鳥(niǎo)巢式護(hù)理聯(lián)合防撞條干預(yù)對(duì)新生兒黃疸光療患兒血清膽紅素及睡眠質(zhì)量的影響評(píng)價(jià)

高煒 陳曉慶 劉娟娟 于先晨

摘要?目的：研究鳥(niǎo)巢式護(hù)理聯(lián)合防撞條干預(yù)被應(yīng)用到新生兒黃疸光療患兒中的護(hù)理作用與效果。方法：選取2018年3月至2020年1月安徽省蚌埠市第一人民醫(yī)院收治的黃疸光療的新生兒108例作為研究對(duì)象，按照不同護(hù)理方法分為對(duì)照組和觀察組，每組54例。先對(duì)所有患兒進(jìn)行光療，再對(duì)對(duì)照組患兒施予常規(guī)性護(hù)理，對(duì)觀察組患兒施予鳥(niǎo)巢式護(hù)理聯(lián)合防撞條干預(yù)，觀察比較其最終的結(jié)果。結(jié)果：在護(hù)理后，對(duì)于血清膽紅素，觀察組較對(duì)照組更低，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）;在護(hù)理后，對(duì)于睡眠質(zhì)量，觀察組較對(duì)照組更優(yōu)，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論：鳥(niǎo)巢式護(hù)理聯(lián)合防撞條干預(yù)被應(yīng)用到新生兒黃疸光療患兒中，能夠得到更為滿意的效果。

關(guān)鍵詞?新生兒;護(hù)理;防撞條干預(yù);黃疸光療;鳥(niǎo)巢式護(hù)理

Effect of Bird Nest Nursing Combined with Anti-collision Bar Intervention on Serum Bilirubin and Sleep Quality in Children with Neonatal Jaundice Phototherapy

GAO Wei，CHEN Xiaoqing，LIU Juanjuan，YU Xianchen

（The First People′s Hospital of Bengbu City，Bengbu 233000，China）

Abstract?Objective：To study the nursing effect and effect of bird′s nest nursing combined with anti-collision bar intervention in neonatal jaundice phototherapy.Methods：A total of 108 cases of neonatal jaundice treated by phototherapy in our hospital were selected as the research objects and divided into control group and observation group according to different nursing methods，with 54 cases in each group.All the children were treated with phototherapy，then the control group was given routine nursing care，and the observation group was given bird′s nest nursing combined with anti-collision strip intervention，and the final results were observed and compared.Results：After nursing，for serum bilirubin，the observation group was lower than the control group，the difference was statistically significant（P<0.05）.For sleep quality，the observation group was better than the control group，the difference was statistically significant（P<0.05）.Conclusion：Bird nest nursing combined with anti-collision bar intervention can be applied to children with neonatal jaundice phototherapy，which can get more satisfactory results.

Keywords?Newborn; Nursing; Anti-collision bar intervention; Jaundice phototherapy; Bird nest nursing

中圖分類號(hào)：R722.17??文獻(xiàn)標(biāo)識(shí)碼：A??doi：10.3969/j.issn.2095-7130.2020.09.039

新生兒黃疸是由于膽紅素代謝發(fā)生異常，使得膽紅素較高，最終患兒的鞏膜、皮膚等出現(xiàn)黃染。臨床中大多借助光照療法對(duì)新生兒黃疸患兒進(jìn)行治療，而其中，藍(lán)光照射是最為普遍的[1]。但是，在實(shí)施光照治療期間，患兒會(huì)被裸露在藍(lán)光箱中，且其眼睛也會(huì)被遮蔽，進(jìn)而讓患兒出現(xiàn)了焦躁感、懼怕感，無(wú)法保障效果，為此，臨床中對(duì)這類患兒實(shí)施更為科學(xué)且高效的護(hù)理是十分關(guān)鍵的[2]。本研究選取本院收治的108例新生兒黃疸光療病例，現(xiàn)將結(jié)果報(bào)道如下。

1?資料與方法

1.1?一般資料?選取2018年3月至2020年1月安徽省蚌埠市第一人民醫(yī)院收治的黃疸光療的新生兒108例作為研究對(duì)象，按照不同護(hù)理方法分為對(duì)照組和觀察組，每組54例。對(duì)照組中男37例，女17例;胎齡33～37周，平均胎齡（35.17±1.89）周。觀察組中男38例，女16例;胎齡34～36周，平均胎齡（35.68±1.06）周。2組患者一般資料經(jīng)比較，差異無(wú)統(tǒng)計(jì)學(xué)意義（P>0.05），具有可比性。本研究經(jīng)過(guò)本院倫理委員會(huì)批準(zhǔn)并經(jīng)患者及其家屬知情同意。

1.2?納入標(biāo)準(zhǔn)?1）診斷明確，無(wú)其他嚴(yán)重性并發(fā)癥;2）主要家屬能夠正常配合干預(yù)和隨訪工作;3）胎齡≥28周。