综合护理干预在新生儿黄疸护理中的应用效果(1)
【摘要】 目的：评价综合护理干预在新生儿黄疸护理中的应用效果。方法：选取2018年1月-2019年1月在笔者所在医院就诊的87例新生儿黄疸患儿作为研究对象，按照入院先后顺序将其分为两组，对照组共44例，接受常规护理，观察组共43例，接受综合护理干预，对比应用效果。结果：护理后，观察组患儿首次排便时间、黄疸消退时间早于对照组，住院时间短于对照组，差异均有统计学意义(P<0.05);观察组患儿的直接胆红素(DBIL)、总胆红素(TBIL)、间接胆红素(IBIL)等肝功能指标均低于对照组患儿(P<0.05);观察组患儿家长护理满意度明显高于对照组(P<0.05)。结论：将综合护理干预应用于新生儿黄疸护理中，可有效加快患儿的首次排便时间、黄疸消退时间，缩短住院时间，并改善DBIL、TBIL、IBIL等肝功能指标，提高患儿家长的护理满意度，临床应用效果良好。
【关键词】 综合护理干预 新生儿黄疸 康复时间 肝功能指标 护理满意度
[Abstract] Objective： To evaluate the effect of comprehensive nursing intervention in neonatal jaundice nursing. Method： A total of 87 cases of neonatal jaundice patients in our hospital from January 2018 to January 2019 were selected as the research objects. They were divided into two groups according to the order of admission. A total of 44 cases in the control group received routine nursing， 43 cases in the observation group received comprehensive nursing intervention， and the application effect was compared. Result： After nursing， the first defecation time， jaundice subsidence time in the observation group were earlier than those in the control group， hospitalization time of the children in the observation group was shorter than that in the control group (P<0.05)， and the direct bilirubin (DBIL)， total bilirubin (TBIL)， indirect bilirubin (IBIL) of the children in the observation group were lower than those in the control group (P<0.05). The nursing satisfaction of the parents in the observation group was significantly higher than that in the control group (P<0.05). Conclusion： The application of comprehensive nursing intervention in neonatal jaundice care can effectively expedite the first defecation time， jaundice subsidence time，and shorten hospitalization time， and improve DBIL， TBIL， IBIL and other liver function indicators， improve the nursing satisfaction of parents of children with jaundice， and the clinical application effect is good.
新生兒黄疸是指出生在28 d内的新生儿因胆红素代谢异常，导致血液中胆红素水平升高，呈现在皮肤、黏膜及巩膜上的病症，属于新生儿常见临床病症[1]。除部分可自行消退的生理学黄疸外，新生儿出现黄疸症状后需及时接受治疗，避免因胆红素水平持续升高，影响患儿智力发育[2]。临床研究发现，在新生儿黄疸治疗过程中，配合准确的护理措施，可提高治疗效果[3]。基于此，本文将综合护理干预应用于新生儿黄疸护理中，并探究其应用效果。
1 资料与方法
1.1 一般资料
选取2018年1月-2019年1月在笔者所在医院就诊的87例新生儿黄疸患儿作为研究对象，纳入标准：(1)临床资料完整;(2)无血液、淋巴等循环系统障碍;(3)无心肺等重要器质性功能障碍。排除标准：(1)早产儿;(2)同时参与其他临床研究者。参与此次研究的患儿家长均对研究过程及结果获知情权。按照入院先后顺序将其分为两组。其中，对照组44例，男23例，女21例，日龄3～26 d，平均(14.8±2.1)d，体重2.5～4.1 kg，平均(3.1±0.2)kg;观察组43例，男22例，女21例，日龄4～25 d，平均(14.6±2.3)d，体重2.4～4.2 kg，平均(3.2±0.3)kg。两组患儿基线数据对比，差异无统计学意义(P>0.05)。, 百拇医药(王明维)
【关键词】 综合护理干预 新生儿黄疸 康复时间 肝功能指标 护理满意度
[Abstract] Objective： To evaluate the effect of comprehensive nursing intervention in neonatal jaundice nursing. Method： A total of 87 cases of neonatal jaundice patients in our hospital from January 2018 to January 2019 were selected as the research objects. They were divided into two groups according to the order of admission. A total of 44 cases in the control group received routine nursing， 43 cases in the observation group received comprehensive nursing intervention， and the application effect was compared. Result： After nursing， the first defecation time， jaundice subsidence time in the observation group were earlier than those in the control group， hospitalization time of the children in the observation group was shorter than that in the control group (P<0.05)， and the direct bilirubin (DBIL)， total bilirubin (TBIL)， indirect bilirubin (IBIL) of the children in the observation group were lower than those in the control group (P<0.05). The nursing satisfaction of the parents in the observation group was significantly higher than that in the control group (P<0.05). Conclusion： The application of comprehensive nursing intervention in neonatal jaundice care can effectively expedite the first defecation time， jaundice subsidence time，and shorten hospitalization time， and improve DBIL， TBIL， IBIL and other liver function indicators， improve the nursing satisfaction of parents of children with jaundice， and the clinical application effect is good.
新生兒黄疸是指出生在28 d内的新生儿因胆红素代谢异常，导致血液中胆红素水平升高，呈现在皮肤、黏膜及巩膜上的病症，属于新生儿常见临床病症[1]。除部分可自行消退的生理学黄疸外，新生儿出现黄疸症状后需及时接受治疗，避免因胆红素水平持续升高，影响患儿智力发育[2]。临床研究发现，在新生儿黄疸治疗过程中，配合准确的护理措施，可提高治疗效果[3]。基于此，本文将综合护理干预应用于新生儿黄疸护理中，并探究其应用效果。
1 资料与方法
1.1 一般资料
选取2018年1月-2019年1月在笔者所在医院就诊的87例新生儿黄疸患儿作为研究对象，纳入标准：(1)临床资料完整;(2)无血液、淋巴等循环系统障碍;(3)无心肺等重要器质性功能障碍。排除标准：(1)早产儿;(2)同时参与其他临床研究者。参与此次研究的患儿家长均对研究过程及结果获知情权。按照入院先后顺序将其分为两组。其中，对照组44例，男23例，女21例，日龄3～26 d，平均(14.8±2.1)d，体重2.5～4.1 kg，平均(3.1±0.2)kg;观察组43例，男22例，女21例，日龄4～25 d，平均(14.6±2.3)d，体重2.4～4.2 kg，平均(3.2±0.3)kg。两组患儿基线数据对比，差异无统计学意义(P>0.05)。, 百拇医药(王明维)
参见：首页 > 医疗版 > 疾病专题 > 小儿科 > 消化系统和营养障碍性疾病 > 新生儿黄疸