基于循证护理的新生儿黄疸的临床护理路径构建  

Construction of the clinical nursing pathway of neonatal jaundice based on evidence-based nursing

作　　者：曾燕[1] 王君[1] 罗银娟 吴芝芳[1] ZENG Yan;WANG Jun;LUO Yinjuan;WU Zhifang(Department of Obstetrics and Gynecology,Mianyang Central Hospital,Mianyang,Sichuan 621000,China)

机构地区：[1]绵阳市中心医院妇产科,四川绵阳621000

出　　处：《中国优生与遗传杂志》2022年第11期2068-2072,共5页Chinese Journal of Birth Health & Heredity

摘　　要：目的 分析基于循证护理的临床护理路径对新生儿黄疸患儿的干预效果。方法 选取250例绵阳市中心医院2021年4月至2022年4月诊治的新生儿黄疸患儿为研究对象,分为常规组(125例)和研究组(125例)。常规组、研究组分别进行常规干预、基于循证护理的临床护理路径干预。统计两组患儿住院时间、症状改善时间、持续睡眠、每天睡眠时间,检测对比患儿IBIL、黄疸指数水平,评估对比患儿神经行为、治疗依从性及患儿家属应对方式、护理满意度。结果 与常规组相比,研究组住院、黄疸消退、首次排便、胎便转黄时间较短,总依从率较高,家属护理满意度较高(P<0.05)。与护理前相比,护理后两组患儿IBIL、黄疸指数水平、消极应对评分下降,且研究组低于常规组,患儿主张肌动力、一般行为、原始反射、被动肌动力、行为能力评分、夜间持续睡眠、每天睡眠时间上升,患儿家属积极应对评分上升,且研究组高于常规组(P<0.05)。结论 新生儿黄疸患儿经基于循证护理的临床护理路径干预后,临床症状、睡眠质量改善,IBIL、黄疸指数水平下降,神经行为、治疗依从性提升,家属应对方式积极性提升。Objective The intervention effect of the clinical nursing pathway based on evidence-based care in children with neonatal jaundice was analyzed. Methods A total of 250 children with neonatal jaundice diagnosed in Mianyang Central Hospital from April 2021 to April 2022 were selected, including 125 patients in the routine group and 125 patients in the study group. Routine group and research group conducted routine intervention and evidence-based clinical care pathway intervention. The length of hospitalization, symptom improvement time, continuous sleep and daily sleep time of the two groups were counted, the IBIL and jaundice index levels were tested and compared, and the neurobehavior, treatment compliance, family response methods and nursing satisfaction were evaluated and compared. Results Compared with the conventional group, the study group was hospitalized, jaundice subsided, first defecation, fetal yellow time, higher total compliance rate, and higher family care satisfaction(P<0.05). Compared with before nursing, nursing after two groups of children with IBIL, jaundice index level, product response score decline, and the research group is lower than conventional group, children advocate muscle dynamics, general behavior, original reflex, passive power, behavior score, night sleep, sleep time every day, children actively cope with rising score, and the research group is higher than the conventional group(P<0.05).Conclusion After the intervention of clinical nursing path based on evidence-based nursing, clinical symptoms and sleep quality improved, IBIL and jaundice index level decreased, neurobehavior and treatment compliance improved, and the enthusiasm of family members in coping style improved.

关 键 词：基于循证护理的临床护理路径 新生儿黄疸 睡眠质量 神经行为 

分 类 号：R473.72[医药卫生—护理学] R-03[医药卫生—临床医学]