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Updated: Jul 30, 2025
Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Effects of predictive nursing combined with bird nest nursing intervention on motor function, intelligence and growth
Rongrong Fang1, Hui Wang1, Lisha Li1
1The Emergency Department, Qingdao Chengyang District People's Hospital, Qingdao, Shandong, China.
Insights
Predictive nursing combined with bird nest nursing significantly improved neurobehavioral and developmental outcomes in infants with hypoxic-ischemic encephalopathy, enhancing physical growth and reducing neurological sequelae compared to standard care.
Area of Science:
- Pediatrics
- Neonatology
- Neuroscience
Background:
- Hypoxic-ischemic encephalopathy (HIE) is a major cause of neonatal mortality and long-term neurological disability.
- Effective nursing interventions are crucial for improving outcomes in infants with HIE.
- Optimizing neurodevelopmental trajectories and physical growth in HIE survivors remains a clinical challenge.
Purpose of the Study:
- To evaluate the efficacy of predictive nursing combined with bird nest nursing in managing children with HIE.
- To compare the neurobehavioral, developmental, and physical growth outcomes of HIE infants under different nursing strategies.
Main Methods:
- Retrospective analysis of 120 HIE infants from May 2019 to June 2021.
- Infants were divided into three groups (n=40 each) based on nursing methods: Group A (predictive + bird nest nursing), Group B (predictive nursing), and Group C (standard care).
- Evaluated outcomes included Neonatal Neurobehavioral Assessment (NBNA), Canadian Derivatives Clearing Corporation (CDCC), Gesell Developmental Schedules (GDS), physical growth parameters (height, body mass), daily sleep, milk intake, and neurological sequelae.
Main Results:
- Group A demonstrated significantly higher NBNA scores compared to Groups B and C.
- Both mental developmental index (MDI) and psychomotor developmental index (PDI) improved in all groups, with Group A showing the highest scores, followed by Group B.
- Group A and B showed greater increases in height, body mass, and milk intake than Group C, with Group A exhibiting superior results in height and body mass gains.
Conclusions:
- Predictive nursing combined with bird nest nursing (Group A) significantly enhances neurobehavioral and developmental outcomes in infants with HIE.
- This combined approach also promotes better physical growth and potentially reduces neurological sequelae compared to predictive nursing alone or standard care.
- The findings support the integration of predictive and bird nest nursing strategies for optimizing HIE infant care.
Abstract:
Through the analysis of the existing case data, this study explored the application effect of predictive nursing combined with bird nest nursing in children with hypoxic ischemic encephalopathy. The data of 120 children with hypoxic-ischemic encephalopathy admitted to our hospital from May 2019 to June 2021 were retrospectively analyzed, and they were divided into A (n = 40), B (n = 40) and C (n = 40) groups according to different nursing methods. Neonatal neurobehavioral assessment (NBNA), Canadian derivatives clearing corporation (CDCC) and Gesell Developmental Schedules (GDS) scores were compared among the three groups. Height, body mass, daily sleep time, milk intake and the occurrence of neurological sequelae were compared among the three groups. After intervention, the score of group A was higher than that of group B and C, with group B higher than group C (P<0.05). In addition, both mental developmental index (MDI) and psychomotive development index (PDI) of the three groups were all improved, in which Group A was the highest, followed by Group B (P<0.05). Scores of GDS of group A and B were higher than those of group C, while GDS of group A were higher than those of group B (P<0.05). After intervention, increases of height, body mass and milk intake in group A and B were greater than those in group C, while the increases of height and body mass in group A were better than those in group B (P<0.05).
