结构-过程-结果三维评价模式下护理管理在新生儿溶血症光疗期患儿中的应用

Application of Nursing Management under the Structure-process-outcome Three-dimensional Evaluation Model in Children with Hemolytic Diseaseof Newborn during Phototherapy

目的:探讨结构-过程-结果三维评价模式下护理管理在新生儿溶血症光疗期患儿中的应用效果。方法:选取2020年1月1日~2022年6月30日收治的82例新生儿溶血症患儿作为研究对象,采用随机数字表法分为观察组42例和对照组40例,对照组给予常规护理,观察组在此基础上实施结构-过程-结果三维评价模式下护理管理;比较两组体表黄疸消散时间、蓝光治疗时间、住院时间,干预前后血生化指标(间接胆红素、血红蛋白、红细胞),干预前后护理质量评分,不良反应发生情况,家属满意度。结果:观察组体表黄疸消散时间、蓝光治疗时间、住院时间短于对照组(P<0.05),不良反应总发生率低于对照组(P<0.05),家属满意度高于对照组(P<0.05);两组干预后间接胆红素水平低于干预前(P<0.05)、血红蛋白及红细胞水平高于干预前(P<0.05),观察组干预后间接胆红素水平低于对照组(P<0.05)、血红蛋白及红细胞水平高于对照组(P<0.05);干预后,两组护理质量评分高于干预前(P<0.05),且观察组高于对照组(P<0.05)。结论:结构-过程-结果三维评价模式下护理管理可促进新生儿溶血症光疗期患儿病情及血生化指标恢复,减少不良反应,提升护理质量和家属满意度。

Objective:To explore the application effect of nursing management under the structure-process-outcome three-dimensional evaluation model in children with hemolytic disease of newborn during phototherapy.Methods:A total of 82 children with hemolytic disease of newborn,admitted from January 1,2020 to June 30,2022,were selected as the research objects.They were divided into an observation group(42 cases)and a control group(40 cases)according to the random number table method.The routine nursing care was taken in the control group and the nursing management under the structure-process-outcome three-dimensional evaluation model was additionally adopted in the observation group.The jaundice dissipation time of body surface,blue light therapy time,hospitalization time,blood biochemical indexes(indirect bilirubin,hemoglobin,red blood cell),nursing quality scores,adverse reactions and family satisfaction were compared between the two groups before and after intervention.Results:Compared with the control group,the jaundice dissipation time of body surface,blue light therapy time,and length of hospital stay were shorter in the observation group(P<0.05),the total incidence of adverse reactions was lower in the observation group(P<0.05),and the family satisfaction was higher in the observation group(P<0.05).After intervention,the levels of indirect bilirubin in the two groups were lower than those before intervention(P<0.05),and the levels of hemoglobin and red blood cells were higher than those before intervention(P<0.05).The level of indirect bilirubin in the observation group was lower than that in the control group after intervention(P<0.05),and the levels of hemoglobin and red blood cells were higher than those in the control group(P<0.05).After intervention,the nursing quality scores of the two groups were higher than those before intervention(P<0.05),and the scores of the observation group were higher than those in the control group(P<0.05).Conclusion:The nursing management under the structure-process-outcome three-dimensional evaluation model can promote the recovery of the condition and blood biochemical indexes of children with hemolytic disease of newborn during phototherapy,reduce adverse reactions,and improve the quality of nursing care and family satisfaction.