Effect Of Hospital Based Continuity Nursing Program On Physical And Mental Development Of Premature Infants

ObjectiveTo establish the use of Delphy Fa hospital based infants continuing nursing care plan;observe the intervention effect of continuing nursing plan for premature infants in the physical development,mental development and other aspects of the establishment of system for our clinical premature continuity of care and provides experiences.Methods:1.on the basis of investigation and analysis of the documents,with Delphy Fa on the 22 met the inclusion criteria of expert index of two rounds of consultation,the establishment of a hospital-based hospital premature continuity nursing program,through the authority coefficient(CR),the coefficient of variation(CV)and Kendall's W analysis scheme reliable and authoritative and scientific.2.Kinds of experimental research.By convenient sampling method to select NICU in a hospital in Shanxi city of Taiyuan Province during-2017 October 2016 February 130 patients met the inclusion criteria of preterm infants as the research object,the number of hospitalized preterm infants randomly divided into intervention group and control group,each group respectively for 65 cases.The control group of premature infants were conventional discharge guidance,the experimental group based on routine discharge guidance on the implementation of the extension of hospital based continuity nursing program,the intervention lasted until 12 month old.In 2 month old,4 month old,6 month old intervention and 8 month old,10 month old and 12 month old when the assessment of two groups of preterm infants in length,head circumference,weight and other projects have no difference in difference between the 6 month old and 12 month old assessment of developmental quotient,estimated differences in assessment of health service utilization in 6 month old and 12 months of age.The data were analyzed with spss23.0 statistical analysis software,the general information of the two groups of preterm infants with descriptive statistics,t test,repeated measure analysis of variance test to assess the effect of nursing intervention in different periods.1.By Delphy Fa identified hospital based continuity of care in preterm infants,including 5 first level indicators,22 level two indexes.The recovery rate was 100% in the two rounds consultation of experts,the authority coefficient were 0.826 and 0.828;coordination degree coefficient 0.347 views2.The baseline data of premature infants of two groups in gestational age,sex,birth weight,body length,head circumference,mode of delivery,gestational hypertension,premature rupture of membranes,amniotic fluid pollution,placental abruption,neonatal pneumonia,neonatal respiratory distress syndrome,comprehensive index differences in hearing screening,parental education,family income and other aspects of the differences were no statistically significant.3.Premature infants of two groups of weight and height showed a significant difference in the intervention 6 month old,8 month old,10 month old,twelve years old(p<0.05);head circumference was statistically significant difference at 10 month old and 12 month old of the(p<0.05).Until the corrected age of December,the experimental group compared with control group the body weight,body length and head circumference of the average value of 0.47 kg,1.34 cm,0.60 cm respectively.4.At the age of 6 months,the control group and exercise behavior index of developmental quotient was not statistically significant in experimental group(p>0.05),adaptive behavior,fine motor behavior,language behavior and personal social behavior and development have difference(p<0.05);12 month old,when the two groups in the big movement,adaptive behavior,language behavior,fine movement behavior and personal social behavior and development have difference(p<0.05).5.Preterm infants in two groups was statistically significant in the number 4month old,8 month old,12 month old and three times the times of outpatient service and hospital readmission difference(P<0.05)in the experimental group,the times of outpatient service and readmission rates were significantly lower than the control group.Conclusion:1.The degree of positivity and authority of the hospital based continuity nursing expert scheme in preterm infants,for all levels of index of convergence of Results:views is very good and provide reference for nursing care of preterm infants after the establishment of model.2.Hospital based continuity of care can promote premature physical growth and mental development,reduce the times of outpatient service and readmission rate,thereby reducing household expenses.