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家属参与共治原则在新生儿高胆红素血症护理中的应用观察

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目的:探讨家属参与共治原则在新生儿高胆红素血症护理中的应用价值.方法:选取2019年3月—2021年3月样本医院新生儿科收治的62例高胆红素血症新生儿作为研究对象,以随机数表法分为对照组和观察组,每组各31例.对照组患儿给予常规护理干预,观察组患儿在常规护理的基础上联合家属参与共治护理干预,干预时长2周.比较两组患儿不良反应发生率和家属满意度的区别,比较干预前后患儿治疗依从性和经皮胆红素水平的区别.结果:干预后,观察组患儿不良反应的总发生率低于对照组,差异有统计学意义(χ2=9.182,P<0.05);干预后,观察组患儿家属的满意度高于对照组,差异有统计学意义(χ2=4.026,P<0.05);干预后,观察组患儿的治疗依从性高于对照组,差异有统计学意义(U= 2.620,P<0.05);干预后,两组患儿经皮胆红素水平均下降,且观察组低于对照组,差异有统计学意义(t=2.618,P<0.05).结论:家属参与共治的护理干预能够有效提高新生儿高胆红素血症的治疗依从性与家属满意度,降低不良反应发生率,促进患儿早日痊愈.
Observation on the Application of the Principle of Family Participation in Co-management in the Care of Neonatal Hyperbilirubinemia
Objective:To investigate the value of family participation in co-management principles in the care of neonatal hyperbilirubinemia.Methods:62 cases of neonates with hyperbilirubinemia admitted to the Neonatology Department of the hospital from March 2019 to March 2021 were selected as the study subjects,and they were divided into the control group and the observation group by the method of random number table,with 31 cases in each group.The control group was given routine nursing interventions,and the observation group added family participation in co-treatment on the basis of the control group,with an intervention duration of 2 weeks.The difference in the incidence of adverse reactions and family satisfaction between the two groups was compared,and the difference in treatment compliance and transcutaneous bilirubin levels between the two groups was compared before and after the intervention.Results:After the intervention,the total incidence of adverse reactions of children in the observation group was lower than that of the control group,and the difference was statistically significant(χ2=9.182,P<0.05).After the intervention,the satisfaction of the families in the observation group was higher than that of the control group,and the difference was statistically significant(χ2=4.026,P<0.05).After the intervention,the treatment compliance of children in the observation group was higher than that of the control group,and the difference was statistically significant(U=2.620,P<0.05).After the intervention,the transcutaneous bilirubin levels of children in both groups decreased,and the observation group was lower than the control group,and the difference was statistically significant(t=2.618,P<0.05).Conclusion:Nursing interventions involving family participation in shared care can effectively improve treatment compliance and family satisfaction in neonatal hyperbilirubinemia,reduce the rate of adverse events,and promote the early recovery of children.

Principle of family participation in co-treatmentNeonatal hyperbilirubinemiaComplianceSatisfaction

刘丽萍、王红利、高峰

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河南省人民医院新生儿监护病房·河南省护理医学重点实验室·郑州大学人民医院,河南 郑州 450000

家属参与共治原则 新生儿高胆红素血症 依从性 满意度

2024

黑龙江医学
中华医学会黑龙江分会

黑龙江医学

影响因子:0.714
ISSN:1004-5775
年,卷(期):2024.48(8)
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