新生儿ABO溶血性黄疸蓝光照射治疗中针对性护理干预的应用分析  

Application analysis of targeted nursing intervention in blue light irrad iation treatment of neonatal ABO hemolytic jaundice

作　　者：何璐 罗顺莲 陈兆红 HE Lu;LUO Shunlian;CHEN Zhaohong(Department of Neonatology,Futian Maternal and Child Health Hospital,Sh enzhen Guangdong 518000)

机构地区：[1]广东省深圳市福田区妇幼保健院新生儿科,广东深圳518000

出　　处：《当代医药论丛》2023年第19期184-187,共4页

摘　　要：目的:研究新生儿ABO溶血性黄疸蓝光照射治疗中针对性护理干预的应用效果。方法:观察对象为2022年1月至12月入院的60例新生儿ABO溶血性黄疸患儿,随机分为针对性护理组(30例)与常规护理组(30例)。针对性护理组行针对性护理干预,常规护理组行常规护理干预;比较两组的干预前后胆红素水平与干预后黄疸消退时间、住院时间、家属满意度及不良反应(感染、皮肤损伤、强烈哭闹)发生率。结果:干预前,两组胆红素水平的差异无显著性(P>0.05);相较于干预前,两组干预后的胆红素水平均更低,且针对性护理组干预后的胆红素水平明显低于常规护理组,差异有显著性(P<0.05)。针对性护理组的黄疸消退时间及住院时间均短于常规护理组,差异有显著性(P<0.05)。针对性护理组家属的总满意率明显高于常规护理组家属,差异有显著性(P<0.05)。针对性护理组的不良反应总发生率明显低于常规护理组,差异有显著性(P<0.05)。结论:针对性护理干预用于新生儿ABO溶血性黄疸蓝光照射治疗中的效果显著,可进一步降低患儿的胆红素水平,促进黄疸快速消退,且可减少不良反应,提升家属满意度。Objective:To study the effect of targeted nursing intervention in blue light irradiation treatment of neonatal ABO hemolytic jaundice.Methods:60 neonates with ABO hemolytic jaundice admitted from January to December 2022 were randomly divided into targeted nursing group(30 cases)and routine nursing group(30 cases).Targeted nursing group received targeted nursing intervention,routine nursing group received routine nursing intervention;The levels of bilirubin before and after intervention were compared with the duration of jaundice resolution,length of ho spital stay,family satisfaction and incidence of adverse react ions(infection,skin injury,intense crying)between the two groups.Results:Before intervention,there was no significant difference in bilirubin level between two groups(P>0.05).Compared with before intervention,the level of bilirubin after intervention was lower in both groups,and the level of bilirubin after intervention in targeted care group was significantly lower than that in conventional care group,the difference was significant(P<0.05).The duration of jaundice resolution and hospitalization in the targeted nursing group were shorter than those in the conventional nursing group,and the difference was significant(P<0.05).The total satisfaction rate of the family members in the targeted nursing group was significantly higher than that in the conventional nursing group,and the difference was significant(P<0.05).The total incidence of adverse reactions in the targeted nursing group was significantly lower than that in the conventional nursing group,and the difference was significant(P<0.05).Conclusion:Targeted nursing intervention in the treatment of neonatal ABO hemolytic jaundice by blue light irradiation has a significant effect,which can further reduce the level of bilirubin in children,promote the rapid regression of jaundice,reduce adverse reactions,and improve f amily satisfaction.

关 键 词：新生儿 ABO 溶血性黄疸 蓝光照射 针对性护理干预 

分 类 号：R473[医药卫生—护理学]