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目的观察安全性护理在新生儿高胆红素血症蓝光照射的应用。方法选取本院于2015年3月—2016年12月100例商胆红素血症新生儿,随机分为观察组和对照组各50例,对照组采用常规护理干预,观察组在对照组的基础上进行安全性护理。对两组患儿护理干预后的疗效、睡眠时间、不良反应及满意度进行比较。计量资料两组间比较采用独立样本t检验,组内比较采用配对t检验;计数资料比较采用χ~2检验,P<0.05为差异有统计学意义。结果治疗后观察组患儿的总有效率(9 8.00%)远高于对照组(84.00%),差异有统计学意义(P<0.05)。护理后观察组患儿的胆红素水平要低于对照组[(190.21±10.51)、(207.89±18.21)μmol/L],睡眠时间长于对照组[(18.62±1.21)、(14.51±1.23)h],差异均有统计学意义(均P<0.05)。护理后观察组患儿不良反应的发生率(4.00%、18.00%、14.00%、10.00%、18.00%)远低于对照组(34.00%、42.00%、32.00%、40.00%、38.00%),差异均有统计学意义(均P<0.05)。观察组患儿的满意度为100%(50/50),显著高于对照组的80.00%(40/50),差异有统计学意义(P<0.05)。结论安全性护理可以提高疗效,减少不良反应的发生并且提高治疗满意度,值得临床推广。
Objective To observe the application of safety nursing in blue light irradiation of neonatal hyperbilirubinemia. Methods A total of 100 neonates with hyperbilirubinemia were selected from March 2015 to December 2016 in our hospital and randomly divided into observation group and control group with 50 cases in each group. The control group received routine nursing intervention. The observation group in control group Based on the safety of care. The efficacy, sleep time, adverse reactions and satisfaction of the two groups after nursing intervention were compared. Measurement data were compared between two groups using independent samples t test, the group was compared using paired t test; count data were compared using the χ ~ 2 test, P <0.05 for the difference was statistically significant. Results After treatment, the total effective rate in the observation group (9 8.00%) was much higher than that in the control group (84.00%), the difference was statistically significant (P <0.05). The bilirubin level in observation group was lower than that in control group [(190.21 ± 10.51), (207.89 ± 18.21) μmol / L], and the sleep time was longer in control group [(18.62 ± 1.21) and (14.51 ± 1.23) h], the differences were statistically significant (all P <0.05). The incidence of adverse reactions in the observation group was significantly lower than that in the control group (4.00%, 18.00%, 14.00%, 10.00%, 18.00%) after treatment All were statistically significant (P <0.05). The satisfaction degree of the observation group was 100% (50/50), which was significantly higher than that of the control group (80.00%, 40/50). The difference was statistically significant (P <0.05). Conclusion Safety nursing can improve the curative effect, reduce the occurrence of adverse reactions and improve the satisfaction of treatment, so it is worthy of clinical promotion.