早期多维度照护模式联合小儿推拿+蓝光照射干预对新生儿黄疸患儿排便情况的影响  

Effect of early multi-dimensional care model combined with pediatric massage+blue light irradiation intervention on defecation in children with neonatal jaundice

作　　者：楚文静 曹慧娜 陈叶琳 CHU Wenjing;CAO Huina;CHEN Yelin(Department of Pediatric,Pingdingshan First People′s Hospital,Pingdingshan,Henan 467000,China)

机构地区：[1]平顶山市第一人民医院儿科,河南平顶山467000

出　　处：《现代医药卫生》2025年第1期129-132,136,共5页Journal of Modern Medicine & Health

摘　　要：目的探讨分析早期多维度照护模式联合小儿推拿+蓝光照射干预对新生儿黄疸患儿排便情况的影响。方法选取2020年9月至2023年7月该院收治的新生儿黄疸患儿128例,根据入院时间将纳入对象分为对照组和联合组,每组64例。对照组给予常规护理干预,联合组在对照组的基础上给予早期多维度照护模式联合小儿推拿+蓝光照射护理,2组均持续干预7 d。比较2组患儿的症状缓解时间、排便情况,干预后不同时间段的黄疸指数,干预前后胆红素水平,患儿家属的护理满意度。结果干预7 d后,联合组患儿的临床症状缓解时间和住院时间较对照组短,差异有统计学意义(P<0.05);干预7 d后,联合组患儿的第1次排便时间、胎便转黄时间、每天排便次数优于对照组,差异均有统计学意义(P<0.05);联合组患儿第3、4天的黄疸指数较对照组低,差异有统计学意义(P<0.05);干预7 d后,联合组患儿的胆红素水平较对照组低,差异有统计学意义(P<0.05);联合组家属的护理满意度为96.88%(62/64),与对照组的87.50%(56/64)比较,差异无统计学意义(P>0.05)。结论早期多维度照护模式联合小儿推拿+蓝光照射干预能明显缩短症状好转时间,促使患儿进行排便,降低患儿的黄疸指数和胆红素水平,增强患儿的机体免疫力和家属的护理满意度。Objective To explore and analyze the effect of early multi-dimensional care model combined with pediatric massage+blue light irradiation intervention on defecation in children with neonatal jaundice.Methods A total of 128 children with neonatal jaundice admitted to the hospital from September 2020 to July 2023 were selected.According to the time of admission,the subjects were divided into control group and combined group,with 64 cases in each group.The control group was given routine nursing intervention,and the combined group was given early multi-dimensional nursing mode combined with pediatric massage+blue light irradiation nursing on the basis of the control group.Both groups were continuously intervened for seven days.The symptom relief time,defecation,jaundice index at different time periods after intervention,bilirubin level before and after intervention,and nursing satisfaction of children′s family members were compared between the two groups.Results After seven days of intervention,the clinical symptom relief time and hospitalization time of the combined group were shorter than those of the control group,and the difference was statistically significant(P<0.05).After seven days of intervention,the first defecation time,meconium turning yellow time and daily defecation frequency in the combined group were better than those in the control group,and the differences were statistically significant(P<0.05).The jaundice index of the combined group was lower than that of the control group on the 3rd and 4th day,and the difference was statistically significant(P<0.05).After seven days of intervention,the bilirubin level in the combined group was lower than that in the control group,and the difference was statistically significant(P<0.05).The nursing satisfaction of the combined group was 96.88%(62/64),compared with 87.50%(56/64)of the control group,the difference was not statistically significant(P>0.05).Conclusion Early multi-dimensional care model combined with pediatric massage+blue light irradiation interven

关 键 词：早期多维度照护模式 小儿推拿 蓝光照射 新生儿黄疸 排便情况 

分 类 号：R722.17[医药卫生—儿科]