区域性监测管理模式在新生儿黄疸中的应用效果  

Application Effect of Regional Monitoring Management Mode in Neonatal Jaundice

作　　者：黄亚深 唐敏 陈伟峰 Huang Ya-shen;Tang Min;Chen Wei-feng(Department of Child Care,Guangzhou City Liwan District Maternal and Child Health Hospital,Guangzhou 510375,Guangdong Province,China)

机构地区：[1]广州市荔湾区妇幼保健院儿童保健科,广东广州510375

出　　处：《中国社区医师》2022年第34期158-160,共3页Chinese Community Doctors

基　　金：广州市荔湾区科技计划(编号:202004035)。

摘　　要：目的:探讨区域性监测管理模式在新生儿黄疸中的应用效果。方法:选取2020年1-6月荔湾区接受新生儿访视的2 404例新生儿为对照组,2020年7-12月荔湾区接受新生儿访视的2 499例新生儿为干预组。对照组实施常规的新生儿访视服务,干预组实施手机应用程序APP黄疸随访系统的区域性监测管理模式。比较两组光疗、换血、胆红素脑病的发生率,干预后家属对新生儿黄疸知识的知晓率、满意度。结果:干预组新生儿光疗、换血和胆红素脑病的发生率均低于对照组,差异有统计学意义(P<0.05);干预后,干预组家属在区分病理性黄疸和生理性黄疸、黄疸的危害、黄疸的监测方法、黄疸的治疗方法的知晓率均高于对照组,差异有统计学意义(P<0.05);干预组对宣教方式、就医指引、治疗设施、治疗措施的满意度均高于对照组,差异有统计学意义(P<0.05)。结论:建立区域性的黄疸监测转诊管理体系、有效的转诊及反馈机制,能促进黄疸儿童转诊的具体实施,保证每例黄疸儿童能够得到最及时和最适当的监护救治,获得最佳预后。Objective: To explore the application effect of regional monitoring management mode in neonatal jaundice. Methods:From January 2020 to June 2020, 2404 newborns receiving neonatal visits in Liwan District were selected as the control group;From July 2020 to December 2020, 2499 newborns receiving neonatal visits in Liwan District were selected as the intervention group. The control group implemented routine neonatal visit service, and the intervention group implemented regional monitoring management mode of mobile phone application(APP) jaundice follow-up system. The incidences of phototherapy, blood exchange and bilirubin encephalopathy were compared between the two groups, and the awareness rate of neonatal jaundice knowledge and the satisfaction of the family members after intervention were also compared. Results: The incidences of phototherapy, blood exchange and bilirubin encephalopathy in the intervention group were lower than those in the control group, and the difference was statistically significant(P<0.05). The awareness rates of the family members in the intervention group on distinguishing pathological jaundice from physiological jaundice, the hazards of jaundice, the monitoring methods of jaundice and the treatment methods of jaundice were higher than those in the control group, and the difference was statistically significant(P<0.05). The satisfaction rates with the way of propaganda and education, medical guidance, treatment facilities and treatment measures in the intervention group were higher than those in the control group, and the difference was statistically significant(P<0.05). Conclusion:Establishing a regional management system for monitoring and referral of jaundice and establishing an effective referral and feedback mechanism can promote the specific implementation of referral of jaundice children, and ensure that every jaundice children can get the most timely and appropriate monitoring and treatment, and achieve the best prognosis.

关 键 词：黄疸监测 转诊 管理模式 区域性 

分 类 号：R722.17[医药卫生—儿科]