OPT模型的标准化护理策略对新生儿黄疸患儿黄疸指数及睡眠质量的影响  

Impact of Standardized Nursing Strategies Using OPT Model on Jaundice Index and Sleep Quality in Newborns with Jaundice

作　　者：陈钦平 CHEN Qinping(Department of Neonatal Pediatrics,The First Affiliated Hospital of Fujian Medical University,Fuzhou 350004,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350004

出　　处：《中国医药指南》2023年第28期129-132,共4页Guide of China Medicine

摘　　要：目的 探讨结局-现状-检测(OPT)模型的标准化护理策略对新生儿黄疸患儿黄疸指数及睡眠质量的影响。方法 选取2020年5月至2022年3月我院收治的119例新生儿黄疸患儿为研究对象,通过随机数字表法将入选患儿分为OPT模型组(n=60)和常规护理组(n=59),常规护理组患儿实施常规治疗护理,OPT模型组患儿实施OPT模型的标准化护理策略,比较两组干预后黄疸指数、症状恢复时间和睡眠质量。结果 两组黄疸指数显著降低(P<0.05),且OPT模型组黄疸指数明显低于常规护理组(P<0.05),黄疸消退时间、胎便转黄时间及首次排胎便时间均明显短于常规护理组(P<0.05);OPT模型组每日平均睡眠时间和夜间平均最长连续睡眠时间均明显长于常规护理组(P<0.05),夜间平均觉醒次数明显少于常规护理组(P<0.05)。结论 应用OPT模型的标准化护理策略可明显改善新生儿黄疸患儿黄疸指数和睡眠质量,有效促进患儿康复。Objective To observe and explore the impact of standardized nursing strategies using the outcome status test(OPT)model on jaundice index and sleep quality in newborns with jaundice.Methods A total of 119 newborns with jaundice admitted to our hospital from May 2020 to March 2022 were selected as the research subjects.The selected children were randomly divided into the OPT model group(n=60)and the routine care group(n=59)using a random number table method.The routine care group received routine treatment and care,while the OPT model group received standardized care strategies using the OPT model,including jaundice index,symptom recovery time,and sleep quality after intervention.Results The jaundice index of the two groups significantly decreased(P<0.05),and the jaundice index of the OPT model group was significantly lower than that of the conventional care group(P<0.05).The time for jaundice to subside,the time for turning yellow in fetal stool,and the time for first defecation were significantly shorter than those of the conventional care group(P<0.05).The OPT model group had significantly longer daily average sleep time and longest continuous sleep time at night compared to the conventional care group(P<0.05),while the average number of awakenings at night was significantly lower than the conventional care group(P<0.05).Conclusions The standardized nursing strategy using the OPT model can significantly improve the jaundice index and sleep quality of newborns with jaundice,effectively promote their recovery.

关 键 词：新生儿黄疸 结局-现状-检测模型 护理策略 黄疸指数 睡眠质量 

分 类 号：R722.17[医药卫生—儿科] R473.72[医药卫生—临床医学]