临床路径护理在新生儿病理性黄疸中的应用效果

Application effects of clinical pathway nursing in neonatal pathologic jaundice

目的:观察临床路径护理在新生儿病理性黄疸中的应用效果。方法:选取164例病理性黄疸患儿作为研究对象,按照随机数字表法将其分为对照组和观察组各82例,对照组行常规护理,观察组在对照组的基础上行临床路径护理,比较两组黄疸持续时间和住院时间、护理前和护理5 d后的胆红素水平及患儿家长的护理满意度。结果:观察组黄疸持续时间和住院时间均明显短于对照组,差异均有统计学意义(P<0.05);观察组护理后的胆红素水平明显低于对照组,差异有统计学意义(P<0.05);观察组患儿家长基础护理、护理人员态度、卫生环境和专科护理评分明显高于对照组,差异均有统计学意义(P<0.05)。结论:临床路径护理应用在病理性黄疸患儿中,可明显降低患儿的胆红素水平,缩短住院时间,提高患儿家长护理满意度的效果优于单纯常规护理效果。

Objective:To observe application effects of clinical pathway nursing in neonatal pathologic jaundice.Methods:164 cases of pathologic jaundice were selected as the research objects,and were divided into control group and observation group according to the random number table method,82 cases in each.The control group received routine nursing,while the observation group was given the clinical pathway nursing based on that of the control group.Then,the duration of jaundice and hospitalization time,bilirubin levels before and 5 days after the nursing,and the nursing satisfaction of the parents of these children were compared between the two groups.Results:The duration of jaundice and hospitalization time in the observation group were significantly shorter than those in the control group,and the difference was statistically significant(P<0.05).The bilirubin level in the observation group after the nursing was significantly lower than that in the control group,the difference was statistically significant(P<0.05).Further,The satisfaction scores of the parents in the observation group on basic nursing,nursing staff attitude,health environment and specific nursing were significantly higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:The application of clinical pathway nursing in the children with pathologic jaundice can significantly reduce the bilirubin level,shorten the hospitalization time,and improve the nursing satisfaction of the parents of these children.Moreover,it is superior to single routine nursing.