细化护理干预在新生儿高胆红素血症中的护理效果及对母乳喂养率的影响分析

Nursing effect of detailed nursing intervention in neonatal hyperbilirubinemia and its impact on breastfeeding rate

目的观察对新生儿高胆红素血症实施细化护理干预的效果,并分析此护理干预下患儿母乳喂养情况。方法选取本院2018年1月~2019年1月200例高胆红素血症新生儿为观察对象,随机分为对照组与观察组,两组均为100例,分别实施常规护理或细化护理干预,比较两组患儿高胆红素血症消退时间,并检测和记录患儿血清胆红素变化,观察患儿治疗与护理期间发生的不良反应情况,调查患儿喂养情况,如母乳喂养、配方奶喂养等情况。结果观察组患儿高胆红素血症平均消退时间为(6.05±0.16)d,干预7 d后血清胆红素水平为(103.77±9.76)μmol/L,奶量减少、脱水、体温异常与烦躁哭闹不良反应各占8.0%、6.0%、5.0%、11.0%,母乳喂养率为89.0%;对照组患儿高胆红素血症平均消退时间为(8.15±1.00)d,干预7 d后血清胆红素水平(131.85±10.43)μmol/L,奶量减少、脱水、体温异常与烦躁哭闹不良反应各占13.0%、19.0%、13.0%、24.0%,母乳喂养率为73.0%;两组患儿情况比较,差异均有统计学意义(P<0.05)。结论新生儿高胆红素血症接受细化护理干预,更利于黄疸消退,也可提升患儿母乳喂养率,提升患儿体质,具有护理应用价值。

Objective To observe the effect of detailed nursing intervention on neonatal hyperbilirubinemia and analyze the breastfeeding of children under this nursing intervention.Methods 200 neonates with hyperbilirubinemia were selected as observation objects from January 2018 to January 2019 in our hospital.The selected objects were randomly divided into the control group and the observation group,with 100 cases in both groups.They were given routine nursing and detailed nursing interventions,respectively.The jaundice subsides time of hyperbilirubinemia between the two groups was compared.The changes of serum bilirubin in the children were detected and recorded.The adverse reactions during the treatment and nursing of the children were observed.The children feeding status,such as breastfeeding and formula feeding was investigated.Results The mean time for the subsides of hyperbilirubinemia in the observation group was(6.05±0.16)days.After 7 days of intervention,the serum bilirubin level was(103.77±9.76)μmol/L.Milk reduction,dehydration,abnormal body temperature,and irritable crying adverse reactions accounted for 8.0%,6.0%,5.0%,and 11.0%,respectively.The breastfeeding rate was 89.0%.The average time for the hyperbilirubinemia subsided in the control group was(8.15±1.00)d.The serum bilirubin level after intervention 7 d was(131.85±10.43)μmol/L.Milk reduction,dehydration,abnormal body temperature and irritable crying adverse reactions accounted for 13.0%,19.0%,13.0%and 24.0%respectively.The breastfeeding rate was 73.0%.The difference in the above situation between the two groups was statistically significant(P<0.05).Conclusion Receiving detailed nursing intervention for neonatal hyperbilirubinemia is more conducive to the disappearance of jaundice.It can also improve the breastfeeding rate of children and improve the constitution of children.It has the value of nursing application.