Effect of early pluralistic nursing on neurodevelopment of high risk infants
WANG Xiaolei1 WANG Zhen2
1.Women and Children’s Hospital of Qingdao, Qingdao 266011, China; 2. Shuiqinggou Community Health Service Center, Shibei District, Qingdao 266013, China
Abstract:Objective To evaluate the effect early pluralistic nursing on neurodevelopment of high risk infants.Methods A total of 70 high risk infants aged 1 month or under were enrolled and divided into two groups. The control group received regular nursing alone while the intervention group received both regular and pluralistic nursing. The developmental status of high risk infants in both groups was assessed using Gesell scale at the corrected age of six and twelve months respectively.Results At 6 months, there was no difference in the language domain, social domain or adaptive domain between the two groups, but the gross motor domain and fine motor domain of the intervention group were significantly better than in the control group (P<0.05). At 12 months of age, each score of the intervention group was higher than that of the control group (P<0.05). As for the morbidity of delayed development, there was no difference between the intervention group (25.71%) and the control group (17.64%) at 6 months (P>0.05), but it was significantly higher in the control group (22.86%) than in the intervention group (2.94%) at 12 months of age (P<0.05).Conclusions Early pluralistic nursing can effectively improve the neurodevelopment and reduce the morbidity of delayed development among high risk infants, which is worthy of wide application.
王晓蕾, 王镇. 早期实施多元化护理对高危儿神经行为发育的影响[J]. 武警医学, 2019, 30(6): 527-530.
WANG Xiaolei WANG Zhen. Effect of early pluralistic nursing on neurodevelopment of high risk infants. Med. J. Chin. Peop. Armed Poli. Forc., 2019, 30(6): 527-530.
Vohr B. Long-term outcomes of moderately preterm, late preterm, and early term infants [J]. Clin Perinatol, 2013, 40(4): 739-751.
[2]
Rogers E E, Hintz S R. Early neurodevelopmental outcomes of extremely preterm infants [J]. Semin Perinatol, 2016, 40(8): 497-509.
[3]
Lipner H S, Huron R F. Developmental and Interprofessional Care of the Preterm Infant: Neonatal Intensive Care Unit Through High-Risk Infant Follow-up [J]. Pediatr Clin North Am, 2018, 65(1): 135-141.
[4]
Hintz S R. Defining outcomes for high-risk infants: Problems and possibilities [J]. Semin Perinatol, 2016, 40(8):495-496.
[5]
Tian Y, Zhang C, Yu G, et al. Influencing factors of the neurodevelopment of high-risk infants [J]. Gen Psychiatr, 2018, 31(3): e100034.
[6]
Horsley K, Ciske S J. From neurons to king county neighborhoods: partnering to promote policies based on the science of early childhood development [J]. Am J Public Health, 2005, 95(4): 562-567.