多元化早期综合护理干预对新生儿黄疸的影响  

Impact of diversified early comprehensive nursing intervention on neonatal jaundice

作　　者：段春英[1] 陈殿红[1] 陈立[1] 

机构地区：[1]聊城市第二人民医院,山东临清252601

出　　处：《齐鲁护理杂志》2009年第1期8-9,共2页Journal of Qilu Nursing

摘　　要：目的:探讨早期实施综合护理干预对降低新生儿黄疸指数的效果。方法:选择130例剖宫产正常足月新生儿,按出生顺序随机分为干预组和对照组各65例,两组新生儿均进行母乳喂养,常规护理,干预组在母乳充足前按需添加配方奶、促进胎便排除、结合抚触、游泳护理、日光照射,直至出院。每日经皮测黄疸指数值,并观察记录新生儿第一次排胎便时间及转黄时间。结果:干预组新生儿黄疸指数低于对照组(P<0.05),新生儿第一次排胎便时间及转黄时间提前,两组比较差异有极显著性(P<0.01)。结论:早期综合护理干预能减轻生理性黄疸的程度,减少病理性黄疸的发生。Objective ： To explore the effect of implementation of early comprehensive nursing intervention on reducing neonatal jaundice index. Methods ： One hundred and thirty normal full - term newborns delivered through cesarean section were randomly divided into intervention group and control group （65 cases for each group） according to birth order. Two groups of newborns were given breasffeeding and routine nursing care and the newborns in intervention group were additionally given formula milk to promote defecation of meconium, combined with massage, swimming care, sunlight care until their being discharged from hospital. Percutaneous measurement of jaundice index was daily made and the time of first defecation of meconium and the time for meconium to turn yellow were observed. Results ： Neonatal jaundice index was lower in intervention group than that in control group （ P 〈 0. 05 ） , the first defecation of meeonium and the time to turn yellow were earlier in intervention group than that in control group. The differences between the two groups were significant（P 〈 0. 01 ）. Conclusion ： Early comprehensive nursing intervention can reduce the degree of physiological jaundice and decrease the incidence of pathologic jaundice.

关 键 词：新生儿黄疸 早期喂养 游泳 抚触 护理干预 

分 类 号：R473.72[医药卫生—护理学]