综合护理干预对新生儿黄疸的效果观察

Effect of comprehensive nursing intervention on neonatal jaundice

目的探讨综合护理干预对新生儿黄疸的临床效果。方法选取2012年1月至2014年1月,在我院治疗黄疸的新生患儿100例,将其随机分2组,每组各50例。给两组黄疸新生患儿都进行蓝光照射治疗,同时辅以常规护理,观察组再采取综合护理干预。观察两组黄疸新生患儿的临床病症和生命体征,测评患儿家属对护理的满意程度。结果观察组退黄时间显著小于对照组,观察组血清胆红素含量显著低于对照组,差异具有统计学意义(P<0.05);观察组总有效率显著高于对照组,且家长护理满意度明显高于对照组,数据差异具有统计学意义(P<0.05);观察组黄疸新生患儿家属的总满意程度是96.0%,高于对照组76.0%,故此,在经过蓝光照射治疗和护理后,对比两组患儿家属对护理的满意程度有差异,统计学具有意义(P<0.05);在蓝光照射治疗后对照组仅1例患儿出现轻微皮疹与腹泻,且经过及时处理后痊愈。结论针对新生儿黄疸疾病,在蓝光照射治疗当中,给予综合护理干预,能够对治疗起到有效的辅助作用,并能够获得患儿家属对满意程度较高的评价。

Objective To investigate the clinical effect of comprehensive nursing intervention for neonatal jaundice.Methods From January 2012 to January 2014,100 patients with jaundice in our hospital were randomly divided into 2 groups,each group with 50 cases.Two groups of neonatal jaundice patients were treated with blue light irradiation,supplemented by routine nursing,the observation group taken comprehensive nursing intervention additionally.To observe the clinical symptoms and vital signs of the two groups of jaundice,and to evaluate the satisfaction degree of the children’s family on nursing.Results The removing jaundice time of observation group was significantly less than the control group,the serum bilirubin content was significantly lower than the control group,the difference was statistically significant（P 〈 0.05）.The total efficiency of the observation group was significantly higher than the control group,and satisfaction rate was significantly higher than the control group,the difference was statistically significant（P 〈 0.05）.The total satisfactory degree of families in observation group（96%） was higher than the control group（76%）（P 〈0.05）.There only one case slight skin rash and diarrhea occurred in the control group,and cured after timely treatment.Conclusions For neonatal jaundice disease,in blue light treatment,giving comprehensive nursing intervention,play an effective role in support of the treatment,and can able to obtain higher degree of satisfaction of families.