保护性睡眠护理联合水疗在新生儿黄疸患儿中的应用  

Application of protective sleep nursing combined with hydrotherapy in children with neonatal jaundice

作　　者：张媛媛[1] 陈筱璇 王芬 ZHANG Yuanyuan;CHEN Xiaoxuan;WANG Fen(Department of Neonatology,Drum Tower Hospital Affiliated to Nanjing University Medical School,Jiangsu Province,Nanjing210008,China)

机构地区：[1]南京大学医学院附属鼓楼医院新生儿科,江苏南京210008

出　　处：《中国医药导报》2022年第34期190-193,共4页China Medical Herald

摘　　要：目的探讨新生儿黄疸(NG)患儿采用保护性睡眠护理联合水疗干预的效果。方法选取南京大学医学院附属鼓楼医院2019年1月至2022年1月100例NG患儿,运用抽签法分为观察组和对照组,每组50例。两组给予常规干预,对照组加用保护性睡眠护理,观察组加用保护性睡眠护理联合水疗干预,干预1周。比较两组黄疸消退时间、胆红素水平(总胆红素、直接胆红素)、睡眠质量及不良事件发生情况。结果观察组黄疸消退时间短于对照组,差异有统计学意义(P<0.05)。干预1周时,两组血清总胆红素、直接胆红素低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。干预1周时,观察组夜间觉醒次数低于对照组,夜间睡眠时间、睡眠总时间长于对照组,入睡潜伏时间短于对照组,差异有统计学意义(P<0.05)。两组不良事件发生率比较,差异无统计学意义(P>0.05)。结论保护性睡眠护理联合水疗干预可缩短NG患儿的黄疸消退时间,降低血清胆红素水平,改善睡眠质量。Objective To investigate the effect of using protective sleep care combined with hydrotherapy intervention in children with neonatal jaundice(NG).Methods One hundred cases of NG children from January 2019 to January 2022 in Drum Tower Hospital Affiliated to Nanjing University Medical School,were selected and divided into two groups using the lottery method,with 50 cases in each group.Both groups were given conventional interventions,with the control group adding protective sleep care and the observation group adding protective sleep care combined with hydrotherapy intervention for a week.The time to resolution of jaundice,bilirubin levels(total bilirubin,direct bilirubin),sleep quality,and adverse events were compared between the two groups.Results The jaundice regression time in the observation group was shorter than that in the control group,and the difference was statistically significant(P<0.05).At a week of intervention,serum total bilirubin and direct bilirubin in both groups were lower than before the intervention,while those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).At a week of intervention,the number of nocturnal awakenings in the observation group was lower than that in the control group,while the duration of nocturnal sleep,total sleep time were longer than those in the control group,and time before going to sleep was shorter than that in the control group,with statistically significant differences(P<0.05).The difference in the incidence of adverse events between the two groups was not statistically significant(P>0.05).Conclusion Protective sleep care combined with hydrotherapy intervention shortens the time to resolution of jaundice,reduces serum bilirubin levels,and improves sleep quality in children with NG.

关 键 词：新生儿黄疸 保护性睡眠 水疗 胆红素 睡眠质量 

分 类 号：R47[医药卫生—护理学]