[The application of neonatal intensive care unit main caregiver ability evaluation index system in premature infants with hypoxic ischemic encephalopathy].

ABSTRACT

OBJECTIVE: To explore the effect of main caregiver ability evaluation index system (MCAEIS) in neonatal intensive care unit (NICU) in the treatment of hypoxic-ischemic encephalopathy (HIE). METHODS: One hundred and eight cases of HIE preterm infants treated in NICU of the First Hospital of Hebei Medical University from August 2018 to August 2019 were retrospectively analyzed. The infants were divided into routine nursing control group and MCAEIS group, 54 cases each. The control group recieved NICU routine care, and the MCAEIS group was given care by NICU MCAEIS. The nursing ability of the main caregivers in the two groups was evaluated by self-made caregiver ability self-assessment questionnaire; the neurological function was assessed by neonatal behavioral neurological score (NBNA) at discharge and one month after discharge; the incidence of neurological sequelae mental retardation [development quotient (DQ) < 75], epilepsy, cerebral palsy and so on were observed. RESULTS: There were no significant differences in the scores of nursing knowledge, nursing technology or nursing ability between the two groups at admission, but the above scores were significantly improved in the two groups at discharge, and the scores of nursing knowledge, nursing technology and nursing ability of main caregivers in the MCAEIS group were significantly higher than those in the routine nursing control group (nursing knowledge score 29.84±3.47 vs. 20.83±3.94,nursing technology 31.47±4.56 vs. 25.12±4.18,nursing ability 17.28±2.39 vs.12.83±4.78), with significant differences (all P < 0.05). One month after discharge, the neurological function score in MCAEIS group was significantly higher than that of routine nursing control group (39.67±3.76 vs. 35.87±5.71, P < 0.001). The incidence of neurological sequelae in MCAEIS group was significantly lower than that in the routine nursing control group [1.85% (1/54) vs. 12.96% (7/54), P = 0.031]. CONCLUSIONS: NICU MCAEIS could scientifically and systematically evaluate the nursing ability of the main caregivers, improve the nursing ability of children, and provide a reference for clinical nursing, which is worthy of widely application.