综合护理干预对新生儿黄疸预防效果的影响研究  

Study on the Effect of Comprehensive Nursing Intervention on the Preventive Effect of Neonatal Jaundice

作　　者：吴慧[1] WU Hui(Department of Obstetrics,People's Hospital of Yixing City,Yixing,Jiangsu Province,214200 China)

机构地区：[1]江苏省宜兴市人民医院产科,江苏宜兴214200

出　　处：《中外医疗》2021年第22期123-125,129,共4页China & Foreign Medical Treatment

摘　　要：目的探究综合护理干预在新生儿黄疸预防中的临床效果。方法方便选取该院2019年6—12月期间接生新生儿60例,分为甲、乙两组,每组30例,甲组给予常规护理,乙组在此基础上应用新生儿黄疸预防综合护理干预,比较两组护理效果。结果甲组初次排便时间为(8.56±2.68)h,胎便首次转黄时间为(51.28±6.39)h,乙组初次排便时间为(5.96±2.11)h,胎便首次转黄时间为(34.28±7.12)h,乙组新生儿的初次排便时间和胎便首次转黄时间短于甲组,差异有统计学意义(t=4.175、9.733,P<0.05);在出生后第1天,两组新生儿黄疸指数组间比较,差异无统计学意义(t=0.240,P>0.05);在出生后第2~4天乙组新生儿的经皮黄疸指数优于甲组,差异有统计学意义(t=3.217、2.381、3.907、P<0.05);乙组护理满意度(93.33%)高于甲组(70.00%),差异有统计学意义(χ^(2)=5.455,P<0.05);护理后,甲组黄疸患儿14例;乙组黄疸患儿5例,乙组预防效果优于甲组,差异有统计学意义(χ^(2)=6.239,P<0.05)。结论综合护理干预对预防新生儿黄疸效果显著,提高治疗效果。Objective To explore the clinical effect of comprehensive nursing intervention in the prevention of neonatal jaundice.Methods Conveniently selected 60 newborns were delivered from June to December 2019 in the hospital,and they were divided into two groups A and B with 30 cases in each group.Group A was given routine care,and on this basis,group B applied comprehensive nursing intervention for neonatal jaundice prevention,comparing the nursing effects of the two groups.Results The time of first defecation in group A was(8.56±2.68)h,the time of first turning yellow meconium was(51.28±6.39)h,the time of first defecation in group B was(5.96±2.11)h,and the first turning yellow time of meconium was(34.28±7.12)h,the time of first defecation and the first turning yellow of meconium in group B were less than those in group A,the difference was statistically significant(t=4.175,9.733,P<0.05);on the first day after birth,the two groups of newborns had no statistically significant difference between the jaundice index groups(t=0.240,P>0.05);the transcutaneous jaundice index of newborns in group B was better than that of group A on the second to fourth days after birth,and the difference was statistically significant(t=3.217,2.381,3.907,P<0.05).The nursing satisfaction of group B(93.33%)was higher than that of group A(70.00%),and the difference was statistically significant(χ^(2)=5.455,P<0.05);after nursing,14 children with jaundice in group A;5 children with jaundice in group B,the preventive effect of group B was better than that of group A,and the difference was statistically significant(χ^(2)=6.239,P<0.05).Conclusion Comprehensive nursing intervention has a significant effect on preventing neonatal jaundice and improving the treatment effect.

关 键 词：新生儿 黄疸预防 综合护理 

分 类 号：R473.72[医药卫生—护理学]