杨秋容 林石顺 钟丽雅

[摘要]目的 探讨缺氧缺血性脑病患儿在治疗期间实施个性化护理干预的临床效果。方法 选取2014年8月～2017年8月我院新生儿科收治的88例缺氧缺血性脑病患儿作为研究对象，按照随机数字表法将其分为观察组和对照组，每组各44例。对照组患儿采用新生儿疾病常规护理模式进行护理，观察组患儿采用个性化护理模式进行护理。观察比较两组患儿的治疗效果、不良事件发生率及患儿家属对护理的满意度。结果 观察组患儿的治疗总有效率（90.9%）高于对照组（70.5%），差异有统计学意义（P<0.05）。观察组患儿家属对护理的满意度（95.5%）高于对照组（79.5%），差异有统计学意义（P<0.05）。观察组的不良事件发生率（2.3%）低于对照组（18.2%），差异有统计学意义（P<0.05）。结论 缺氧缺血性脑病患儿在治疗期间实施个性化护理干预，能提高临床治疗效果，降低不良事件的发生率，提高家属对护理的满意度，效果显著，值得进行探讨和临床应用。

[关键词]缺氧缺血性脑病；个性化护理；效果；家属满意度；追踪

[中图分类号] R722.12 [文献标识码] A [文章编号] 1674-4721（2018）5（a）-0180-04

[Abstract]Objective To explore the clinical effect of personalized nursing intervention in children with hypoxic-ischemic encephalopathy.Methods Eighty-eight children with hypoxic-ischemic encephalopathy admitted to department of neonatology in our hospital from August 2014 to August 2017 were selected as subjects.They were evenly divided into observation group and control group according to the random number table method.The children in the control group were treated with neonatal disease routine nursing mode，while children in the observation group were treated with personalized nursing model.The therapeutic effect，incidence of adverse events and patient′s families satisfaction were observed and compared in the two groups.Results The total therapeutic effectiveness rate in the observation group was 90.9%，which was higher than that of the control group accounting for 70.5%，the difference was statistically significant （P<0.05）.In the observation group，the nursing satisfaction of patient′s families was 95.5%，which was higher than that in the control group accounting for 79.5%，the difference was statistically significant （P<0.05）.The incidence of adverse events in the observation group was 2.3%，which was lower than that in the control group of 18.2%，the difference was statistically significant （P<0.05）.Conclusion The implementation of personalized nursing intervention during the treatment in children with hypoxic-ischemic encephalopathy can improve the clinical treatment effect，reduce the occurrence of adverse events，and increase the nursing satisfaction of patient′s families in a remarkable effect，which is worthy of exploration and clinical application.

[Key words]Hypoxic-ischemic encephalopathy；Personalized nursing；Effect；Satisfaction of patient′s families；Follow up

缺氧缺血性腦病指的是由于多种致病因素共同作用之后，导致处于围产期的新生儿出现缺氧与脑血流减少性脑部受损等病理学变化，属于目前临床上公认的一种导致新生儿窒息的严重疾病，大多数患儿也会遗留癫痫、视听障碍、脑瘫、智力障碍及行为异常等永久性的功能缺陷，是导致新生儿在出生后早期阶段死亡、智能和运动功能发育缺陷、神经系统永久性损伤的一个主要的原因，同时也是导致围生期足月儿出现脑损伤的一个重要原因[1-2]。在患儿发病的早期，实施积极护理干预，可以使患儿的不良事件发生率降低，使患儿的运动和智力发育情况得到显著改善[3]。本研究选取我院新生儿科收治的88例缺氧缺血性脑病患儿作为研究对象，主要探讨缺氧缺血性脑病患儿在治疗期间实施个性化护理干预的临床效果，现报道如下。……