摘要
目的:研究并探讨综合性护理干预在新生儿黄疸护理中的应用效果。方法:选取120例新生儿黄疸患儿作为研究对象,采取计算机随机数字法随机分为对照组与观察组,每组60例。对照组患儿采取常规护理干预,观察组患儿采取综合性护理干预,比较两组患儿的临床疗效、24 h内排便次数、黄疸消退时间、胆红素水平、不良反应发生率、家长健康知识知晓度及护理满意度。结果:观察组患儿的总有效率为95.00%,对照组患儿则为81.67%,经比较,观察组患儿总有效率高于对照组患儿,差异有统计学意义(P<0.05);观察组患儿的24 h内排便次数多于对照组患儿,差异有统计学意义(P<0.05),其黄疸消退时间早于对照组患儿,差异有统计学意义(P<0.05);护理后,两组患儿的总胆红素、直接胆红素水平均较护理前显著降低,差异有统计学意义(P<0.05),而护理后组间比较,观察组患儿的总胆红素、直接胆红素水平均明显低于对照组患儿,差异有统计学意义(P<0.05);观察组患儿的不良反应发生率(5%)明显低于对照组患儿(16.67%),差异有统计学意义(P<0.05);观察组家长的健康知识知晓度评分、护理满意度评分均高于对照组,差异有统计学意义(P<0.05)。结论:在新生儿黄疸临床护理中,采用综合性护理干预措施,可有效促进黄疸消退,降低胆红素水平,减少不良反应,有利于保证临床治疗效果,还可提高患儿家长的健康知识认知程度,促使患儿家长对护理服务更加满意,有利于构建和谐的护患关系。
Objective To study and explore the application and effect of comprehensive nursing intervention on neonatal jaundice nursing.Method 120 cases of neonatal jaundice in the stage treated in our hospital were included as the research object,they were randomly divided into control group and observation group by computer random number method,60 cases in each group,the control group were given routine nursing intervention,the observation group received comprehensive nursing intervention,the clinical efficacy of two groups,24 h in defecation frequency,jaundice,serum bilirubin level,the incidence rate of adverse reaction and nursing satisfaction,health knowledge awareness of parents were compared.Results The observation group total efficiency was 95.00%,the control group was 81.67%,by comparison,the total effective rate of the children in the observation group was higher than that of the control group（P〈0.05）;The number of defecation in 24 h in the observation group was more than that of the control group（P〈0.05）,and the time of jaundice subsiding was earlier than that of the control group（P〈0.05）;After nursing,total bilirubin,direct bilirubin levels of two groups were significantly lower than before treatment（P〈0.05）,and after nursing groups,total bilirubin,direct bilirubin level in the observation group were significantly lower than those in control group（P〈0.05）;the adverse reaction in the observation group（5%） was significantly lower than（16.67%）the control group（P〈0.05）;observation group health knowledge of parents awareness score,nursing satisfaction scores were higher than the control group（P〈0.05）.Conclusion In the neonatal jaundice in clinical nursing,the comprehensive nursing intervention measures,can effectively promote the jaundice,reduce the level of bilirubin,reduce adverse reaction,to ensure the clinical treatment effect,can also increase the parents＇ health knowledge level,to the parents of children with the nursing service satisfaction,is conducive to building a harmonious relationship between nurses and patients.
作者
尤竹娟
YOU Zhu-juan(Division of Neonatology,Shenzhen Hospital of Peking University,Shenzhen 518000,China)
出处
《吉林医学》
CAS
2018年第8期1566-1568,共3页
Jilin Medical Journal
关键词
新生儿黄疸
护理
胆红素
Neonatal jaundice
Nursing
Bilirubin
