强化风险护理对新生儿黄疸蓝光照射的疗效观察及安全性分析

Therapeutic Effect and Safety Analysis of Intensive Risk Nursing on Neonatal Jaundice Blue Light Irradiation

目的分析强化风险护理对新生儿黄疸蓝光照射的疗效观察及安全性。方法方便选取2017年4月—2018年4月期间该院收治的88例黄疸患儿为研究对象,以随机数字表法分为研究组和对照组,每组44例患儿。两组患儿均接受蓝光照射治疗,在此基础上对照组患儿实施常规护理,研究组患儿实施强化风险护理,对比两组患儿的疗效和安全性。结果两组患儿临床疗效对比,研究组总有效率95.45%显著优于对照组总有效率88.64%,差异有统计学意义(χ^2=6.271,P=0.004)。两组患儿风险事件发生率对比,研究组的呕吐窒息(χ^2=4.568,P=0.002)、反复穿刺(χ^2=4.172,P=0.012)、皮肤损伤(χ^2=5.029,P=0.029)、针头脱落(χ^2=6.005,P=0.035)以及眼罩脱落(χ^2=4.282,P=0.008)和感染(χ^2=4.008,P=0.016)等风险事件发生率均低于对照组,差异有统计学意义(P<0.05)。结论对黄疸患儿蓝光照射治疗的同时实施强化风险护理措施,能够提升疗效,降低风险事件发生概率,促进患儿的康复和预后。

Objective To analyze the efficacy and safety of intensive care for neonatal jaundice blue light. Methods From April 2017 to April 2018, 88 children with jaundice admitted to our hospital were convenient selected and enrolled in the study. They were divided into study group and control group by random number table, with 44 children in each group. Both groups were treated with blue light irradiation. On this basis, the control group received routine nursing care, and the study group performed intensive risk care to compare the efficacy and safety of the two groups. Results The clinical efficacy of the two groups was compared. The total effective rate of the study group was 95.45%, which was significantly better than the total effective rate of the control group (88.64%). The difference was statistically significant (χ^2=6.271,P=0.004). The incidence of risk events in the two groups was compared. The study group had vomiting asphyxia (χ^2=4.568,P=0.002), repeated puncture (χ^2=4.172,P=0.012), skin lesions (χ^2=5.029,P=0.029), needle shedding risk incidence (χ^2=6.005,P=0.035) and ocular mask shedding (χ^2=4.282,P=0.008) and infection (χ^2=4.008,P=0.016) were lower than those of the control group, and the difference was statistically significant (P<0.05). Conclusion The implementation of intensive risk nursing measures for blue light irradiation in children with jaundice can improve the efficacy, reduce the probability of occurrence of risk events, and promote the rehabilitation and prognosis of children.