前馈控制策略联合优质护理干预对新生儿高胆红素血症患儿康复进程的影响

The impact of feedforward control strategy combined with high-quality nursing intervention on the rehabilitation process of neonatal hyperbilirubinemia children

目的分析前馈控制策略联合优质护理干预对新生儿高胆红素血症患儿康复进程的影响。方法选取2019年1月至2023年12月在南京大学医学院附属苏州医院治疗的120例新生儿高胆红素血症患儿进行研究,按照随机数字表法分为对照组和研究组,各60例,对照组患儿进行优质护理干预,研究组在对照组基础上进行前馈控制策略。观察两组患儿临床指标、经皮胆红素、总胆红素水平、睡眠质量、发育情况、心肌损伤标志物、舒适度、家属满意度。结果与对照组相比,研究组胎便转黄时间、黄疸消退时间较短,每日排便次数较多(P<0.05)。干预后,两组入睡时间、夜间觉醒次数、经皮胆红素、总胆红素、CK、CK-MB水平、舒适度评分降低,且研究组较低(P<0.05)。干预后,两组减少,睡眠持续时间、睡眠总时间、体质量、神经评分增加,且研究组较多(P<0.05)。结论新生儿高胆红素血症患儿采用前馈控制策略联合优质护理干预,可降低胆红素水平,抑制心肌损伤,并改善患儿睡眠质量,使用效果较好。

Objective To analyze the effect of feedforward control strategy combined with high quality nursing intervention on the rehabilitation process of neonatal hyperbilirubinemia children.Methods 120 cases of neonatal hyperbilirubinemia children treated in The Affiliated Suzhou Hospital of Nanjing University Medical School from January 2019 to December 2023 were selected for the study,and were divided into the control group and the study group according to the random number table method,each with 60 cases.The children in the control group were subjected to high-quality nursing care interventions,and the study group was subjected to feed-forward control strategies on the basis of the control group.Clinical indicators,transcutaneous bilirubin,total bilirubin levels,sleep quality,development,markers of myocardial injury,comfort,and family satisfaction were observed in both groups.Results Compared with the control group,the study group had shorter time to turn yellow and jaundice subsided,and more defecation times per day(P<0.05).After the intervention,the sleep time,the number of nighttime awakenings,the levels of transcutaneous bilirubin,total bilirubin,CK and CK-MB,and the comfort score of the two groups decreased,and the study group was lower(P<0.05).After the intervention,the sleep duration,total sleep time,body mass and neurological score increased in the two groups,and more in the study group(P<0.05).Conclusion The feedforward control strategy combined with high-quality nursing intervention can reduce bilirubin level,inhibit myocardial injury and improve the sleep quality of neonatal hyperbilirubinemia,and the use effect is good.