关键词: 全身运动, 新生儿个体发育支持和评估项目, 早产儿

Abstract: Objective To explore the application of newborn individualized development care and assessment program (NIDCAP) on early-preterm infants,general movements (GMs),and to guide NIDCAP clinically for prematurity and improve neurodevelopmental outcome. Methods The research was carried out among 82 early-preterm infants during writhing period who were in newborn department of pediatrics from January 2014 to May 2014.The cases were divided into NIDCAP group (n=41) and control group (n=41).The NIDCAP intervention was given from birth and the control group was guided on routine nursing care.Cases of different GMs during writhing period were compared between two groups. Results The outcomes for the NIDCAP intervention group compared to the control group were:the cases of normal general movements was more[34/41(82.9%) vs 22/41(53.6%),P＜0.05],while poor repertoire general movements and cramped-synchronized general movements were significantly fewer[5/41(12.1%) vs 12/41(29.2%),2/41(4.8%) vs 7/41(17.0%)],P＜0.05]. Conclusions NIDCAP intervention can reduce incidence rates of PR and CS,improve incidence rate of normal general movements.It is possibly enhance neurodevelopmental outcome.

Key words: general movements, newborn individualized development care and assessment programs, prematurity