自制自粘可调节眼罩联合医用隔离垫在NICU光疗中的应用

Application of self-made self-adhesive adjustable eye mask combined with medical isolation pad in NICU phototherapy

目的:探究自制自粘可调节眼罩联合医用隔离垫在新生儿重症监护室(NICU)光疗中的应用效果。方法:选取120例在NICU接受光疗的高胆红素血症患儿,按照随机数字表法将其分为两组,每组60例。对照组佩戴海豚型眼罩并于加有光板的蓝光保暖箱中接受光疗,观察组佩戴自制自粘可调节眼罩并在加有医用隔离垫的蓝光保暖箱中接受光疗。比较两组不良事件发生率、睡眠时间、舒适度及家属满意度。结果:观察组眼罩脱落、眼罩移位、哭闹、眼分泌物、皮肤损伤的发生率均低于对照组,差异有统计学意义(P<0.05)。观察组睡眠时间长于对照组,且改良新生儿疼痛与不适量表(EDIN)评分低于对照组(P<0.05)。观察组家属满意率高于对照组(P<0.05)。结论:在NICU光疗中应用自制自粘可调节眼罩联合医用隔离垫可降低患儿治疗过程中的不良事件发生率,减轻患儿不适感,延长患儿睡眠时间,提高家属满意度。

Objective:To explore the application effect of self-made self-adhesive adjustable eye mask combined with medical isolation pad in neonatal intensive care unit(NICU)phototherapy.Methods:120 children with hyperbilirubinemia who received phototherapy at NICU were selected and divided into two groups according to the random number table method,with 60 cases in each group.The control group wore a dolphin type eye mask and phototherapy was performed in a blue light thermal box(light plate).The observation group wore a self-adhesive adjustable eye mask and phototherapy was performed in a blue light thermal box with a medical isolation pad.The incidence of adverse events,sleep time and comfort,and the satisfaction of children′s families were compared between the two groups.Results:The incidence of eye mask detachment,eye mask displacement,crying,eye secretions,and skin damage in the observation group was lower than that in the control group.The difference was statistically significant(P<0.05).The sleep time of the observation group was longer than that of the control group,and the improved Echelle Douleur Inconfort Nouveau-Ne(EDIN)score was lower than the control group(P<0.05).The satisfaction of the family members of the observation group was higher than that of the control group(P<0.05).Conclusion:The application of self-made self-adhesive adjustable eye masks combined with medical isolation pads in NICU phototherapy can reduce the incidence of adverse events during the treatment process of children,reduce discomfort,prolong sleep time,and improve family satisfaction.