早期标准化系统护理干预在预防新生儿高胆红素血症中的应用效果

Early standardized system nursing intervention preventing neonatal hyperbilirubinemia

目的探讨早期标准化系统护理干预在预防新生儿高胆红素血症中的应用效果。方法选取2013年3月-2014年4月出生的足月新生儿468例,随机分为对照组（n=227）和观察组（n=241）。对照组新生儿采用常规护理方法,观察组则在对照组基础上采用早期标准化系统护理措施。记录2组新生儿经皮黄疸指数变化和生理性体质量变化,比较监护人对护理工作满意度及新生儿因高胆红素血症住院情况。结果 2~6d时,观察组经皮黄疸指数低于对照组;3~6d时,生理性体质量均低于对照组,观察组监护人对护理工作的满意率为97.5%,高于对照组的89.0%。观察组因高胆红素血症住院的住院率为8.7%,低于对照组的17.2%。结论早期标准化系统护理干预有助于降低新生儿胆红素水平,促进生理性体质量恢复,减少因高胆红素血症住院率,提高监护人对护理工作的满意度。

Objective To explore the effect of early standardized and systematic nursing intervention on preventing neonatal hyperbilirubinemia.Methods Totally 468full-term newborns born between March 2013 and April 2014 were selected and randomly divided into an observation group（n= 241）and a control group（n=227）.Both groups were given conventional nursing,while the observation group was additionally provided with early standardized and systematic nursing.Percutaneous tested neonatal jaundice index and physiological changes in body weight were recorded.Guardians＇ satisfaction towards nursing and hospitalization due to hyperbilirubinemia were compared between the 2groups.Results At 2to 6days old,the percutaneous tested neonatal jaundice indexes of the observation group were lower than those of the control group,while at 3to 6days old,the physiological decrease in weight of the former was significantly lower than the latter.The nursing satisfaction of the observation group was 97.5%,significantly higher than 89.0% of the control group.The rate of hospitalization due to hyperbilirubinemia was 8.7%,significantly lower than the latter（17.2%）.Conclusion Early standardized and systematic nursing helps lower the bilirubin level,promote physiological weight restoration and reduce the hospitalization rate due to hyperbilirubinemia and improve guardians＇ satisfaction with the nursing.