Abstract：Objective To explore the effect of fine management in nursing care of neonatal hyperbilirubinemia. Methods A total of 80 cases of full-term neonatal hyperbilirubinemia in the Department of Neonatal Pediatrics, Anhui Children’s Hospital from January to August 2020 were selected, they were divided into the observation group and the control group by the random number table method, with 40 cases in each group. The control group was given routine nursing, and the observation group was given fine management, they were received continuous nursing for five days. The blue light treatment time, jaundice subsided time, length of hospital stay, serum total bilirubin level, body weight and complications were compared between the two groups. Results The blue light treatment time, jaundice regression time and length of hospital stay in the observation group were significantly lower than those in the control group, and the differences were statistically significant (P ＜ 0.05); there were significant differences in the level of serum total bilirubin, the comparison of each time point and the interaction between the two groups (P ＜ 0.05), further pairwise comparison showed that the levels of serum total bilirubin in the two groups at 2, 4 and 5 days after nursing were significantly lower than that before nursing, at 4 and 5 days after nursing were lower than that at 2 days after nursing, and at 5 days after nursing was lower than that at 4 days after nursing, the differences were statistically significant (P ＜ 0.05), compared between groups, the levels of serum total bilirubin in the observation group were lower than those in the control group at 2, 4 and 5 days after nursing, and the differences were statistically significant (P ＜ 0.05); the body weight of the observation group was significantly higher than that of the control group (P ＜ 0.05); the total incidence of diarrhea, fever and rash in the observation group was significantly lower than that in the control group, and the difference was statistically significant (P ＜ 0.05), there was no need for exchange transfusion and bilirubin encephalopathy in both groups. Conclusion Fine management in neonatal hyperbilirubinemia nursing effect is significant, which is beneficial to the recovery of children, and can significantly shorten the hospitalization time, relieve the tension of neonatal ward, improve the turnover rate of hospital bed, and reduce the hospitalization cost of children, which is worthy of application and promotion.
丁敏 胡章敏 尹依菊 周倩▲. 精细化管理在新生儿高胆红素血症护理中的应用效果[J]. 中国医药导报, 2021, 18(13): 176-180.
DING Min HU Zhangmin YIN Yiju ZHOU Qian▲. Application effect of fine management in nursing care of neonatal hyperbilirubinemia. 中国医药导报, 2021, 18(13): 176-180.
京公网安备 11010502046598号