强化风险护理用于新生儿黄疸蓝光照射对疗效及患儿安全性的影响

目的研究在新生儿黄疸蓝光照射中强化风险护理对临床疗效及患儿安全性的影响,为临床提供可靠的参考依据。方法选取该院在2018年5月-2019年6月期间收治的130例新生儿黄疸患儿作为研究对象,均给予蓝光照射治疗,并随机的分为两组,对照组给予常规的护理模式,研究组给予强化风险护理模式,然后对比两组护理效果。结果经过对比分析,研究组患者有2例无效,临床有效率为(96.92%),对照组有11例无效,临床有效率为(83.08%),研究组患者的临床疗效明显优于对照组,差异有统计学意义(χ^(2)=6.923,P<0.05)。研究组患儿及其家属对心理护理、护理安全、服务态度、护理操作、健康宣教等护理工作的满意度明显高于对照组,差异有统计学意义(t=11.880、34.538、21.222、40.884、22.944,P<0.05)。对照组患儿不良事件(反复穿刺、针头脱落、眼罩脱落、呕吐窒息、皮肤损伤、感染)发生率为(27.69%),研究组患儿不良事件发生率为(9.23%),研究组患儿不良事件发生率明显低于对照组,差异有统计学意义(χ^(2)=7.358,P<0.05)。结论强化风险护理在新生儿黄疸蓝光照射治疗中具有很高的临床应用价值,能显著提升临床治疗疗效,保障患儿安全,降低风险事件的发生,提升了护理质量,值得在临床护理中广泛推广应用。

Coordination and nursing care of pediatric patients undergoing double balloon enteroscopy

AIM:To review safety,efficacy,and proper nursing care of double-balloon enteroscopy (DBE) in pediatric patients with small intestinal disease.METHODS:Our study included 37 patients with abdominal pain,diarrhea,passage of blood in the stools,and other symptoms,who underwent DBE from December 2006 to July 2010.DBE was retrograde in 36 procedures,antegrade in six,and from both ends in five.The diagnostic significance and salient points in nursing care are discussed in this article.RESULTS:At least one lesion was discovered in 28 out of 37 patients,which yielded a positive diagnosis in 75.7% of cases.Good bowel preparation and skilled nursing care not only shortened the procedure time,but could also alleviate patient discomfort and enhance the quality of examination.No serious procedure-related complications were observed in any cases.CONCLUSION:DBE is a new modality of endoscopic procedure that improves the standard of diagnosis and treatment of small bowel diseases in children.Good nursing care is essential to the successful execution of the procedure.