舒适护理在新生儿外周动静脉同步换血术中的应用

Comfort nursing care in the neonatal peripheral arteriovenous synchronous exchange transfusion

目的 探析舒适护理应用于新生儿外周动静脉同步换血术的效果。方法 随机选取本院新生儿科2010年1月~2014年3月期间收治的120例行外周动静脉同步换血术的重症高胆红素血症患者,采用前瞻性平行试验法,使用随机数字表法将其分为对照组和干预组,每组60例。对照组采用常规护理,干预组在此基础上行舒适护理干预,对比分析两组疗效和护理效果。结果 两组治疗和护理后血清胆红素（总胆红素、间接胆红素、直接胆红素）水平明显降低（P〈0.05）,干预组改善程度明显优于对照组（P〈0.05）;干预组不良反应如血压波动、发绀、换血后再输血、酸中毒等发生率明显低于对照组（P〈0.05）;干预组家属对护理满意度明显高于对照组（P〈0.05）。结论 舒适护理从生理、心理、体位、环境等方面满足了动静脉同步换血术患儿舒适性护理需求,能进一步提高治疗效果,降低并发症的发生率,促进患儿早期康复,提高患儿家属对护理服务的满意度,值得在临床护理中广泛推广和应用。

Objective analysis of the application of comfort nursing care in the neonatal peripheral arteriovenous synchronous exchange transfusion effect.Methods in our hospital from 2010 January ~ 2014 year in March the neonatal period of 120 cases of peripheral arteriove- nous synchronous exchange transfusion in severe hyperbilirubinemia were randomly selected, the prospective parallel test method, the Use of randomly divided into intervention group and control group, 60 cases in each group, the control group received routine nursing care, the inter- vention Group on the basis of the comfortable nursing intervention,comparative analysis of two groups of curative effect and nursing effect.Re- suits of the two groups of children with treatment and nursing of serum bilirubin （ total bilirubin, indirect bilirubin, direct bilirubin） levels de- creased significantly（P〈0.05） ,the intervention group were significantly better than the control group（P〈0.05） ;intervention of adverse reac- tions such as blood pressure fluctuations, group hair after exchange transfusion and transfusion, Gan, acid poisoning incidence was significantly lower than that of the control group（P〈0.05） ;the intervention group children families on nursing satisfaction was significantly higher than the control group（P〈0.05）.Conclusion comfort care to meet the arteriovenous synchronous exchange transfusion with comfort care needs from physiological,psychological, posture, and other aspects of the environment, to further improve the therapeutic effect, reduce complications, pro- mote early rehabilitation of patients, improve the satisfaction of parents of children with the nursing service, worthy of extensive promotion and application in clinical nursing.