Application of nursing model based on management by objectives theory in neonates with hyperbilirubinemia
Objective To explore the application of nursing model based on management by objectives theory in neonates with hyperbilirubinemia.Methods From January 2021 to January 2023,94 neonates with hyperbilirubinemia in Children's Hospital Affiliated to Zhengzhou University were selected and were divided into a management group(47 cases)and a routine group(47 cases)according to the order of admission.There were 25 boys and 22 girls in the routine group,with a gestational age of 36-42(39.03±1.07)weeks.In the management group,there were 21 boys and 26 girls,with a gestational age of 36-42(38.94±1.12)weeks.Routine nursing was carried out in the routine group,while nursing model based on management by objectives theory was carried out in the management group on the basis of the routine group.Both groups were intervened until the recovery of the children's condition.The serum bilirubin levels and sleep time[Brief Infant Sleep Questionnaire(BISQ)]before and after intervention,jaundice resolution time,discomfort symptoms,and family satisfaction[Newcastle Satisfaction with Nursing Scale(NSNS)]were compared between the two groups.t test and x2 test were used.Results After intervention,the level of serum bilirubin in the management group was lower than that in routine group[(157.49±15.82)μmol/L vs.(204.83± 15.29)μmol/L](P＜0.05).The time of jaundice resolution in the management group was shorter than that in the routine group[(6.36±1.27)d vs.(7.13±1.06)d],with a statistically significant difference(t=3.191,P=0.002).After intervention,the daytime sleep time and nighttime sleep time[(8.32±1.39)h and(8.55±1.29)h]in the management group were longer than those in the routine group[(7.30±1.41)h and(7.62±1.34)h](both P＜0.05).There was no statistically significant difference in the total incidence of discomfort symptoms between the management group[8.51％(4/47)]and the routine group[21.28％(10/47)](P＞0.05).The family satisfaction in the management group[95.74％(45/47)]was higher than that in the routine group[68.09％(32/47)](P＜0.05).Conclusion Applying the nursing model based on management by objectives theory to neonates with hyperbilirubinemia can reduce the level of serum bilirubin,shorten the regression time of jaundice,prolong the sleep time,and improve the satisfaction of family members.
Neonatal hyperbilirubinemiaManagement by objectives theoryNursingSleep timeDiscomfort symptoms
万方数据
维普
