首页|鸟巢式护理联合蓝光治疗新生儿高胆红素血症中的应用效果

鸟巢式护理联合蓝光治疗新生儿高胆红素血症中的应用效果

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目的 探讨鸟巢式护理+蓝光治疗在新生儿高胆红素血症(NHB)中的应用价值并分析对患儿依从性与黄疸指数的影响。方法 将 2020 年 1 月至 2022 年 12 月期间在漯河市骨科医院治疗的NHB患儿(78 例)作为研究对象,依据区间随机法将其分为对照组、研究组,各 39 例,两组均接受蓝光治疗,对照组治疗期间实施常规护理,研究组治疗期间实施鸟巢式护理。比较两组干预前后血清胆红素水平、黄疸指数水平、症状消失时间及患儿治疗依从度。结果 护理前,两组血清胆红素、黄疸指数比较,差异无统计学意义(P>0。05);护理后,两组血清胆红素、黄疸指数均有所下降,且研究组低于对照组,差异有统计学意义(P<0。05)。研究组皮肤颜色恢复正常时间、大便颜色恢复正常时间、黄疸完全消失时间、出暖箱时间均短于对照组,差异有统计学意义(P<0。05)。研究组蓝光治疗期间不良反应发生率(10。26%)低于对照组(30。77%),差异有统计学意义(P<0。05)。研究组患儿治疗依从率(89。74%)高于对照组(61。54%),差异有统计学意义(P<0。05)。结论 利用鸟巢护理配合蓝光治疗可提升对NHB的治疗效果,在降低黄疸指数、血清胆红素、加速基本症状改善时间等方面均有体现,同时可明显提升NHB患儿治疗依从度,预防蓝光治疗期间潜在的不良反应。
The Application Effect Bird Nest Nursing Combined With Blue Light Treatment in Neonatal Hyperbilirubinemia
Objective To discuss the clinical effects of bird nest nursing and blue light therapy on the treatment compliance and icteric index for neonatal hyperbilirubinemia(NHB).Methods A total of 78 NHB patients treated from January 2020 to December 2022 in Luohe Orthopaedic Hospital were chosen as research subjects.According to random interval method,they were divided into control group and study group,with 39 cases in each group.Both groups received blue light treatment.The control group received routine care during the treatment period,,while the study group received bird nest nursing during the treatment period.Serum bilirubin,icteric index,symptom relief time and treatment compliance of the two groups before and after intervention were compared.Results Before care,serum bilirubin and icteric index between groups were not significantly different(P>0.05);after care,serum bilirubin and icteric index of both groups decreased,and the study group were lower than control group,with statistical significance(P<0.05);the skin color and stool color recovery time,jaundice disappearance time and incubator leaving time in the study group were shorter than control group,with statistical significance(P<0.05);the adverse event rates in the study group(10.26%)were lower than control group(30.77%),with statistical significance(P<0.05);the treatment compliance in the study group(89.74%)was higher than control group(61.54%),with statistical significance(P<0.05).Conclusion The bird nest nursing combined with blue light therapy can improve the treatment effect on NHB,which is reflected in reducing jaundice index,serum bilirubin,and accelerating the improvement time of basic symptoms.At the same time,it can significantly improve the treatment compliance of NHB children and prevent potential adverse reactions during blue light therapy.

bird nest nursingblue light therapyhyperbilirubinemiaicteric indextreatment compliance

徐彩云、李红

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漯河市骨科医院 儿科,河南 漯河 462300

鸟巢式护理 蓝光治疗 高胆红素血症 黄疸指数 依从性

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(5)
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