新生儿抚触护理在新生儿黄疸护理中的效果分析
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摘要
目的探讨新生儿抚触护理在新生儿黄疸护理中的应用效果。方法于2017年7月—2018年7月方便选取该院收治的新生儿黄疸患儿92例进行观察分析,利用电脑随机的方式,将之划分为常规组、研究组,两组各有46例。常规组患儿接受常规化护理,研究组患儿则在常规化护理的同时开展新生儿抚触护理。统计并对比两组护理效果。结果研究组总体疗效95.65%高于常规组82.61%,组间差异有统计学意义(χ2=8.775,P<0.05);研究组直接胆红素(20.3±15.4)μmol/L、间接胆红素(190.9±62.3)μmol/L、总胆红素(224.5±82.3)μmol/L均低于常规组(31.2±16.2)μmol/L、(251.5±79.8)μmol/L、(266.5±92.3)μmol/L,组间差异有统计学意义(P<0.05);研究组退黄时间(4.1±0.3)d、胎便排出时间(7.3±1.6)h、排便次数(6.2±1.8)次等均优于常规组(6.6±0.3)d、(9.9±1.5)h、(3.3±1.2)次,组间差异有统计学意义(t=39.965、8.040、9.091,P<0.05);研究组不良反应6.52%明显少于常规组17.39%,组间差异有统计学意义(χ2=5.612,P<0.05)。结论通过抚触护理,可进一步提高新生儿黄疸患儿的护理效果,减低患儿胆红素水平,促使其尽快退黄、排便,且不良反应少,安全可靠。值得临床借鉴、应用。
Objective To explore the application effect of neonatal care in neonatal jaundice care. Methods Convenient select from July 2017 to July 2018, 92 children with neonatal jaundice admitted to our hospital were observed and analyzed.They were randomly divided into regular group and research group by computer random method. Routine care was given to children in the regular group, and neonatal care was performed in the study group at the same time with regular care.Statistics and comparison of the effects of the two groups of care. Results The overall efficacy of the study group was95.65% higher than that of the conventional group(82.61%), and the difference between the groups was significant(χ~2=8.775, P<0.05). The study group had direct bilirubin(20.3±15.4) umol/L and indirect bilirubin(190.9±62.3)μmol/L, total bilirubin(224.5±82.3)μmol/L were lower than the conventional group(31.2±16.2)μmol/L,(251.5±79.8)μmol/L,(266.5±92.3)μmol/L,the differences between the groups were significant(P<0.05); the time of the study group was(4.1±0.3) d, the time of fetus discharge(7.3±1.6) h, the number of bowel movements(6.2±1.8) times, etc. Compared with the conventional group(6.6±0.3)d,(9.9±1.5)h,(3.3±1.2) times, the difference between the groups was significant(t=39.965, 8.040, 9.091, P<0.05); the adverse reaction of the study group was 6.52%, less than 17.39% of the conventional group, the difference between the groups was significant(χ~2=5.612, P<0.05). Conclusion By nursing care, the nursing effect of neonatal jaundice children can be further improved, the bilirubin level of children can be reduced, and the jaundice can be reduced as soon as possible, and the adverse reactions are less, safe and reliable. It is worthy of clinical reference and application.
Objective To explore the application effect of neonatal care in neonatal jaundice care. Methods Convenient select from July 2017 to July 2018, 92 children with neonatal jaundice admitted to our hospital were observed and analyzed.They were randomly divided into regular group and research group by computer random method. Routine care was given to children in the regular group, and neonatal care was performed in the study group at the same time with regular care.Statistics and comparison of the effects of the two groups of care. Results The overall efficacy of the study group was95.65% higher than that of the conventional group(82.61%), and the difference between the groups was significant(χ~2=8.775, P<0.05). The study group had direct bilirubin(20.3±15.4) umol/L and indirect bilirubin(190.9±62.3)μmol/L, total bilirubin(224.5±82.3)μmol/L were lower than the conventional group(31.2±16.2)μmol/L,(251.5±79.8)μmol/L,(266.5±92.3)μmol/L,the differences between the groups were significant(P<0.05); the time of the study group was(4.1±0.3) d, the time of fetus discharge(7.3±1.6) h, the number of bowel movements(6.2±1.8) times, etc. Compared with the conventional group(6.6±0.3)d,(9.9±1.5)h,(3.3±1.2) times, the difference between the groups was significant(t=39.965, 8.040, 9.091, P<0.05); the adverse reaction of the study group was 6.52%, less than 17.39% of the conventional group, the difference between the groups was significant(χ~2=5.612, P<0.05). Conclusion By nursing care, the nursing effect of neonatal jaundice children can be further improved, the bilirubin level of children can be reduced, and the jaundice can be reduced as soon as possible, and the adverse reactions are less, safe and reliable. It is worthy of clinical reference and application.
引文
[1]付莉萍.新生儿黄疸护理环节抚触护理的临床应用评价[J].实用临床护理学电子杂志,2018,3(20):87-88.
[2]王莹,宋宁娟,陈珊珊.新生儿抚触联合中医穴位按摩治疗新生儿黄疸的护理疗效研究[J].实用临床护理学电子杂志,2017,2(50):140.
[3]王玲丽.早期抚触护理在新生儿生理性黄疸治疗中的效果观察[J].临床医学研究与实践,2017,2(14):157-158.
[4]段琳琳,李洪香.护理干预对新生儿黄疸治疗效果及黄疸指数的影响[J].中国继续医学教育,2016,8(33):238-239.
[5]杨丽,王静.新生儿抚触配合临床常规治疗方法治疗新生儿黄疸的疗效评价[J].中国社区医师,2016,32(16):140-141.
[6]薛莲.抚摸护理对新生儿生理性黄疸消退的影响[J].中国医学工程,2015,23(10):201,203.
[7]李洪娟.新生儿抚触联合药物治疗新生儿黄疸疗效观察[J].中外医学研究,2015,13(25):16-18.
[8]孙长芸.新生儿生理性黄疸施行早期抚触护理效果分析[J].中国卫生标准管理,2015,6(20):224-225.
[9]桑李叶.新生儿黄疸护理中抚触护理的临床价值分析[J].中国农村卫生,2014(15):49.
[10]赵文赫,黄宇博.蓝光照射结合新生儿抚触护理治疗新生儿黄疸[J].中国地方病防治杂志,2014,29(S2):274-275.
[11]李棚,高海燕.抚触在新生儿黄疸护理中的价值[J].中国医药导报,2014,11(5):142-144.
[12]滕祎.茵栀黄颗粒联合抚触护理治疗新生儿黄疸30例疗效观察[J].中医儿科杂志,2014,10(3):66-68.
[2]王莹,宋宁娟,陈珊珊.新生儿抚触联合中医穴位按摩治疗新生儿黄疸的护理疗效研究[J].实用临床护理学电子杂志,2017,2(50):140.
[3]王玲丽.早期抚触护理在新生儿生理性黄疸治疗中的效果观察[J].临床医学研究与实践,2017,2(14):157-158.
[4]段琳琳,李洪香.护理干预对新生儿黄疸治疗效果及黄疸指数的影响[J].中国继续医学教育,2016,8(33):238-239.
[5]杨丽,王静.新生儿抚触配合临床常规治疗方法治疗新生儿黄疸的疗效评价[J].中国社区医师,2016,32(16):140-141.
[6]薛莲.抚摸护理对新生儿生理性黄疸消退的影响[J].中国医学工程,2015,23(10):201,203.
[7]李洪娟.新生儿抚触联合药物治疗新生儿黄疸疗效观察[J].中外医学研究,2015,13(25):16-18.
[8]孙长芸.新生儿生理性黄疸施行早期抚触护理效果分析[J].中国卫生标准管理,2015,6(20):224-225.
[9]桑李叶.新生儿黄疸护理中抚触护理的临床价值分析[J].中国农村卫生,2014(15):49.
[10]赵文赫,黄宇博.蓝光照射结合新生儿抚触护理治疗新生儿黄疸[J].中国地方病防治杂志,2014,29(S2):274-275.
[11]李棚,高海燕.抚触在新生儿黄疸护理中的价值[J].中国医药导报,2014,11(5):142-144.
[12]滕祎.茵栀黄颗粒联合抚触护理治疗新生儿黄疸30例疗效观察[J].中医儿科杂志,2014,10(3):66-68.
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