针对性全方位护理干预在光疗新生儿高胆红素血症患儿中的应用效果  

Application effect of targeted all-round nursing intervention in phototherapy of children with neonatal hyperbilirubinemia

作　　者：王丽伟 周志庆[2] WANG Liwei;ZHOU Zhiqing(Department of Pediatrics,Anhui Taihe People’s Hospital,Anhui Province,Taihe236600,China;Department of Pediatrics,Yijishan Hospital,Wannan Medical College,Anhui Province,Wuhu241000,China)

机构地区：[1]安徽省太和县人民医院儿科,安徽太和236600 [2]皖南医学院弋矶山医院儿科,安徽芜湖241000

出　　处：《中国医药导报》2023年第8期163-166,共4页China Medical Herald

基　　金：安徽省教育厅高等学校省级质量工程项目(2020xsxxkc457)。

摘　　要：目的探讨针对性全方位护理干预在光疗新生儿高胆红素血症患儿中的应用效果。方法选取2020年3月至2021年3月安徽省太和县人民医院收治的80例新生儿高胆红素血症患儿,经随机数字表法将其分为对照组和试验组,各40例。对照组给予常规护理,试验组在对照组的基础上予以针对性全方位护理干预,均护理1周。比较护理后临床效果及神经功能障碍、舒适度改善情况和家属护理满意情况。结果试验组总有效率高于对照组,退黄时间及住院时间短于对照组,差异有统计学意义(P<0.05);护理后,两组儿童版事件影响量表评分、胆红素致神经功能障碍评分低于护理前,且试验组低于对照组,差异有统计学意义(P<0.05);试验组患儿家属满意率高于对照组,差异有统计学意义(P<0.05)。结论针对性全方位护理干预可改善光疗新生儿高胆红素血症患儿效果及舒适度,并可缓解患儿疼痛及神经功能障碍,提高患儿家属满意度。Objective To explore the application effect of targeted all-round nursing intervention in phototherapy of children with neonatal hyperbilirubinemia.Methods From March 2020 to March 2021,80 children with neonatal hyperbilirubinemia admitted to Anhui Taihe People’s Hospital were divided into control group and experimental group by random number table method,with 40 cases in each group.The control group was given routine nursing,and the experimental group was given targeted comprehensive nursing intervention on the basis of the control group,all nursing for one week.The clinical effect,neurological dysfunction,comfort improvement,and nursing satisfaction of family members were compared after nursing.Results The total effective rate of the experimental group was higher than that of the control group,and the jaundice receding time and hospitalization time of the experimental group were shorter than that of the control group,the differences were statistically significant(P<0.05);after nursing,the scores of the children’s version of the event impact scale and bilirubine-induced neurological dysfunction of the two groups were lower than those of before nursing,and the scores of the experimental group were lower than those of the control group,the differences were statistically significant(P<0.05);the satisfaction rate of family members of the experimental group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Targeted comprehensive nursing intervention can improve the efficacy and comfort of phototherapy for neonates with hyperbilirubinemia,relieve pain and neurological dysfunction,and improve the satisfaction of children’s families.

关 键 词：全方位护理干预 光疗 新生儿高胆红素血症 康复效果 

分 类 号：R473[医药卫生—护理学]