强化风险护理联合行为干预对新生儿黄疸蓝光照射安全性及母乳喂养情况的影响

Effect of Intensive Risk Nursing Combined with Behavioral Intervention on the Safety of Blue Light Exposure and Breastfeeding in Neonates with Jaundice

目的:探讨强化风险护理联合行为干预在新生儿黄疸患儿中的应用效果。方法:选择厦门大学附属中山医院儿科2019年8月—2021年4月收治的88例新生儿黄疸患儿,按随机数表法分为两组,各44例。对照组实施常规护理,观察组实施强化风险护理联合行为干预,两组均持续随访1个月。对比两组风险事件发生情况、母乳喂养情况、康复情况及家长护理满意度。结果:观察组风险事件发生率(4.55%)低于对照组(18.18%),母乳喂养率(95.45%)高于对照组(81.82%),差异有统计学意义(P<0.05);观察组黄疸消退时间[(4.38±1.02)d]及初排胎粪时间[(6.67±1.45)h]均早于对照组[(5.72±1.25)d、(7.89±1.63)h],安睡时间[(18.44±2.15)h]长于对照组[(16.62±2.36)h],差异均有统计学意义(P<0.05);观察组家长护理总满意度(95.45%)高于对照组(81.82%),差异有统计学意义(P<0.05)。结论:强化风险护理联合行为干预能够减少新生儿黄疸患儿蓝光照射过程中风险事件的发生,提升照射安全性,同时利于提升母乳喂养率,取得患儿家长较高护理满意度。

Objective:To explore the application effect of intensive risk nursing combined with behavior intervention in neonatal jaundice children.Method:A total of 88 infants with neonatal jaundice admitted to the Department of Pediatrics of Zhongshan Hospital Affiliated to Xiamen University from August 2019 to April 2021,and they were divided into two groups according to the random number table method,with 44 cases in each group.The control group was given routine nursing,and the observation group was given intensive risk nursing combined with behavioral intervention.Both groups were followed up for 1 month.The occurrence of risk events,breastfeeding,rehabilitation and parents'nursing satisfaction were compared between the two groups.Result:The incidence of risk events in the observation group(4.55%)was lower than that in the control group(18.18%),and the breastfeeding rate in the observation group(95.45%)was higher than that in the control group(81.82%),the differences were statistically significant(P<0.05).The jaundice regression time[(4.38±1.02)d]and the first meconium excretion time[(6.67±1.45)h]in the observation group were earlier than those in the control group[(5.72±1.25)d,(7.89±1.63)h],and the sleeping time[(18.44±2.15)h]was longer than that in the control group[(16.62±2.36)h],the differences were statistically significant(P<0.05).The total nursing satisfaction in the observation group(95.45%)was higher than that in the control group(81.82%),the difference was statistically significant(P<0.05).Conclusion:Intensive risk nursing combined with behavioral intervention has a good application effect in neonatal jaundice children,which is beneficial to reduce the occurrence of risk events,improve the safety of blue light irradiation,and improve the breastfeeding rate,and achieve higher nursing satisfaction of parents of children.