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保护性睡眠联合抚触护理对新生儿高胆红素血症不适症状及睡眠时间的影响

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目的 研究保护性睡眠联合抚触护理对新生儿高胆红素血症(NHB)不适症状及睡眠时间的影响.方法 以2021年2月-2023年2月东乡区人民医院收治的80例NHB患儿为研究对象,经随机数字表法分为对照组(40例)与观察组(40例),两组均采用蓝光治疗与常规护理,在此基础上,对照组实施保护性睡眠护理,观察组则应用保护性睡眠联合抚触护理,比较两组患儿黄疸指数、黄疸持续时间、胃肠功能(摄奶量、大便次数)、不适症状、哭闹时间、睡眠时间及睡眠质量.结果 两组护理后黄疸指数、低于护理前,且观察组黄疸指数、黄疸持续时间均低于对照组(P<0.05);两组护理后摄奶量、大便次数多于护理前,且观察组摄奶量、大便次数多于对照组(P<0.05);观察组不适症状发生率小于对照组(P<0.05);两组护理后哭闹时间少于护理前,睡眠时间多于护理前,且观察组哭闹时间少于对照组,睡眠时间多于对照组(P<0.05);观察组睡眠质量优良率高于对照组(P<0.05).结论 保护性睡眠联合抚触护理有助于减轻NHB患儿的黄疸指数,可改善其胃肠功能,缩短其黄疸持续时间与哭闹时间,对其睡眠时间及睡眠质量具有积极改善作用.
Effect of Protective Sleep Combined with Touch Nursing on Discomfort Symptoms and Sleep Time of Neonatal Hyperbilirubinemia
Objective To study the effect of protective sleep combined with touch nursing on the discomfort symptoms and sleep time of neonatal hyperbilirubinemia(NHB).Methods A total of 80 children with NHB admitted to Dongxiang District People's Hospital from February 2021 to February 2023 were selected as the research objects.They were divided into control group(40children)and observation group(40children)by random number table method.Both groups were treated with blue light therapy and routine nursing.On this basis,the control group was given protective sleep nursing,while the observation group was given protective sleep combined with touch nursing.The jaundice index,jaundice duration,gastrointestinal function(milk intake,stool frequency),discomfort symptoms,crying time,sleep time and sleep quality were compared between the two groups.Results The jaundice index of the two groups after nursing was less than that before nursing,and the jaundice index and jaundice duration of the observation group were less than those of the control group(P<0.05).The milk intake and stool frequency of the two groups after nursing were more than those before nursing,and the milk intake and stool frequency of the observation group were more than those of the control group(P<0.05).The incidence of discomfort in the observation group was lower than that in the control group(P<0.05).The crying time of the two groups after nursing was less than that before nursing,the sleep time was more than that before nursing,and the crying time of the observation group was less than that of the control group,the sleep time was more than that of the control group(P<0.05).The excellent and good rate of sleep quality in the observation group was higher than that in the control group(P<0.05).Conclusion Protective sleep combined with touch nursing can help to reduce the jaundice index of NHB children,improve their gastrointestinal function,shorten the duration of jaundice and crying time,and positively improve their sleep time and sleep quality.

Neonatal hyperbilirubinemiaProtective sleepTouch nursingSleep time

张瑾、方琴、辛红娟

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东乡区人民医院儿科,江西 抚州 331800

新生儿高胆红素血症 保护性睡眠 抚触护理 睡眠时间

2024

医学信息
国家卫生部信息化管理领导小组 中国电子学会中国医药信息学分会 陕西文博生物信息工程研究所

医学信息

影响因子:0.161
ISSN:1006-1959
年,卷(期):2024.37(18)