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PEWS模式护理在新生儿黄疸中的应用效果

Application effects of PEWS mode nursing in neonatal jaundice
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摘要 目的:观察儿童早期预警评分(PEWS)模式护理在新生儿黄疸中的应用效果。方法:回顾性分析2021年5月至2023年3月该院收治的86例新生儿黄疸患儿的临床资料,按照护理方法不同将其分为对照组和观察组各43例。对照组实施常规护理,观察组在对照组基础上实施PEWS模式护理,两组均持续护理1个月。比较两组临床指标(胎便转黄时间、黄疸消退时间、住院时间)水平,护理前后生长发育指标(身长、头围)水平、睡眠质量[简明婴幼儿睡眠问卷(BISQ)]评分,以及家长护理满意度。结果:观察组胎便转黄时间、黄疸消退时间、住院时间均短于对照组,差异有统计学意义(P<0.05);护理后,两组身长、头围均大于护理前,且观察组大于对照组,差异有统计学意义(P<0.05);护理后,两组BISQ评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);观察组家长护理满意度为95.35%(41/43),高于对照组的81.40%(35/43),差异有统计学意义(P<0.05)。结论:PEWS模式护理应用于新生儿黄疸患儿可改善临床指标、生长发育指标水平,降低睡眠质量评分,提高家长护理满意度,效果优于常规护理。 Objective:To observe application effects of pediatric early warning score(PEWS)model nursing in neonatal jaundice.Methods:The clinical data of 86 children with neonatal jaundice admitted to this hospital from May 2021 to March 2023 were retrospectively analyzed.According to different nursing methods,they were divided into control group and observation group,43 cases in each group.The control group was given routine nursing,while the observation group was given the PEWS mode nursing on the basis of that of the control group.Both groups received continuous nursing for 1 month.The levels of clinical indexes(meconium turning yellow time,jaundice regression time,hospitalization time)and growth and development indexes(body length,head circumference),the sleep quality[brief infant sleep questionnaire(BISQ)]score before and after the nursing,and the parental nursing satisfaction were compared between the two groups.Results:The meconium turning yellow time,the jaundice regression time and the hospitalization time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the levels of body length and head circumference of the two groups were greater than those before the nursing,those of the observation group were greater than those of the control group,and the differences were statistically significant(P<0.05).After the nursing,the BISQ scores of the two groups were lower than those before the nursing,that in the observation group was lower than that in the control group,and the differences were statistically significant(P<0.05).Further,the parental nursing satisfaction in the observation group was 95.35%(41/43),which was higher than 81.40%(35/43)in the control group,and the difference was statistically significant(P<0.05).Conclusions:The PEWS mode nursing in the children with neonatal jaundice can improve the levels of clinical indexes and growth and development indexes,reduce the sleep quality scores,and improve the parental nursing satisfaction.Moreover,it is superior to the routine nursing.
作者 谢冰 高迪 XIE Bing;GAO Di(Neonatal Intensive Care Unit of Shangqiu First People’s Hospital,Shangqiu 476000 Henan,China)
出处 《中国民康医学》 2025年第4期191-193,共3页 Medical Journal of Chinese People’s Health
关键词 儿童早期预警评分 护理 新生儿黄疸 生长发育 睡眠质量 护理满意度 Pediatric early warning score Nursing Neonatal jaundice Growth and development Sleep quality Nursing satisfaction
作者简介 谢冰(1996.10-),女,汉族,河南商丘人,本科,护师,研究方向为新生儿护理。
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