Home理念下的照管模式在新生儿高胆红素血症住院治疗患儿中的应用  

Application of the care mode under the home concept for the hospitalized neonates with hyperbilirubinemia

作　　者：孙丽琼 乔晶晶 兰倩华 SUN Liqiong;QIAO Jingjing;LAN Qianhua(Funan Hospital of Traditional Chinese Medicine,Fuyang,Anhui Province,236300;Fuyang Women's and Children's Hospital,Fuyang;Fuyang Minsheng Hospital,Fuyang)

机构地区：[1]安徽省阜南县中医院,236300 [2]安徽省阜阳市妇女儿童医院 [3]阜阳民生医院

出　　处：《中国计划生育学杂志》2025年第3期611-615,共5页Chinese Journal of Family Planning

摘　　要：目的:探究Home理念下的照管模式在新生儿高胆红素血症(新生儿黄疸)住院治疗效果。方法:采用随机数字表法将本院2022年1月-2024年1月收治的新生儿黄疸85例住院治疗患儿分为观察组(43例)和对照组(42例),两组均接受新生儿黄疸住院治疗常规护理,观察组同时接受Home理念下的照管模式,比较两组疾病控制情况、胆红素水平、家属照护能力以及并发症发生情况。结果:干预治疗后,观察组每日排便次数(3.08±0.67次)、每日摄奶量(407.07±29.92ml)均高于对照组(2.59±0.65次、381.26±25.26ml),胎便转黄时间(1.81±0.53d)、住院时间(4.76±0.92d)、间接胆红素(8.97±2.24μmol/L)、直接胆红素(5.76±2.01μmol/L)、总胆红素(207.26±24.78μmol/L)、家属照护能力测量表(FCTI)总评分(27.51±3.58分)均低于对照组(2.15±0.59d、5.29±1.02d、10.16±2.61μmol/L、6.73±2.16μmol/L、221.25±29.65μmol/L、30.18±5.96分)(均P<0.05),两组并发症发生率(4.7%、11.9%)无差异(P>0.05)。结论:Home理念下的照管模式干预住院治疗的黄疸患儿有助于临床症状消退,降低患儿胆红素水平,提高家属照护能力。Objective:To investigate the therapeutic effect of the care mode under the home concept for the hospitalized neonates with hyperbilirubinemia.Methods:85 neonates with hyperbilirubinemia in the hospital were divided into observation group(43 cases)and control group(42 cases)by the random number table method from January 2022 to January 2024.The neonates in the two groups received routine nursing,and the neonates in the observation group received care mode under the home concept additionally.The status of disease control,the bilirubin level,the family care ability and the incidence of complications of the neonates were compared between the groups.Results:After intervention,the daily defecation frequency(3.08±0.67 times)and the daily milk intake(407.07±29.92ml)of the neonates in the observation group were significantly higher than those(2.59±0.65 times and 381.26±25.26ml)of the neonates in the control group.The time of meconium turning yellow(1.81±0.53d),the duration of hospital stay(4.76±0.92d),the levels of the indirect bilirubin(8.97±2.24μmol/L),the direct bilirubin(5.76±2.0lμmol/L),the total bilirubin(207.26±24.78μmol/L)and the family caregiver task inventory(FCTI)total score(27.51±3.58 points)of the neonates in the observation group were significantly lower than those(2.15±0.59d,5.29±1.02d,10.16±2.61μmol/L 6.73±2.16μmol/L,221.25±29.65μmol/L and 30.18±5.96 points)of the neonates in the control group(all P<0.05).There was no significant difference in the incidence of complications(4.7%vs.11.9%)of the neonates between the two groups(P>0.05).Conclusion:The care mode under the home concept for the hospitalized neonates with jaundice can help to alleviate their clinical symptoms,decrease their bilirubin levels and enhance their family members'care ability.

关 键 词：新生儿 高胆红素血症 Home理念 照管模式 住院治疗 

分 类 号：R47[医药卫生—护理学]