精细化护理在新生儿病理性黄疸护理中应用效果分析  

Analysis of the Application Effect of Fine Nursing in Neonatal Pathological Jaundice Nursing

作　　者：许月 任庆容 李丽华 XU Yue;REN Qingrong;LI Lihua(Department of Neonatology,People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Fuzhou,Fujian Province,350004 China)

机构地区：[1]福建中医药大学附属人民医院新生儿科,福建福州350004

出　　处：《中外医疗》2023年第25期121-125,共5页China & Foreign Medical Treatment

摘　　要：目的探讨新生儿病理性黄疸应用精细化护理的效果。方法选取2020年9月—2022年12月福建中医药大学附属人民医院收治的120例病理性黄疸患儿,以奇偶数方式分为两组,各60例。对照组行常规护理,观察组行精细化护理。对比两组临床指标、胆红素水平及家长满意程度。结果观察组黄疸维持时间、粪便转黄时间、住院时间、首次胎便排放时间、黄疸指数恢复时间短于对照组,新生儿体质量、黄疸指数优于对照组,差异有统计学意义(P<0.05)。观察组总胆红素(151.72±53.17)μmol/L、间接胆红素(203.17±42.85)μmol/L、直接胆红素(15.09±1.57)μmol/L优于对照组,差异有统计学意义(t=4.121、2.880、13.347,P<0.05)。结论对病理性黄疸患儿应用精细化护理的效果更好,能降低黄疸指数、新生儿体质量,缩短黄疸维持时间、粪便转黄时间、住院时间、首次胎便排放时间、黄疸指数恢复时间,同时能辅助降低总胆红素、间接胆红素和直接胆红素水平,提高家属满意度。Objective To investigate the effect of fine care for neonatal pathological jaundice.Methods 120 children with pathological jaundice admitted to the People's Hospital of Fujian University of Traditional Chinese Medicine from September 2020 to December 2022 were selected and divided into two groups with 60 in each.The control group underwent routine care,and the observation group underwent refined care.Clinical indicators,bilirubin level and parental satisfaction were compared between the two groups.Results In the observation group,the maintenance time of jaundice,fecal yellow time,hospitalization time,first fetal stool discharge time and recovery time of jaundice index were shorter than the control group,and the neonatal and body mass and jaundice index were better than the control group,the difference was statistically significant(P<0.05).The observation group(151.72±53.17)μmol/L,indirect bilirubin(203.17±42.85)μmol/L,and direct bilirubin(15.09±1.57)μmol/L were better than the control group,the difference was statistically significant(t=4.121,2.880,13.347,P<0.05).Conclusion Application of pathological jaundice children fine care effect better,can reduce jaundice index,newborn body quality,shorten jaundice maintenance time,feces turn yellow time,hospital time,first fetal discharge time,jaundice index recovery time,and can help reduce total bilirubin,indirect bilirubin and direct bilirubin level,improve family satisfaction.

关 键 词：精细化护理 新生儿病理性黄疸 肝功能 护理质量 

分 类 号：R473.72[医药卫生—护理学]