情况评分、MDI评分、PDI评分均高于对照组,差异均有统计学意义(P<0.05)。观察组发育不良发生率为5.00%,低于对照组的22.50%,差异均有统计学意义(χ^(2)=5.165,P<0.05)。观察组沟通能力、专项护理、优质服务、护理态度、健康宣教家属满意度评分高于对照组,差异均有统计学意义(P<0.05)。结论 随访管理及早期干预能够促进早产儿的身体以及神经心理等方面的良好发育,减少脑瘫等不良现象的发生,提升家属满意度,值得临床推广应用。Objective To explore the impact of follow-up management and early intervention on the growth and development of premature infants,in order to provide reference for improving the quality of life of premature infants.Methods A total of 80 premature infants admitted to Tengzhou Central People's Hospital from October 2020 to October 2021 were selected as the research subjects.They were divided into observation group and control group using the random number table method,with 40 cases in each group.The control group received routine nursing,while the observation group received follow-up management and early intervention on the basis of the control group.The physical development,neuropsychological development,dysplasia condition and family members' satisfaction degree score of premature infants of two groups were compared.Results The weight,length and head circumference of the observation group were better than those of the control group,and the differences were statistically significant(P<0.05).The scores of social behavior,fine motor skills,gross motor skills,adaptability and language proficiency,MDI score and PDI score of the observation group were all higher than those of the control group,and the differences were statistically significant(P <0.05).The incidence of dysplasia in the observation group was 5.00%,which was lower than 22.50% in the control group,and the difference was statistically significant(χ^(2)=5.165,P<0.05).The family membrers' satisfaction degree scores of communication ability,specialized nursing,high-quality service,nursing attitude and health education in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Follow-up m anag em ent and early intervention c ould prom ote the physic al and neuropsyc holog ic al developm ent of prem ature infants,reduc e the oc c urrenc e of adverse phenom ena suc h as c erebral palsy,and im prove the satisafc tion deg ree of fam ily m em bers,whic h was worthy of c linic al prom o

关 键 词：随访管理 早期干预 早产儿身体发育 发育不良 满意度 

分 类 号：R473.72[医药卫生—护理学]