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目的探讨循证护理在缺血缺氧性脑病(HIE)新生儿护理中的应用。方法选取90例HIE新生儿随机分为对照组和观察组,各45例。对照组给予常规护理,观察组在对照组的基础上采用循证护理。记录2组患儿治疗总有效率、并发症发生情况、住院时间以及家属满意度情况;比较2组护理前及护理6、12、18个月后智能发育指数(MDI)、运动发育指数(PDI)、Gesell量表评分情况。结果观察组总有效率(91.1%)显著高于对照组(75.6%),并发症发生率(35.6%)显著低于对照组(15.6%)(P<0.05)。观察组住院时间显著短于对照组(P<0.01),家属满意度显著高于对照组(P<0.05)。与护理前比较,2组护理6、12、18个月后MDI、PDI、Gesell评分显著升高(P<0.01),且观察组升高的幅度较大(P<0.01)。结论对HIE新生儿实施循证护理,可显著降低并发症发生率,缩短住院时间,可改善生存质量及预后,提高家属满意度。
Objective To investigate the application of evidence-based nursing in neonatal hypoxic-ischemic encephalopathy (HIE). Methods Ninety neonates with HIE were randomly divided into control group and observation group, with 45 cases in each group. The control group was given routine care, the observation group based on the control group based on evidence-based care. The total effective rate, the incidence of complications, the length of hospital stay and the degree of family satisfaction were recorded in two groups. The scores of MDI, PDI ), Gesell scale score. Results The total effective rate (91.1%) in the observation group was significantly higher than that in the control group (75.6%), the complication rate was 35.6%, significantly lower than that in the control group (15.6%, P <0.05). The length of stay in the observation group was significantly shorter than that in the control group (P <0.01), and the satisfaction of the family member was significantly higher than that in the control group (P <0.05). Compared with the pre-treatment, the scores of MDI, PDI and Gesell were significantly increased (P <0.01) after 6, 12 and 18 months of treatment in two groups, and the amplitude of the observation group was higher (P <0.01). Conclusion Evidence-based nursing for neonates with HIE can significantly reduce the incidence of complications, shorten the length of hospital stay, improve the quality of life and prognosis, and improve the satisfaction of family members.