目的 观察蓝光照射治疗黄疸新生儿期间应用强化风险管理的效果.方法 按照随机数表法将490例患儿分为研究组 (强化风险管理+常规干预, n=245) 及对照组 (常规干预, n=245) .比较干预前、干预5d时两组患儿血清总胆红素指标水平表达情况, 对比干预过程中不良事件发生情况及护理满意度差异.结果 两组患儿干预5d时, 血清总胆红素水平均较干预前降低 (P均<0.05) , 且研究组低于对照组 (P均<0.05);研究组不良事件发生率为4.08％, 对照组不良事件发生率为13.88％ (χ2=10.220, P=0.001);研究组患儿家属护理满意度为94.69％, 研究组患儿家属护理满意度为82.04％ (χ2=5.390, P=0.020) .结论 强化风险管理能够有效降低患儿蓝光照射治疗期间不良事件发生风险, 效果优于常规护理.%Objective To observe the effects of intensive risk management in blue light irradiation for neonatal jaundice. Methods490 children patients were divided into study group (intensive risk management + routine intervention, n=245) and control group (conventional intervention, n=245) according to the random number table method. The expression level of serum total bilirubin in the two groups was compared before intervention and after 5 d of intervention, and the occurrence of adverse events and nursing satisfaction were compared during intervention. Results After 5 d of intervention, the serum total bilirubin level was lower than that before intervention (all P<0.05) , and the level in study group was lower than that in control group (all P<0.05) . The incidence rate of adverse events was 4.08％ in study group and was 13.88％ in control group (χ2=10.220, P=0.001) . The nursing satisfaction of family members was 94.69％ in study group and was 82.04％ in control group (χ2=5.390, P=0.020) . Conclusion Intensive risk management can effectively reduce the risk of adverse events during blue light irradiation for children patients, and its effects are better than conventional nursing.
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