精细化护理干预在新生儿病理性黄疸护理中的应用效果

Application Effect of Refined Nursing Intervention in the Care of Neonates with Pathological Jaundice

目的 探讨精细化护理干预在新生儿黄疸护理中应用效果。方法 选取2022年8月至2023年7月本院收治的88例病理性黄疸患儿,以随机数字表法分组,各44例。在确诊黄疸后采用蓝光照射治疗方案,并按医嘱酌情用药治疗,治疗期间对照组实施常规护理,观察组实施精细化护理。比较两组胆红素水平、治疗情况、并发症、不良事件发生率。结果 护理1、2、3 d后观察组患儿胆红素水平均低于对照组(P <0.05)。观察组患儿蓝光照射时间、黄疸消退时间、住院时间均短于对照组(P <0.05)。观察组发热、腹泻、严重皮疹等并发症发生率低于对照组(P <0.05)。观察组反复穿刺、眼罩脱落、针头松动等不良事件发生率低于对照组(P <0.05)。结论 精细化护理干预应用于新生儿黄疸护理中,可促进患儿胆红素水平降低,达到缩短治疗时间的目的,还有助于预防并发症和不良事件的发生。

Objective To explore the application effect of refined nursing intervention in neonatal jaundice care.Methods A total of 88 cases of children with pathological jaundice admitted to our hospital from August 2022 to July 2023 were selected and grouped into 44 cases each by random number table method.After the diagnosis of jaundice was confirmed,the blue light irradiation treatment program was adopted,and medication was administered as appropriate according to medical advice,during which the control group was routinely cared for,and the observation group was implemented with refined care.Comparison of bilirubin level,treatment,complications,and incidence of adverse events between the two groups.Results The bilirubin level of children in the observation group was lower than that of the control group after 1,2 and 3 d of care(P<0.05).The time of blue light irradiation,the time of jaundice subsiding,and the hospitalization time of the children in the observation group were shorter than those in the control group(P<0.05).The complication rate of fever,diarrhea and severe rash in the observation group was lower than that in the control group(P<0.05).The incidence of adverse events such as repeated puncture,eye mask dislodgement and needle loosening in the observation group was lower than that in the control group(P<0.05).Conclusions The application of refined nursing intervention in neonatal jaundice care can promote the reduction of bilirubin level in children,achieve the purpose of shortening the treatment time,and also help to prevent the occurrence of complications and adverse events.