对新生儿病理性黄疸患儿进行综合护理的临床效果评价

To evaluate the clinical effect of comprehensive nursing care for neonatal patients with pathological jaundice

目的:探讨对新生儿病理性黄疸患儿进行综合护理的临床效果。方法:将2015年1月至2017年1月在成都市青羊区妇幼保健计划生育服务中心接受治疗的108例新生儿病理性黄疸患儿随机分为护理组与对照组,每组各54例患儿。对对照组患儿进行常规护理,在此基础上对护理组患儿进行综合护理,然后对比分析两组患儿的黄疸指数、在接受治疗及护理后其胎粪首次排出的时间、胎粪转黄的时间及其家长对护理服务的满意程度。结果:与对照组患儿相比,护理组患儿在接受治疗及护理的第3 d、第4 d及第5 d其黄疸指数均较低,差异有统计学意义(P<0.05)。与对照组患儿相比,护理组患儿在接受治疗及护理后其胎粪首次排出的时间、胎粪转黄的时间均较短,差异有统计学意义(P<0.05)。与对照组患儿的家长相比,护理组患儿的家长对护理服务的总满意率较高,差异有统计学意义(P<0.05)。结论:对新生儿病理性黄疸患儿进行综合护理可显著缩短其黄疸消退的时间,并可提高患儿家长对护理服务的满意程度。

objective： to explore the clinical effect of comprehensive nursing care for neonates with pathological jaundice. Methods： between January 2015 and January 2017 in the venture of chengdu maternity and child care family planning service center for treatment of 108 cases of neonatal pathologic jaundice patients were randomly divided into nursing group and control group, each group of 54 cases. To the control group with routine nursing care, on the basis of the comprehensive care of nursing group of children, and then comparative analysis of two groups of children with jaundice index, for the first time in treatment and nursing after the meconium discharge time, the time of meconium turning yellow and parents’ satisfaction to nursing service. Results： compared with the control group, the children in the nursing group had lower jaundice index on the 3 rd, 4 th and 5 th days of treatment and nursing, and the difference was statistically significant（P 〈 0.05）. Compared with the control group, children in the nursing group had a shorter time of first excretion of fetal feces and a shorter time of yellowing of fetal feces after treatment and nursing（P 〈 0.05）. Compared with the parents of the children in the control group, the total satisfaction rate of the parents of the children in the nursing group was higher, and the difference was statistically significant（P 〈 0.05）. Conclusion： the comprehensive nursing of neonatal patients with pathological jaundice can significantly shorten the time of the regression of jaundice and improve the satisfaction of the parents to the nursing service.