Application of touch combined with acupoint massage in the nursing of neonatal pathologic jaundice
QIN Yanhua1 QIN Yanping2 MENG Yan1
1.Pediatric Internal Medicine, the First Medical Center of General Hospital of Chinese People’s Liberation Army, Beijing 100039, China;
2.Department of Oncology, Guang’an Men Hospital, Chinese Academy of Traditional Chinese Medicine, Beijing 100053, China
Abstract:Objective To study the application of touching combined with acupoint massage in the nursing of neonatal pathologic jaundice. Methods A total of 164 children with neonatal pathologic jaundice hospitalized in the First Medical Center of the General Hospital of the Chinese People’s Liberation Army from August 2019 to March 2021 were selected. They were divided into control group and observation group according to random number table method, with 82 cases in each group. The control group was given routine touch nursing, and the observation group was combined with acupoint massage on the basis of the control group. The changes of percutaneous bilirubin levels on the admission the 3rd, 5th and 7th after admission, defecation times in the first five days, yellowing time of fetal stool, jaundice regression time, and day 1-5 sleeping duration were compared between the two groups. Results The overall analysis showed that percutaneous bilirubin levels there were significant differences among groups, time, and interaction (P<0.05); further pairwise comparison, intra-group comparison: the two groups were compared at each time point, and the differences were statistically significant (P<0.05); comparison between groups: the percutaneous bilirubin level of the observation group was lower than that of the control group on the 3rd, 5th and 7th days after nursing intervention, the differences were statistically significant (P<0.05). The number of defecation in the first 5 days in the observation group was more than that in the control group, and the time of fetal stool yellowing and yellowing regression was shorter than that in the control group, the differences were statistically significant (P<0.05). The overall analysis showed that there were statistically significant differences in daily sleep duration, time, and interaction between the two groups (P<0.05). Further pairwise comparison, intra-group comparison: the two groups were compared at each time point, and the differences were statistically significant (P<0.05); comparison between groups: the observation group was higher than the control group at each time points after nursing intervention, the differences were statistically significant (P<0.05). Conclusion Massage combined with acupoint massage in the treatment of neonatal jaundice can effectively reduce the level of bilirubin in neonates, shorten the time of fetal stool yellowing and jaundice regression, prolong the sleeping time, improve the quality of nursing, has a certain clinical application value.