强化风险护理对蓝光照射新生儿黄疸患儿黄疸指数、胆红素和不良事件发生率的影响

摘要

目的 探讨强化风险护理对蓝光照射新生儿黄疸患儿黄疸指数、胆红素和不良事件发生率的影响.方法 选取本院于2016年9月-2017年1月期间收治的60例运用蓝光照射的新生儿黄疸患儿为实验组,采用强化风险护理;选取本院2016年3月-2016年7月期间收治的60例运用蓝光照射的新生儿黄疸患儿为对照组,采用常规护理.观察比较2组新生儿黄疸患儿黄疸指数、胆红素和不良事件发生率.结果 对照组和实验组2组护理前患儿黄疸指数、胆红素指数差异无统计学意义(P>0.05).护理后, 2组患儿治疗总有效率差异无统计学意义(P>0.05).观察组护理3 d后黄疸指数、胆红素指数低于对照组(P<0.05).实验组治疗不良事件如新生儿呕吐窒息、皮肤损伤、反复穿刺、针头脱落等明显低于对照组(P<0.05).2组家属对于住院环境的满意度差异无有统计学意义(P>0.05);但观察组家属对于医务人员服务态度、病情解释、家属安抚及操作水平等方面的满意度明显高于对照组(P<0.05).结论 强化风险护理能快速有效减轻蓝光照射新生儿黄疸患儿黄疸指数,降低胆红素指数和减少不良事件发生率,疗效优于常规护理且有利于提高患儿家属的满意度.%Objective To investigate the effect of intensive nursing care on jaundice index, bilirubin and adverse events in children with neonatal jaundice.Methods A total of 60 neonatal jaundice in our hospital from September 2016 to January 2017 were selected as the experimental group and another 60 neonatal jaundice in our hospital from March 2016 to July 2016 were selected as control group.The jaundice index, bilirubin and the incidence of adverse events were compared between the two groups.Results There was no significant difference between the two groups before and after treatment in jaundice and bilirubin indices as well as overall response rate (P>0.05).The observation group had lower jaundice index, bilirubin index than the control group(P<0.05), and adverse events such as neonatal vomiting and suffocation, skin damage, repeated puncture, needle shedding in the experimental group were significantly lower than that in the control group, the difference was statistically significant (P<0.05).There was no significant difference between the two groups in their satisfaction with the hospital environment (P>0.05), but the satisfaction of the family members in the control group was significantly higher than that of the control group, and the difference was statistically significant (P<0.05).Conclusion Strengthened nursing can effectively reduce risk of neonatal jaundice phototherapy jaundice index, reduce bilirubin index and incidence of adverse events, and curative effect is better than that of the conventional nursing care and is helpful to improve the patients''satisfaction.