综合护理干预模式在行蓝光照射治疗新生儿高胆红素血症中的应用

摘要

目的:探讨综合干预在行蓝光照射治疗高胆红素血症患儿中的应用.方法:将接诊的300例高胆红素血症新生儿按照随机数字表法分为观察组和对照组各150例,均择期行蓝光照射治疗,对照组给予常规护理模式,观察组在常规护理的基础上实施综合护理干预模式,包括抚触护理、蓝光光源调节、药物支持、监测病情、心理护理等.比较两组护理前后胆红素、摄奶量的变化,并比较黄疸消退时间、临床疗效及不良反应.结果:护理后,两组总胆红素、间接胆红素与护理前比较差异有统计学意义(P<0.05),且观察组总胆红素、间接胆红素明显低于对照组(P<0.01);护理后1、3、5 d,两组摄奶量明显多于护理前(P<0.05),且观察组多于对照组(P<0.01);观察组黄疸消退时间明显短于对照组(P<0.01),临床疗效总有效率明显高于对照组(P<0.01);观察组皮疹、皮肤损伤、哭闹、失水增加的发生率均明显低于对照组(P<0.01,P<0.05).结论:在新生儿高胆红素血症患儿实施蓝光照射治疗过程中,实施综合护理干预模式效果显著,有助于提高临床疗效,减少不良反应,值得临床应用推广.%Objective:To explore the application of comprehensive intervention in the treatment of neonatal hyperbilirubinemia with blue light irradiation.Methods:A total of 300 cases of neonatal hyperbilirubinemia were randomly divided into the observation group and the control group with 150 cases in each group,were undergoing phototherapy treatment.The control group was given routine nursing care, while the observation group was implemented comprehensive nursing intervention based on routine nursing care,including massage care, blue light regulation,drug and disease monitoring and support psychological nursing.Before and after the nursing,the changes of bilirubin and milk intake were compared between the two groups,and the time of jaundice subsided,the clinical efficacy and adverse reactions were compared.Results:There was significantly statistical difference in total bilirubin and indirect bilirubin between two groups before and after the nursing treatment(P<0.05),and the observation group′s total bilirubin and indirect bilirubin were significantly lower than those in the control group after nursing treatment(P<0.01).The 1st、3rd、5th day after the nursing,two groups′milk intake were obviously higher than those before the treatment(P<0.05),and the observation group′s were higher than those in the control group(P<0.01).The observation group′s jaundice dissipation time was significantly shorter than that in the control group(P<0.01),the total efficacy rate of clinical treat-ment was significantly higher than that in the control group(P<0.01).The incidence of skin rash,skin injury,crying and dehydration in observation group was significantly lower than that in control group(P<0.01,P<0.05).Conclusion:During the implementation of blue light irradiation in the treatment of neonatal hyperbilirubinemia,the implementation of comprehensive nursing intervention mode has signifi-cant effect,which is helpful to improve the clinical efficacy and reduce adverse reactions,which is worthy of clinical application and promo-tion.