Application of Nursing Management under the Structure-process-outcome Three-dimensional Evaluation Model in Children with Hemolytic Dis-ease of Newborn during Phototherapy
Objective:To explore the application effect of nursing management under the structure-process-outcome three-dimensional e-valuation model in children with hemolytic disease of newborn during phototherapy.Methods:A total of 82 children with hemolytic disease of newborn,admitted from January 1,2020 to June 30,2022,were selected as the research objects.They were divided into an observation group(42 cases)and a control group(40 cases)according to the random number table method.The routine nursing care was taken in the con-trol group and the nursing management under the structure-process-outcome three-dimensional evaluation model was additionally adopted in the observation group.The jaundice dissipation time of body surface,blue light therapy time,hospitalization time,blood biochemical indexes(indirect bilirubin,hemoglobin,red blood cell),nursing quality scores,adverse reactions and family satisfaction were compared between the two groups before and after intervention.Results:Compared with the control group,the jaundice dissipation time of body surface,blue light therapy time,and length of hospital stay were shorter in the observation group(P<0.05),the total incidence of adverse reactions was lower in the observation group(P<0.05),and the family satisfaction was higher in the observation group(P<0.05).After intervention,the levels of in-direct bilirubin in the two groups were lower than those before intervention(P<0.05),and the levels of hemoglobin and red blood cells were higher than those before intervention(P<0.05).The level of indirect bilirubin in the observation group was lower than that in the control group after intervention(P<0.05),and the levels of hemoglobin and red blood cells were higher than those in the control group(P<0.05).After intervention,the nursing quality scores of the two groups were higher than those before intervention(P<0.05),and the scores of the ob-servation group were higher than those in the control group(P<0.05).Conclusion:The nursing management under the structure-process-out-come three-dimensional evaluation model can promote the recovery of the condition and blood biochemical indexes of children with hemolytic disease of newborn during phototherapy,reduce adverse reactions,and improve the quality of nursing care and family satisfaction.
Hemolytic disease of newbornPhototherapyStructure-process-outcome three-dimensional evaluation modelJaundiceAd-verse reactionsSatisfaction
NETL
NSTL
万方数据
