层级护理对新生儿护理风险的改善效果分析

Analysis of the Effect of Tiered Nursing on the Improvement of Neonatal Nursing Risk

目的研究层级护理对新生儿护理风险的改善效果。方法选择2018年3月—2019年3月于该院产科出生的240例足月新生儿作为研究对象。将所有新生儿按照随机抽签法等分成研究组和对照组。对照组实施常规护理,研究组则予以层级护理干预。比较两组新生儿5 min、10 min时Apgar评分、72 h听力初筛情况、出生0、0.5、1 h低血糖发生情况、出生24、48、72 h时经皮胆红素水平以及转重症新生儿科情况。结果研究组新生儿5、10 min时Apgar评分为10分的患儿占比均高于对照组,而转重症新生儿科率低于对照组,差异有统计学意义(P<0.05)。研究组新生儿72 h听力初筛通过率高于对照组,差异有统计学意义(P<0.05)。研究组新生儿出生0、0.5、1 h低血糖人数占比分别为5.83%、0.00%、0.00%,均低于对照组,且转重症新生儿科率(0.00%)低于对照组,差异有统计学意义(χ^(2)=7.925、13.744、10.435、8.276,P<0.05)。研究组新生儿经皮胆红素水平出生24 h≥5 mg/dl、出生48 h≥9 mg/dl、出生72 h≥12.9 mg/dl人数占比均低于对照组,且研究组转重症新生儿科率低于对照组,差异有统计学意义(P<0.05)。结论层级护理对新生儿护理风险的改善效果显著,可明显提高新生儿生命质量,值得临床推广应用。

Objective To study the effect of hierarchical nursing on the improvement of neonatal nursing risk.Methods From March 2018 to March 2019,240 full-term newborns born in the hospital's obstetrics department were selected as the research objects.All newborns were divided into study group and control group according to random lottery.The control group received routine nursing care,and the study group received hierarchical nursing intervention.The Apgar scores at 5 min and 10 min,the preliminary hearing screening at 72 h,the occurrence of hypoglycemia at 0,0.5,and 1 h,the transcutaneous bilirubin levels at 24,48,72 h,and the status of transition to severe neonatology were compared between the two groups of newborns.Results The proportion of newborns with an Apgar score of 10 points at 5 min and 10 min in the study group was higher than that of the control group,and the rate of transition to severe neonatology was lower than that of the control group,the difference was statistically significant(P<0.05).The newborns in the study group had a higher hearing screening rate at 72 h than in the control group,the difference was statistically significant(P<0.05).The proportion of neonates with hypoglycemia at 0,0.5,and 1 h in the study group were 5.83%,0.00%and 0.00%,respectively,which were lower than those of the control group,and the rate of transition to severe neonates(0.00%)was lower than the control group,the difference was statistically significant(χ^(2)=7.925,13.744,10.435,8.276,P<0.05).The proportion of newborns in the study group with transcutaneous bilirubin levels at 24 h≥5 mg/dl,48 h≥9 mg/dl,72 h≥12.9 mg/dl was lower than that of the control group,and the rate of conversion to severe neonatal department in the study group was lower than the control group,the difference was statistically significant(P<0.05).Conclusion Hierarchical nursing has a significant effect on the improvement of neonatal nursing risk,can significantly improve the quality of life of neonates,and is worthy of clinical application.