人工智能聊天机器人在新生儿黄疸居家监测中的应用分析

Application analysis of artificial intelligence chatbots in home monitoring of neonatal jaundice

目的探讨人工智能(artificial intelligence,AI)聊天机器人在新生儿黄疸居家监测中的应用价值。方法选取2021年11月—2022年3月在重庆市妇幼保健院产科出生的700例黄疸新生儿,按照随机数字表分为对照组与观察组,每组350例。对照组监护人接受常规宣教,观察组监护人在接受常规宣教基础上联合AI聊天机器人干预,随访观察1个月。比较2组监护人情况(黄疸知识掌握情况、情绪状态与护理满意度)和新生儿情况(黄疸出现时间、黄疸消退时间、二次黄疸住院发生率、生长发育情况)。对微信群聊天内容进行词云分析。结果干预后1个月,与对照组监护人比较,观察组监护人的黄疸知识调查问卷各项目得分较高,抑郁自评量表和焦虑自评量表分值更低,护理满意度评分更高(均P<0.05)。与对照组新生儿比较,观察组新生儿黄疸消退时间更短,二次黄疸住院发生率较低,干预后1个月的体质量、智力发育指数量表分值和运动发育指数量表分值均较高(均P<0.05)。微信群聊天内容词云热点包括预约、黄疸出现时间、黄疸消退时间、黄疸症状等。结论在新生儿黄疸的居家监测中,AI聊天机器人能显著提高监护人对黄疸的认识,促进新生儿黄疸消退和生长发育,同时减轻监护人的不良情绪,提高满意度,并通过微信群掌握监护人的疑虑。

Objective To explore the application value of artificial intelligence(AI)chatbots in home monitoring of neonatal jaundice.Methods By using random number table method,700 jaundice newborns born in the Department of Obstetrics,Chongqing Maternal and Child Health Hospital from November 2021 to March 2022 were randomly divided into control group and observation group,with 350 cases in each group.The guardians of the control group received routine education,while the guardians of the observation group received routine education and AI chatbot intervention.The followup duration was for one month.The situation of guardians(jaundice knowledge,emotional state,and nursing satisfaction)and the situation of newborns(jaundice onset time,jaundice resolution time,incidence of secondary jaundice hospitalization,and growth and development)were compared.The word cloud analysis was conducted on WeChat group chat content.Results One month after intervention,compared with the guardians of the control group,those in the observation group had higher scores in various items of the jaundice knowledge survey questionnaire,lower scores in the depression self-assessment scale and anxiety self-assessment scale,and higher nursing satisfaction scores(all P<0.05).Compared with the newborns of the control group,those in the observation group had a shorter jaundice resolution time,a lower incidence of secondary jaundice hospitalization,and higher scores in body mass,intellectual development index,and motor development index one month after intervention(all P<0.05).WeChat group chat content included hot topics such as appointment,onset time of jaundice,jaundice resolution time,jaundice symptoms,etc.Conclusion In home monitoring of neonatal jaundice,AI chatbots can significantly improve the guardians’understanding of jaundice,promote the jaundice resolution and neonatal growth,reduce guardians’adverse emotions,improve satisfaction,and grasp the concerns of guardians through WeChat groups.