目的: 探究基于发展性照护的多维护理对新生儿肺炎功能、心理运动功能及智能发育的影响。方法: 选取2020年2月—2024年2月于我院出生的160例肺新生儿肺炎患儿,随机分为观察组和对照组,各80例。对照组患儿予以常规护理,观察组患儿在对照组的基础上予以基于发展性照护的多维护理,比较两组患儿干预前后临床呼吸指标、血气指标、心理运动功能、智能发育、患儿家属护理满意度。结果: 两组患儿经干预后相较干预前在呼吸频率、动脉二氧化碳分压（PaCO₂）水平上明显降低,且观察组患儿相较对照组患儿在上述指标上明显更低,差异具有显著性;两组患儿经干预后相较干预前在呼吸达峰容积比、呼吸达峰时间比、动脉血氧分压（PaO₂）水平、血氧饱和度（SpO₂）水平、明显升高,且观察组患儿相较对照组患儿在上述指标上明显更高,差异具有显著性;对照组患儿干预前后在PDI评分、MDI评分上无明显差异;观察组患儿经干预后在心理运动发育指数（psychomotor development index,PDI）评分、智力发育指数（mental development index,MDI）评分上明显升高,且观察组患儿相较对照组患儿在上述评分上明显更高,差异具有显著性。与对照组患儿家属相比,观察组患儿家属的护理满意度明显更高。结论: 基于发展性照护的多维护理应用于新生儿肺炎患儿有助于促进心理运动功能和智能发育,加快患儿肺功能恢复,改善血气指标,患儿家属对此种护理模式更为满意,值得临床推广应用。

Objective To explore the influence of multidimensional nursing based on developmental care on the pulmonary function, psychomotor function and intelligent development of neonatal pneumonia. Methods 160 children with neonatal pneumonia who were born in the hospital were selected from February 2020 to February 2024, and were randomized into observation group and control group with 80 cases in each group. The children in the control group were given routine nursing, while the children in the observation group were given multidimensional nursing based on developmental care on the basis of the control group. The clinical respiratory indicators, blood gas indicators, psychomotor function, intelligent development and nursing satisfaction of children's family members before and after intervention were compared between groups of children. Results After intervention, the respiratory rate and arterial partial pressure of carbon dioxide (PaCO₂) in the two groups were significantly reduced compared with those before intervention, and the above indicators in observation group were significantly lower. The respiratory peak volume ratio, respiratory peak time ratio, arterial partial pressure of oxygen (PaO₂) and blood oxygen saturation (SpO₂) were significantly higher in the two groups after intervention than those before intervention, and the above indicators were significantly higher in observation group. There were no significant differences in Psychomotor Development Index (PDI) score and Mental Development Index (MDI) score before and after intervention in control group. After intervention, the scores of PDI and MDI were significantly elevated, and the scores in observation group were significantly higher than those in control group. Compared with family members of children in control group, the nursing satisfaction of family members in observation group was significantly higher. Conclusion The application of multidimensional nursing based on developmental care in children with neonatal pneumonia is helpful to promote the psychomotor function and intelligent development, accelerate the recovery of pulmonary function and improve the blood gas indicators. The family members of children are more satisfied with this nursing model.