全方位护理干预在新生儿病理性黄疸护理中的临床应用效果分析  

Analysis of the Clinical Application Effect of Comprehensive Nursing Intervention in the Nursing of Neonatal Pathological Jaundice

作　　者：高涵菁 陈月燕[1] 严晓光 GAO Hanjing;CHEN Yueyan;YAN Xiaoguang(Department of Neonatology,the First Affiliated Hospital of Fujian Medical University,Fuzhou,Fujian Province,350007 China)

机构地区：[1]福建医科大学附属第一医院新生儿科,福建福州350007

出　　处：《中外医疗》2022年第11期185-189,共5页China & Foreign Medical Treatment

摘　　要：目的研究分析于新生儿病理性黄疸护理中应用全方位护理干预所取得的临床应用效果。方法随机选取2020年8月—2021年8月该院确诊的58例新生儿病理性黄疸患儿作为研究对象,遵照随机数字表法分组原则将研究对象分为两组后分别纳入对照组和观察组。对照组患儿选择应用传统护理,观察组则以传统护理为基础应用全方位护理干预,对比两组患儿恢复情况、护理干预前后黄疸指数、血清胆红素变化情况、并发症发生率以及护理质量评分。结果观察组患儿初次排便时间(6.12±1.68)h、黄疸消退时间(8.42±2.81)d、胎便转黄时间(35.74±3.92)h短于对照组(11.19±2.45)h、(11.76±3.17)d、(41.79±4.27)h,差异有统计学意义(t=9.191、4.246、5.621,P<0.05);干预前,对照组、观察组黄疸指数、血清胆红素对比差异无统计学意义(P>0.05);干预后,观察组黄疸指数以及血清胆红素水平等指标数值低于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为3.45%,较低于对照组27.59%,差异有统计学意义(χ^(2)=4.735,P<0.05);观察组护理质量各项评分均高于对照组,差异有统计学意义(t=2.333、2.749、2.129、2.349、3.351,P<0.05)。结论新生儿病理性黄疸于护理期间接受全方位护理干预措施对于降低黄疸指数以及血清胆红素水平具有确切效果,可以降低并发症发生率,提升了临床护理服务质量。Objective To study and analyze the clinical application effect of comprehensive nursing intervention in the nursing of neonatal pathological jaundice.Methods Randomly selected neonatal pathological jaundice children diagnosed in the hospital from August 2020 to August 2021 as the research objects,and select 58 cases from them to start a controlled study.According to the random number table grouping principle,the research objects were divided into two groups.The control group and the observation group were included.The control group chose to use traditional nursing care,while the observation group applied a comprehensive nursing intervention based on traditional nursing.The two groups were compared with children’s recovery,jaundice index,and serum bilirubin changes,the probability of complications,and nursing quality scores before and after nursing intervention.Results The first defecation time of the observation group was(6.12±1.68)h,the jaundice subsidence time(8.42±2.81)d,and the yellowing time of meconium(35.74±3.92)h were shorter than those of the control group(11.19±2.45)h,(11.76±3.17)d,(41.79±4.27)h,the difference was statistically significant(t=9.191,4.246,5.621,P<0.05);before intervention,there was no statistically significant difference in jaundice index and serum bilirubin between the control group and the observation group(P>0.05);after the intervention,the jaundice index and serum bilirubin level in the observation group were significantly lower than those in the control group,the differen was statistically significant(P<0.05);the incidence of complications in the observation group was 3.45%,which was lower than that in the control group 27.59%,the difference was statistically significant(χ^(2)=4.735,P<0.05);the nursing quality scores of the observation group were higher than those of the control group,and the difference was statistically significant(t=2.333,2.749,2.129,2.349,3.351,P<0.05).Conclusion The comprehensive nursing intervention measures for neonatal pathological jaundice during the

关 键 词：全方位护理干预 病理性黄疸 护理措施 临床应用效果 

分 类 号：R47[医药卫生—护理学]