世界睡眠医学杂志2024,Vol.11Issue(4) :823-826.DOI:10.3969/j.issn.2095-7130.2024.04.032

分析发展性照护行为联合风险护理对新生黄疸患儿睡眠质量的影响

Analyzing the Impact of Developmental Care Behavior and Risk Management on Sleep Quality in Newborns with Jaundice

王玉华 许欣欣 程琼瑶
世界睡眠医学杂志2024,Vol.11Issue(4) :823-826.DOI:10.3969/j.issn.2095-7130.2024.04.032

分析发展性照护行为联合风险护理对新生黄疸患儿睡眠质量的影响

Analyzing the Impact of Developmental Care Behavior and Risk Management on Sleep Quality in Newborns with Jaundice

王玉华 1许欣欣 1程琼瑶1
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作者信息

  • 1. 石狮市总医院,石狮,362700
  • 折叠

摘要

目的:分析发展性照护行为联合风险护理对新生黄疸患儿睡眠质量的影响.方法:选取2022年4月至2023年5月石狮市总医院收治的新生黄疸患儿94例作为研究对象,按照随机数字表法分为对照组和观察组,每组47例.对照组给予常规护理干预,观察组给予发展性照护行为联合强化风险护理干预.对2组患儿进行睡眠质量评估,观察夜间觉醒次数、每日平均睡眠时间、夜间最长连续睡眠时间,对2组患儿治疗过程中黄疸持续时间、首次排便时间、日排便次数进行统计,比较2组患儿代谢水平,对血清总蛋白、人血白蛋白以及血清总胆红素/白蛋白比值进行统计,并在护理前、护理后第3、5、7天分别统计,比较2组患儿的黄疸指数及血清胆红素水平.结果:干预后,观察组患儿夜间觉醒次数显著低于对照组,每日平均睡眠时间、夜间最长连续睡眠时间均长于对照组,差异均有统计学意义(均P<0.05);观察组黄疸持续时间、首次排便时间显著短于对照组,日排便次数多于对照组,差异均有统计学意义(均P<0.05);护理干预后,观察组患儿血清总蛋白、人血白蛋白以及血清总胆红素/白蛋白比值显著低于对照组,差异均有统计学意义(均P<0.05);护理干预后,观察组黄疸指数显著低于对照组,差异均有统计学意义(均P<0.05).结论:在对新生黄疸患儿护理过程中开展发展性照护下的行为护理联合强化风险护理,可以提升患儿睡眠质量,迅速缓解患儿黄疸症状,改善患儿代谢水平,有助于加快患儿恢复进程,值得临床推广应用.

Abstract

Objective:To analyze the impact of developmental care behavior combined with risk nursing on the sleep quality of newborns with jaundice.Methods:A total of 94 newborns with jaundice admitted to Shishi General Hospital from April 2022 to May 2023 were selected as the study subjects.Using a random number table method,they were randomly divided into an observa-tion group and a control group,with 47 cases in each group.The control group received routine nursing intervention,while the ob-servation group received developmental care behavior combined with intensified risk nursing intervention.Evaluate the sleep quali-ty of two groups of children and observe the number of nighttime awakenings,average daily sleep time,and longest continuous sleep time at night.Count the duration of jaundice,first defecation time,and daily defecation frequency during the treatment process of the two groups of children,compare the metabolic levels of the two groups of children,and count the total protein,serum albumin,and total bilirubin/albumin ratio in serum.Count and compare the jaundice index and serum bilirubin levels of the two groups of children before nursing and 3,5,and 7 days after nursing.Results:After intervention,the number of nocturnal awaken-ings in the observation group was significantly lower than that in the control group,and the average daily sleep time and the longest continuous sleep time at night were longer than those in the control group.The differences between the two groups were statistically significant(both P<0.05).The duration of jaundice and the first bowel movement time in the observation group were significantly shorter than those in the control group,with more daily bowel movements than in the control group.The differences between the two groups were statistically significant(both P<0.05).After the nursing intervention,the total serum protein,serum albumin,and serum total bilirubin/albumin ratio in the observation group were significantly lower than in the control group(all P<0.05).After the nursing intervention,the jaundice index in the observation group was significantly lower than that in the control group,and the difference between the two groups was statistically significant(both P<0.05).Conclusion:Behavioral nursing combined with intensified risk nursing under developmental care can improve the sleep quality of newborns with jaundice,rapidly alleviate jaundice symptoms,improve metabolic levels,and accelerate the recovery process.It is worthy of clinical promotion and applica-tion.

关键词

发展性照护/行为护理/强化风险护理/新生儿黄疸/睡眠/血清蛋白/黄疸指数/康复进程

Key words

Developmental care/Behavioral care/Strengthen risk care/Neonatal jaundice/Sleep/Serum protein/Jaundice in-dex/Rehabilitation process

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出版年

2024
世界睡眠医学杂志

世界睡眠医学杂志

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