Contemporary Nursing

Objective To explore the effects of early nursing intervention and family guidance on neuropsychological development of high-risk children. Methods A total of 120 high-risk newborns who were documented and managed in the Early Childhood Development Center of our hospital from January 2018 to March 2019 were selected. According to the parents wishes, those who agreed to early intervention and could be active participants were taken as the intervention group, while those who disagreed with early intervention or were inactive participants were taken as the control group, with 60 cases in each group. The control group received routine nursing, and the study group received early nursing intervention combined with family guidance on the basis of routine nursing. When the gestational age was over 6 months and 12 months, the growth and development of the children as well as the neuropsychological development and social living ability of the two groups were recorded. Results In June, the scores of the infant heart scale in the study group were all higher than those in the control group, but the differences were statistically significant (P<0.05) between the scores of coarse movements and fine movements only. In December, the scores of the infant heart scale in the study group were all higher than those in the control group, with statistically significant differences (P<0.05). The scores of social life ability in the study group in June and December were higher than those in the control group, and the difference was statistically significant (P<0.05). Multiple stepwise regression analysis of the influencing factors of the intelligence development of high-risk children showed that early nursing intervention and family guidance were the favorable factors, while the addition of supplementary food at the later age was the unfavorable factor (F=6.310, P<0.05). Conclusion Early nursing intervention combined with family guidance can promote the neuropsychological development of high-risk children and improve their social living ability, which has high application value.

Early nursing; Family guidance; High-risk infants; Neuropsychological development